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  <title>CyberPT Physical Therapy Forum : Grading of Respiratory Muscles</title>
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   <title><![CDATA[Grading of Respiratory Muscles : mcnulty 2 PostsPosted - 02/12/2006...]]></title>
   <link>http://www.cyberpt.com/ptforum/forum_posts.asp?TID=58&amp;PID=60&amp;title=grading-of-respiratory-muscles#60</link>
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    <![CDATA[<strong>Author:</strong> <a href="http://www.cyberpt.com/ptforum/member_profile.asp?PF=3">Previous CPT Forum</a><br /><strong>Subject:</strong> 58<br /><strong>Posted:</strong> Jul 08 2008 at 1:54pm<br /><br /><P>mcnulty</P><P>2 Posts<BR>&nbsp;<BR>Posted - 02/12/2006 :&nbsp; 18:03:43&nbsp; Show Profile&nbsp; Reply with Quote<BR>Just wondering if anyone knows of an objective way to grade the respiratory muscles?</P><P>MMPT</P><P>USA<BR>6 Posts<BR>&nbsp;<BR>Posted - 02/16/2006 :&nbsp; 11:17:13&nbsp; Show Profile&nbsp; Reply with Quote<BR>Here is an article that might help:<BR><a href="http://erj.ersjournals.com/cgi/reprint/8/11/1949" target="_blank">http://erj.ersjournals.com/cgi/reprint/8/11/1949</A></P><P>Otherwise, I found a muscle testing book, Daniels and Worthingham's Muscle Testing: Techniques of Manual Examination 7th Edition utilized the following scale to assess cough:</P><P>Functional: Normal or only sight impairment<BR>-crisp or explosive expulsion of air<BR>-volume is sharp and clearly audible<BR>-able to clear airway of secretions</P><P>Weak functional: Moderate impairment that affects the degree of active motion or endurance:<BR>-decreased volume and diminished air movement<BR>-appears labored<BR>-may take several attempts to clear airway</P><P>Nonfunctional: Severe impairment<BR>-no clearance of airway<BR>-no expulsion of air<BR>-coughing attempt may be nothing more than an effort to clear the throat</P><P>Zero: cough is absent </P>]]>
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