Modified Ashworth Scale

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Top Contributors - Habibu Salisu Badamasi and Shreya Pavaskar

Objective[edit | edit source]

Modified Ashworth Scale (MAS) are used to assess spasticity.[1]

Intended Population[edit | edit source]

MAS have been utilized in the following populations: stroke, spinal cord injury, multiple sclerosis, cerebral palsy, traumatic brain injury, pediatric hypertonia, and central nervous system lesions[2]

Method of Use[edit | edit source]

Description

its performed by extending the patients limb first from a position of maximal possible flexion to maximal possible extension ( the point at which the first soft resistance is met). Afterwards,the modified Ashworth scale is assessed while

moving from extension to flexion[3]

scoring

0 No increase in tone

1 slight increase in tone giving a catch when slight increase in muscle tone, manifested by the limb was moved in flexion or extension.

1+ slight increase in muscle tone, manifested by a catch followed by minimal resistance throughout (ROM )

2 more marked increase in tone but more marked increased in muscle tone through most limb easily flexed

3 considerable increase in tone, passive movement difficult

4 limb rigid in flexion or extension

Reference[edit | edit source]

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

Links[edit | edit source]

References[edit | edit source]

  1. Charalambous CP. Interrater reliability of a modified Ashworth scale of muscle spasticity. InClassic papers in orthopaedics 2014 (pp. 415-417). Springer, London.
  2. Morris S. Ashworth and Tardieu Scales: Their clinical relevance for measuring spasticity in adult and paediatric neurological populations. Physical Therapy Reviews. 2002 Mar 1;7(1):53-62.
  3. Rw B, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys ther. 1987;67(2):206-7.

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