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Modified Ashworth Scale Instructions PDF

The Modified Ashworth Scale is used to measure muscle tone and spasticity on a 5-point scale. It instructs examiners to place a joint in either maximal flexion or extension and move it to the opposite position over one second. Scores range from 0 (no increase in muscle tone) to 4 (affected parts are rigid). The patient should relax while being tested on various muscles.

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520 views3 pages

Modified Ashworth Scale Instructions PDF

The Modified Ashworth Scale is used to measure muscle tone and spasticity on a 5-point scale. It instructs examiners to place a joint in either maximal flexion or extension and move it to the opposite position over one second. Scores range from 0 (no increase in muscle tone) to 4 (affected parts are rigid). The patient should relax while being tested on various muscles.

Uploaded by

Prasasti 19
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Modified Ashworth Scale Instructions

General Information (derived Bohannon and Smith, 1987):


Place the patient in a supine position
If testing a muscle that primarily flexes a joint, place the joint in a maximally
flexed position and move to a position of maximal extension over one second
(count "one thousand one”)
If testing a muscle that primarily extends a joint, place the joint in a maximally
extended position and move to a position of maximal flexion over one second
(count "one thousand one”)
Score based on the classification below

Scoring (taken from Bohannon and Smith, 1987):


0 No increase in muscle tone

1 Slight increase in muscle tone, manifested by a catch and release or by minimal


resistance at the end of the range of motion when the affected part(s) is moved in
flexion or extension

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
affected part(s) easily moved

3 Considerable increase in muscle tone, passive movement difficult

4 Affected part(s) rigid in flexion or extension

Patient Instructions:
The patient should be instructed to relax.

Downloaded from www.rehabmeasures.org


Test instructions provided courtesy of Richard Bohannon PT, PhD and Melissa Smith, PT
Page 1
Modified Ashworth Scale Testing Form
Name:_________________________________________ Date:___________

Muscle Tested Score

_________________ _____

_________________ _____

_________________ _____

_________________ _____

_________________ _____

_________________ _____

_________________ _____

_________________ _____

_________________ _____

Downloaded from www.rehabmeasures.org


Test instructions provided courtesy of Richard Bohannon PT, PhD and Melissa Smith, PT
Page 2
Reference for test instructions:
Bohannon, R. and Smith, M. (1987). "Interrater reliability of a modified Ashworth scale
of muscle spasticity." Physical Therapy 67(2): 206.

Downloaded from www.rehabmeasures.org


Test instructions provided courtesy of Richard Bohannon PT, PhD and Melissa Smith, PT
Page 3

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