Spasticity Examination Rating Scales and Office Data Form
05 November 2004
How many spasms has the patient had in the last 24 hours in affected muscles or extremity?
Definitions of Spasms: (1) Spasm is a jumping or twitching of the muscle or limb without control; (2) A spasm can be a "shooting" of the body part into a position without control; (3) A rapid series of "spasms" without significant pausing/resting is defined as one spasm.
1=One spasm or fewer per day
2=Between one and five spasms per day
3=Between five and nine spasms per day
4=Ten or more spasms per day
As far as possible, the action of each muscle should be observed separately.
1=Flicker or trace of contraction
2=Active movement, with gravity eliminated
3=Active movement against gravity
4=Active movement against gravity and resistance
1=Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end range of motion when the part is moved in flexion or extension/abduction or adduction, etc.
1+=Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM
2=More marked increase in muscle tone through most of the ROM, but the affected part is easily moved
3=Considerable increase in muscle tone, passive movement is difficult
4=Affected part is rigid in flexion or extension (abduction or adduction, etc.)
1=Increased tone, hips easily abducted to 45º by one person
2=Hips abducted to 45º by one person with mild effort
3=Hips abducted to 45º by one person with moderate effort
4=Two people required to abduct the hips to 45º
Rate the total amount of pain the patient has had in the last 24 hours.