Glossary entry

French term or phrase:

triceps contre pesanteur ou un peu plus

English translation:

triceps surae (gastrocnemius and soleus) against gravity or a little better

Added to glossary by Wendy Cummings
Sep 16, 2008 17:39
15 yrs ago
French term

triceps contre pesanteur ou un peu plus

French to English Medical Medical: Health Care muscle strength tests
(Wouldn't it be nice if doctors wrote in whole sentences...)
Testing a quadriplegic patient's motor control:

Au MID: en proximal les stabilisateurs fessiers sont à peine à 3, le quadriceps et à 4/4+, les IJ sont à 3 quelle que soit la course testée. En distal: JA, EC, PL, JP, triceps contre pesanteur ou un peu plus, EP>4.

My hunch is that "un peu plus" means that the triceps score 4, or perhaps a bit more, but the word order doesn't support that idea. The "contre pesanteur" bit has also got me puzzled.

Discussion

Yolanda Broad Sep 16, 2008:
Reposted from Clarifications section Wendy Leech: 6:23pm Sep 16, 2008: Note: since its talking about the MID (membre inferieur) it is most likely the triceps surae and not the triceps brachii that it refers to.

Proposed translations

+2
2 hrs
Selected

triceps surae (gastrocnemius and soleus) against gravity or a little better

The grade applies also to the muscles before "triceps surae" - so they are grade 3-4, or 4- (4 minus)

http://www.neuroexam.com/content.php?p=29

Patterns of weakness can help localize a lesion to a particular cortical or white matter region, spinal cord level, nerve root, peripheral nerve, or muscle. Test the strength of each muscle group and record it in a systematic fashion. It is wise to pair the testing of each muscle group immediately with testing of its contralateral counterpart to enhance detection of any asymmetries. Muscle strength is often rated on a scale of 0/5 to 5/5 as follows:

0/5: no contraction
1/5: muscle flicker, but no movement
2/5: movement possible, but not against gravity (test the joint in its horizontal plane)
3/5: movement possible against gravity, but not against resistance by the examiner
4/5: movement possible against some resistance by the examiner (sometimes this category is subdivided further into 4–/5, 4/5, and 4+/5)
5/5: normal strength


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Note added at 11 hrs (2008-09-17 05:24:13 GMT)
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IOW for the list of muscles between JA (tibialis anterior) and triceps (t. surae), muscle movement is possible against gravity and/or with a very slight amount of resistance.
Peer comment(s):

agree Shannon Summers
9 hrs
agree GILLES MEUNIER
11 hrs
neutral liz askew : Sorry, but I cannot get my head round "or a little better", in relation to what: could you explain please. TY//Phew! TY very much :-)
12 hrs
muscle strength grade is a little better - 4 is better than 3
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4 KudoZ points awarded for this answer. Comment: "Thanks, great explanation and totally cleared it up for me."
13 mins

triceps strength holding leg out without lifting much weight or with weak resistance

IMO

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Note added at 14 mins (2008-09-16 17:53:56 GMT)
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or holding leg out against gravity

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Note added at 15 mins (2008-09-16 17:54:36 GMT)
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x3, The patient may move the muscle against gravity but not against resistance ... Test the strength of lower arm flexion by holding the patient's wrist from ...
edinfo.med.nyu.edu/courseware/neurosurgery/motor.html - 14k

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Note added at 16 mins (2008-09-16 17:55:48 GMT)
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also used in ROM

Complete range of motion (ROM) against gravity with full resistance .... With one hand, stabilize the patient’s leg by holding it just above the ankle. ...
www.sagewoodwellness.com/Doc0004.htm - 30k
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35 mins

triceps strength: able to hold up arm or a bit more

Testing triceps strength would involve asking a person to hold their arm out without letting it drop to the side. Then the physician would put pressure on the arm to see how much more weight the triceps could hold besides the weight of the arm.

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Note added at 1 hr (2008-09-16 18:47:27 GMT)
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you are right-----I had not noticed the MID------in English, although triceps could refer to any muscle with three heads, it almost always means the triceps brachii (in the arm) and the triceps surae would be named as such. but doctors don't follow the rules!
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1 hr

triceps against resistant or slightly increased resistance

...

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Note added at 1 hr (2008-09-16 19:08:39 GMT)
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sorry


against resistanCE or ....

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Note added at 1 hr (2008-09-16 19:10:06 GMT)
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Mobilisation of the Nervous System - Google Books Result
by David S. Butler, Mark A. Jones - 1991 - Medical - 265 pages
I prefer to add 5+ for full strength, use 5 for slightly decreased strength ... against some resistance 5 = full range against full resistance in strength. ...
books.google.co.uk/books?isbn=0443044007...

sorry

I should have added on "in strength..."
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