Modified Ashworth

Testing information
Start with patient in supine position:
 * If patient has flexor tone - place joint in maximal flexed and PPM into extension over one second
 * If patient is in extension synergy - place joint in maximal extension and PPM into flexion over one second

Scoring

 * 0 - No increase in muscle tone


 * 1 - Slight increase in muscle tone (catch and release, or minimal resistance near end of range)


 * 1+ Slight increase in muscle tone (catch, followed by minimal resistance throughout remainder of range)


 * 2 - Marked increase tone throughout range, affected parts still easily moved


 * 3 - considerable increase in muscle tone, passive movement difficult


 * 4 - Affects parts rigid in flexion or extension