Muscles & Reflexes |
At time of diagnosis |
Before pregnancy |
During pregnancy |
Post-partum |
L |
R |
L |
R |
L |
R |
L |
R |
Upper limb |
|
|
|
|
|
|
|
|
Elbow extension |
5 |
5 |
5 |
5 |
4 |
4 |
5 |
5 |
Elbow flexion |
5 |
5 |
5 |
4 |
5 |
4 |
5 |
4 |
Wrist flexion |
5 |
4 |
5 |
4 |
4 |
4 |
5 |
4 |
Wrist extension |
5 |
4 |
5 |
4 |
4 |
4 |
5 |
4 |
Adduction thumb |
5 |
4 |
5 |
4 |
4 |
4 |
5 |
4 |
Abduction thumb |
4 |
4 |
4 |
4 |
4 |
4 |
4 |
4 |
Lower limb |
|
|
|
|
|
|
|
|
Foot plantar flexion |
5 |
5 |
5 |
5 |
5 |
5 |
5 |
5 |
Foot dorsal flexion |
5 |
5 |
5 |
5 |
4 |
4 |
5 |
5 |
Reflexes |
|
|
|
|
|
|
|
|
Biceps |
normal |
absent |
normal |
absent |
normal |
absent |
normal |
absent |
Triceps |
normal
|
absent |
normal |
absent |
absent |
absent |
normal |
absent |
Achilles |
normal
|
absent |
absent |
absent |
absent |
absent |
absent |
absent |
Muscle strength measured in MRC grade. MRC: Medical Research Council ranging from 0 (=no movement, no contraction) to 5 (=normal) |