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. 2008 Dec 11;48(2):134–139. doi: 10.1093/rheumatology/ken441

Table 4.

Strata of weaknessa by clinical group

PM (n = 65) (percentage of subjects)
DM (n = 50) (percentage of subjects)
JDM (n = 57) (percentage of subjects)
Muscle groups None Mild Moderate Severe None Mild Moderate Severe None Mild Moderate Severe
Neck flexors 11 46 35 8 8 52 34 6 14 37 44 5
Neck extensors 51 35 12 2 42 44 12 2 44 47 9 0
Shoulder elevators 71 20 8 2 82 16 0 2 67 28 5 0
Shoulder abductors 15 55 17 12 16 62 22 0 30 47 21 2
Elbow flexors 42 45 14 0 50 34 16 0 40 47 12 0
Wrist flexorsb 52 42 6 0 30 52 16 2 46 47 5 2
Wrist extensors 46 48 6 0 26 68 6 0 44 47 9 0
Hip flexorsc 2 25 40 34 4 34 36 26 14 51 30 5
Hip extensorsc 2 23 29 46 2 26 44 28 25 51 16 9
Hip abductorsc 9 26 40 25 14 56 22 8 28 49 18 5
Knee extensorsc 25 52 18 5 40 52 8 0 63 28 9 0
Ankle dorsiflexors 48 48 2 3 58 40 2 0 58 40 2 0
Ankle plantar flexorsb 45 45 9 2 66 34 0 0 61 32 7 0

aStrata of weakness are based on the MMT grading criteria: no detectable weakness = 10 out of 10, ability to move against gravity into the testing position and hold against maximal manual resistance; mild weakness = 7–9 out of 10, ability to move against gravity into the testing position and hold against varying degrees of submaximal manual resistance; moderate weakness = 4–6 out of 10, inability to sustain the testing position against gravity (4), inability to withstand minimal manual resistance in the testing position (5) or ability to withstand minimal manual resistance (6); severe weakness = 0–3 out of 10, inability to move limb beyond partial range of motion (<50% of partial range of motion) against gravity. bDistribution among clinical groups differs, P < 0.05, Kruskal–Wallis non-parametric rank test for contingency table data. cDistribution among clinical groups differs, P < 0.001, Kruskal–Wallis non-parametric rank test for contingency table data. (Values in rows may not equal 100% due to rounding; unilateral data were symmetrical, therefore only values from right side are included.)