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Updated: Sep 11, 2025

Manual Muscle Testing: A Method of Measuring Extremity Muscle Strength Applied to Critically Ill Patients
Published on: April 12, 2011
Objectification of the Functional Myodiagnosis Muscle Test
Josef Franz Mahlknecht1, Eugen Burtscher2, Ivan Ramšak3
1FMD Research Centre, 39030 Kiens, Italy.
The Functional Myodiagnosis muscle test (FMD-MT) objectively differentiates strong and weak muscles using measurable parameters. This complementary medicine method shows excellent reliability and reproducibility for muscle strength assessment.
Area of Science:
- Biomedical Engineering
- Sports Medicine
- Complementary Medicine
Background:
- Subjective muscle strength assessments lack objective verification.
- Functional Myodiagnosis muscle test (FMD-MT) is an accepted complementary medicine method.
- Reliability of manual muscle testing requires further scientific evidence.
Purpose of the Study:
- To objectively verify subjective FMD-MT assessments using measurable physical parameters.
- To evaluate the reliability and validity of the FMD-MT.
- To reinforce scientific evidence for this complementary medicine approach.
Main Methods:
- Crossover observational study with 24 healthy participants.
- FMD-MT of the rectus femoris muscle performed by three experienced practitioners.
- Measurements recorded via oscillogram, analyzing force-time integral, joint angle change, and additional force load.
Main Results:
- Significant differences found in force-time integral, joint angle change, and additional force load between strong and weak muscles (p<0.005).
- Examiners showed high accuracy (99.2-100%) in muscle strength classification.
- Excellent interrater reliability (ICC=0.984) and high oscillogram accuracy (81.7-86.7%) were observed.
Conclusions:
- FMD-MT objectively differentiates strong and weak muscles.
- Statistically significant differences in key parameters confirm FMD-MT's objectivity.
- The FMD-MT is a valid (99.6%), reliable, and reproducible diagnostic method.
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