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Neuromuscular Examination SERIAL PROGRESS NOTE · MED KITS
Visits 4 visit columns
Scoring legend
Power 0 · 1 · 2 · 3 · 4− · 4 · 4+ · 5 DTR 0 · 1+ · 2+ · 3+ · 4+ Tone N · ↓ · ↓↓ · ↑ · ↑↑ Fasciculation / atrophy − · + · ++ · +++
Power (MRC) — 0 no contraction · 1 flicker · 2 movement with gravity eliminated · 3 against gravity · 4 against resistance · 5 normal. The 4−, 4, 4+ subdivisions grade slight, moderate and strong resistance respectively.

DTR — 0 absent · 1+ hypoactive · 2+ normal · 3+ brisk · 4+ clonic.

Tone — one arrow for mild, two for marked. ↓ hypotonia, ↑ hypertonia (spasticity or rigidity — specify in Remarks).

Cells are shaded by severity so a column reads at a glance, and the MRC sum at the foot of each column adds the muscles graded in that visit only — compare it between visits only when the same muscles were tested.
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