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Pelvic Floor Grading Systems

Muscle Strength Grading: Modified Oxford Grading

Grade 0: No discernible contraction

Grade 1: Very weak contraction, a"flicker". Slight change in tension only.

Grade 2: Weak contraction.

Grade 3: Moderate contraction with some squeeze and lift ability. Clinically this is the aim. At this level continence and support start to return.

Grade 4 : Good contraction; squeeze and lift against resistance.

Grade 5: Strong contraction, squeeze and lift against strong resistance.

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Q: What is a muscle contraction flicker?
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