Juri is performing elbow flexion manual muscle testing on a 16-year-old male athlete. Elbow flexion was graded a 4 out of 5, and the motion was strong but painful. Based on the findings, the therapist should reasonably conclude which of the following?  
A. No lesion or neurological deficit involving the tested muscle and tendon 
B. Minor lesion of the tested muscle or tendon 
C. Disorder of the neuromuscular junction  
D. Complete rupture of the tested muscle or tendon
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