Online Course
Introduction to Manual Muscle Testing and Strength Assessment
Ensure precision care through accurate muscle strength assessments

1.5-2 hours





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Shala Cunningham
Course instructor

Dr. Shala Cunningham is an experienced physiotherapist and professor who specialises in orthopaedics and manual therapy

Course image - Introduction to Manual Muscle Testing and Strength Assessment
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Various factors influence muscle strength, including age, injury, neurological conditions, pain and more. Muscle strength can be a predictor of mortality, hospital length of stay, and hospital readmission. Muscle strength testing provides valuable insight into potential neurological deficits, weakness or muscle imbalance. It is also pivotal in differentiating true weakness from other factors, such as poor endurance, and it plays a vital role in identifying the presence and progression of muscle strength loss. Therefore, accurately assessing muscle strength is an essential part of a physical assessment. This course provides a comprehensive overview of the muscle strength assessment to help rehabilitation professionals develop strong manual muscle testing skills.


This course aims to provide rehabilitation professionals with fundamental knowledge of the muscle strength assessment and manual muscle testing.


This course is made up of videos, reading, discussions and a final quiz. The course content is split into the following sections:

  1. Video
  2. Reading activity
  3. Quiz

Target audience

This course is aimed at Physiotherapy and Physical Therapy clinicians, students and assistants. Other interested professionals such as athletic trainers, occupational therapists, nurses or medical doctors interested in this subject are also invited to participate.


  • Availability - this course is online and can be completed on your own schedule.
  • Hours of Learning - No deadlines are applied to this course and it can be started and completed in your own time according to your personal schedule. We expect the required elements to take around 1.5-2 hours depending on your schedule and learning style. Additionally there are many optional resources provided and if you choose to review these the course could take longer to complete.
  • Types of Activities - Watching videos, reading, a final quiz and participating in an international discussion forum.
  • Certificates - At the end of the course, when you have completed all of the required elements, you will be able to download a certificate of completion and 1.5 Plus points will be added to your personalised learning dashboard.

Requirements to complete this course

In order to complete this course and receive a course completion certificate plus CEUs/CCUs/CPD points you will need to:

  1. Respect the Plus Community Culture.
  2. Log all the required learning activities as complete (represented by the orange icons!).
  3. Actively and appropriately participate in the course discussions.
  4. Pass a final quiz with a score of 80% or more.
  5. Complete a course evaluation form.

Learning outcomes

At the end of this course you will be able to:

  • discuss the purpose of the muscle strength assessment and key principles that guide manual muscle testing, including positioning, stabilisation, and the application of resistance
  • select an appropriate grade of muscle strength for individuals in simple case scenarios using the Kendall Muscle Grading system
  • identify at least three contraindications to manual muscle strength testing

Instructor financial and non-financial disclosures

No relevant relationships disclosed by instructor.


For special needs or accommodations please contact us with details of how we can meet your needs.

Featured reviews
This course has helped me so much in assessing my patients properly. Very detailed and informative!
Charity Castro