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Table 1 Comparison of Ashworth and Modified Ashworth scales

From: Objective assessment of spasticity by pendulum test: a systematic review on methods of implementation and outcome measures

Score

AS [11]

Changed in [12]

0

No increase in tone

No change

1

Slight increase in tone manifested by a “catch” when the limb is moved in flexion/extension

Slight increase in tone manifested by a catch, release or minimal resistance at the end of range of motion(ROM) when the limb is moved in flexion/extension

1 + 

 

Slight increase in tone manifested by a catch, followed by minimal resistance throughout the remainder(less than half)of ROM

2

More marked increase in tone, but the limb is easily moved through its full ROM

More marked increased in tone through most of the ROM, but limb is easily moved

3

Considerable increase in tone- passive movement difficult

No change

4

Limb rigid in flexion and extension

No change