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Modified Ashworth scale
Assessment of spasticity Grade 0 No increase in tone Grade 1 Slight increase in muscle tone, manifested by a catch and release or minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension Grade 1+ Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than one-half) of the range of movement Grade 2 More marked increase in muscle tone through most of the range of motion but affected part(s) easily moved Grade 3 Considerable increase in muscle tone, passive movement difficult Grade 4 Affected part(s) rigid in flexions or extension Reference Diane L Damiano, Jeffrey M Quinlivan, Bryan F Owen, Patricia Payne, Karen C Nelson and Mark F Abel (2002). What does the Ashworth scale really measure and are instrumented measures more valid and precise?. Developmental Medicine & Child Neurology, , pp 112-118. doi:10.1017/S0012162201001761. |
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