What is a normal score on modified Ashworth scale?
A score of 1 indicates no resistance, and 5 indicates rigidity. Modified Ashworth Scale: Similar to Ashworth, but adds a 1+ scoring category to indicate resistance through less than half of the movement. Scores range from 0-4, with 6 choices (Bohannon & Smith, 1987).
What does the modified Ashworth scale measure?
The modified Ashworth scale is a muscle tone assessment scale used to assess the resistance experienced during passive range of motion, which does not require any instrumentation and is quick to perform.
How do I know if my Ashworth Scale is modified?
Method of Use
- slight increase in tone giving a catch when slight increase in muscle tone, manifested by the limb was moved in flexion or extension.
- more marked increase in tone but more marked increased in muscle tone through most limb easily flexed.
- considerable increase in tone, passive movement difficult.
What is R1 and R2 in spasticity?
Joint Angle: Modified Tardieu describes R1 and R2; R1 is the angle of muscle reaction, R2 is the full PROM. The angle of full ROM (R2) is taken at a very slow speed (V1). The angle of muscle reaction (R1) is defined as the angle in which a catch or clonus is found during a quick stretch (V3).
What are the grades of spasticity?
| Modified Ashworth Scale | |
|---|---|
| Grade | Description |
| 2 | More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved |
| 3 | Considerable increase in muscle tone, passive movement difficult |
| 4 | Affected part(s) rigid in flexion or extension |
How do you rate spasticity?
Clinical Scales The most well-known and commonly used scale is Ashworth scale (AS) (Table 3). This scale grades the muscle tone from 0 (normal) to 4 (severe spasticity). The usage of this scale is easy; however, the results depend on the evaluator.
What is the difference between tone and spasticity?
Muscle Tone Hypertonia is resistance to passive movement, it is not dependent on velocity, can be with or without spasticity. Spasticity is an increase in resistance to sudden , passive movement and IS velocity dependent.
What is the difference between Tardieu and modified Ashworth?
The Tardieu Scale differentiates contracture from spasticity whereas the Ashworth Scale is confounded by it. Clin Rehabil 2006; 20: 173–182.
What is the spasticity angle?
Spasticity Angle. R1. Angle of catch seen at Velocity V2 or V3. R2. Full range of motion achieved when muscle is at rest and tested at V1 velocity.