<p>Strength will be assessed using the Daniels &amp; Worthingham’s 5-point scale. (Please refer to pages 12-20 of the HJHS Instruction Manual for a complete description of each grade.)</p>
<p>Since it is practically impossible to get an accurate muscle test on a young patient and ther would be virtually no validity to the test, we are limited to trying to keep this part of the assessment very simple and base. In order to do this we have narrowed the muscle strength section to just 5 criteria. Each identified muscle group should be strength tested and recorded. Since the patient’s effort on the first test may be lessened to due to not completely understanding the instructions or the last test due to fatigue or boredom, it is recommended that each test be repeated 3 times and that the best effort be recorded.</p>
<p>Since all the joints move in more than one direction, the direction that is given the WEAKEST grade is used to determine</p>