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Ashworth spasticity scale

The Ashworth Scale (AS) and Modified Ashworth Scale (MAS) measure spasticity. During the administration of both AS (Ashworth, 1964) and MAS (Bohannon & Smith, 1987), the examiner passively moves the joint being tested and rates the perceived level of resistance in the muscle groups opposing the movement. Both scales are single-item measures ranging from 0 to 4, where 0 indicates no increase in muscle tone and 4 indicates that the affected part is rigid in flexion or extension The original Ashworth scale was a 5 point numerical scale that graded spasticity from 0 to 4, with 0 being no resistance and 4 being a limb rigid in flexion or extension. In 1987, while performing a study to exam interrater reliability of manual tests of elbow flexor muscle spasticity, Bohannon and Smith modified the Ashworth scale by adding 1+ to the scale to increase sensitivity. [3 The Modified Ashworth Scale is a common tool for assessing spasticity in patients with cerebral palsy and other conditions accompanied by increased muscle tone. The original Ashworth scale was proposed in 1964, and a Modified scale - in 1987

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One quick and easy way to measure spasticity is the Modified Ashworth Scale (MAS). The MAS measures resistance during passive soft-tissue stretching. These are the general rules: The MAS is done in supine (this will garner the most accurate and the lowest score; any tension anywhere in the body will increase spasticity) A clinical rating of spasticity on the Ashworth Scales is made after an assessor tests the resistance to passive movement about a joint.Both scales describe the resistance perceived while moving a joint through its full range of movement - except in grade '4. Content Validity measure of spasticity The Modified Ashworth scale ( MAS ) measures resistance during passive soft-tissue stretching and is used as a simple measure of spasticity . [1] Scoring (taken from Bohannon and Smith, 1987) The Ashworth scale is one of the most widely used methods of measuring spasticity, due in a large part to the simplicity and reproducible method. The MAS better measures muscle hypertonia instead of spasticity. Modified Ashworth Scale for Grading hypertoni

Ashworth Spasticity Scale (and Modified Version

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 Spasm Scale: From 0-4 (no spasms to >10/h) See Workup for more detail The Ashworth Scale (AS) can be used as an ordinal level measure of resistance to passive movement, but not spasticity. The modified Ashworth Scale (MAS) will need to be treated as a nominal level measure of resistance to passive movement until the ambiguity between the '1' and '1+' grades is resolved

The Ashworth Scale is a measure of spasticity originally developed to assess the anti-spastic effects of carisoprodol in multiple sclerosis (it has subsequently been adapted for a variety of other diagnoses, including SCI). It consists of a 5-point nominal scale using subjective clinica Ashworth Scales are the most widely used tests to assess the severity of muscle spasticity. These scales offer qualitative and subjective information; consequently, there are issues concerning validity and reliability

stimuli will often lead to significant reductions in tone. The Modified Ashworth Scale (Table 1) is used to grade spasticity. This scale measures the presence of velocity-dependent resistance on a 0 to 4 scale, with zero representing normal muscle tone, and four representing a limb that is fixed in flexion or extension Ashworth scale with all of its variants remains the standard with which other measures of spasticity are compared. The clinical import of the Ashworth scale has not been well established and is, in part, enmeshed in the controversy as to whether spasticity has a significant or causal relationship with motor performance (Sahrmann 1977)

Modified Ashworth Scale - StatPearls - NCBI Bookshel

  1. A proper evaluation of spasticity is necessary for making treatment decisions. The Ashworth Scale and Modified Ashworth Scale (MAS) are frequently used clinical scales that assess spasticity
  2. The Ashworth Scale is an instrument that measures the degree of spasticity or increased muscle tone, a problem that causes the patient stiffness and a loss of balance between the contraction and relaxation of the muscles.It is a scale that must be applied and completed by the professional, with the help of the patient
  3. al level measure of resistance to passive movement until the ambiguity between the '1' and '1+' grades is resolved. The reliability of the scales is.
  4. 3. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther 1987;67:206-207. 4. Sloan RL, Sinclair E, Thompson J, Taylor S, Pentland B. Inter-rater reliability of the modified Ashworth scale for spasticity in hemiplegic patients. Int J Rehabil Res 1992;15:158-161. 5. Allison SC, Abraham LD.
  5. In 1964, Bryan Ashworth published the Ashworth Scale as a method of grading spasticity while working with multiple sclerosis patients. The original Ashworth scale was a 5 point numerical scale that graded spasticity from 0 to 4, with 0 being no resistance and 4 being a limb rigid in flexion or extension
  6. This video is about Modified Ashworth Scale About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features © 2021 Google LL
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Spasticity assessment

  1. istration of the scale takes less than 5
  2. have consistently utilized the Ashworth Scale (Ashworth 1964) or Modified Ashworth Scale (Bohannon & Smith 1987), which are actually tone or stiffness measuring scales that have become a de facto criterion standard for spasticity measurement. Bohannon and Smith (1987) revised the original Ashworth Scale (1964) to render the scale more discrete
  3. Conclusions: The modified Ashworth scale is reliable. The section of the Tone Assessment Scale relating to response to passive movement is reliable at various joints, except the ankle. It may assist in studies on the prevalence of spasticity after stroke and the relationship between tone and function
PPT - Evaluating Spasticity PowerPoint Presentation - ID

The Tardieu Scale and the Modified Tardieu Scale are used clinically to measure spasticity in patients with neurological conditions. The Tardieu Scale was developed by Tardieu et al in 1954. Held and Pierrot-Deseilligny modified it in 1969, and it was further modified in 1999 by Boyd and Graha The original Ashworth scale is only validated for measuring spasticity in the lower limb (Lee et al. 1989). In addition, it does not distinguish between increased neurogenic muscle tone and mechanical limb stiffness. Despite this, it has nonetheless become the measure against which all other measures are compared Original Article Evaluation of Spasticity in Children With Cerebral Palsy Using Ashworth and Tardieu Scales Compared With Laboratory Measures Adel A. A. Alhusaini, MSc, PT,1,2 Catherine M. Dean, PhD,1 Jack Crosbie, PhD,1 Roberta B. Shepherd, EdD,1 and Jenny Lewis, Grad Dip in Paediatric Physiotherapy3 Abstrac The Modified Ashworth Scale is a 6-point scale. Scores range from 0 to 4, where lower scores represent normal muscle tone and higher scores represent spasticity. X Involuntary muscle tightness and stiffness that can occur after a stroke

The Ashworth or Modified Ashworth Scale (MAS) is a measure of spasticity developed as a simple clinical classification to assess the anti-spastic effects of carisoprodol in multiple sclerosis. These measures have been adopted for measuring spasticity in a variety of other diagnoses, including SCI The Ashworth scale is used to measure spasticity and the effect of its treatment, as well as to measure the severity and frequency of resistance to passive movements on a five-point scale (from 0 to 4). To assess, the doctor moves the patient's limbs in the full range of motion and subjectively assesses the muscle tone The modified Ashworth Scale is a scale used to grade the severity of spasticity. You can use this scale in your initial physical examination or subsequent examinations to document response to medical interventions (pharmacologic therapy, physical therapy, etc.)\

Muscle tone/spasticity; 6-category ordinal scale used to grade resistance during passive muscle stretching. Modified Ashworth Scale. 0=no increase in 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 (ROM) when affected part is moved in flexion or extension In clinical practice as well as in scientific research, either the Ashworth Scale (AS)4 or its modified version (MAS)5 is the most commonly used method for the measurement of spasticity.6 7 In many neurology books this scale is still referred to as being the principal method for assessing spasticity (eg, Bradley and colleagues8)

Testing Spasticity: The Modified Ashworth Scale - Elite

consciousness the Modified Tardieu Scale provides higher test retest and inter -rater reliability compared with the Modified Ashworth Scale and may therefore be a more valid spasticity scale in adults The Ashworth scale is the most common method to quantify increased motor tone. This scale is a manual scale that evaluates resistance of motion of a specific joint ( Table 5.1 ). The original scale was only designed to measure hypertonicity or spasticity Modified Ashworth Scale (MAS): Spasticity of skeletal muscle in UE was evaluated using the MAS assessment, which has shown good reliability and validity [41, 42]. For statistical analysis, 1+ was. The Ashworth scale is a psychometric instrument used to assess muscle spasticity in people. It was elaborated in 1964 by Ashworth, however, only the modified Ashworth scale elaborated by Bohannon and Smith in 1987 is used today. This scale is characterized by evaluating spasticity in five main categories (from 0 to 4)

Modified Ashworth Scale - Physiopedi

Modified Ashworth scale - Wikipedi

Video: Modified Ashworth Scale - Physiotherapy Treatmen

Shoulder, elbow, wrist, hip, knee and ankle spasticity were assessed by the use of Modified Tardieu Scale and Modified Ashworth Scale data collection procedures. Main outcome measures: Test - retest and inter-rater reliability (k=kappa value) of the Modified Tardieu Scale and the Modified Ashworth Scale We undertook this investigation to determine the interrater reliability of manual tests of elbow flexor muscle spasticity graded on a modified Ashworth scale. We each independently graded the elbow flexor muscle spasticity of 30 patients with intracranial lesions. We agreed on 86.7% of our ratings The commonest bedside tool for assessing spasticity is the Ashworth Scale. Recently, particularly in the paediatric literature, the Tardieu Scale has gained favour because it can quantify spasticity. Also, preliminary findings suggest that it is more reliable than the modified Ashworth Scale. Fundamental to the clinical examination of.

What are the clinical scales for spasticity

The modified Ashworth scale (MAS) is the most widely used measurement technique to assess levels of spasticity. In MAS, the evaluator graduates spasticity considering his/her subjective analysis of the muscular endurance during passive stretching. Therefore, it is a subjective scale. Mechanomyography (MMG) allows registering the vibrations generated by muscle contraction and stretching events. 1. Arch Phys Med Rehabil. 2019 Oct;100(10):1907-1915. doi: 10.1016/j.apmr.2019.03.016. Epub 2019 Apr 19. Artificial Neural Network Learns Clinical Assessment of Spasticity in Modified Ashworth Scale [1] ASHWORTH B. PRELIMINARY TRIAL OF CARISOPRODOL IN MULTIPLE SCLEROSIS. Practitioner. 1964 Apr;192:540-2. [PubMed: 14143329] [2] Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987 Feb;67(2):206-7. [PubMed: 3809245 (modified) Ashworth Scale, but overall these studies seem insufficiently conclusive. Aim of this study is to investigate the construct validity and inter-rater reliability of the Ashworth Scale (AS) for the assessment of spasticity in upper and lower extremities. Method. A cross-sectional study on spasticity in the elbow flexors (part 1) and kne Modified Ashworth scale (MAS) - Passive Stretch시 저항의 정도를 Muscle Tone (Spasticity) 을 측정함. 1. 환자가 주위 영향을 최대한 받지 않도록 편안한 환경에서 측정. 2. 머리위치, alignment 등을 올바로 하여 좋은 자세에서 측정을 할 수 있도록 한다. 3. 치료자가 측정할 limb을.

Although there is no direct method of measuring spasticity, the modified Ashworth scales (MAS) is the most frequently cited of the available clinical rating scales to measure tonal abnormality.6 It is already being used to evaluate the effects of drug treatments for spasticity.7 Despite the accepted use of the MAS, there are no specific written. Intraobserver reliability of modified Ashworth scale and modified Tardieu scale in the assessment of spasticity in children with cerebral palsy. Escala de Mercalli Modificada Documents. Modificaa reliability of the 7-level functional independence measure FIM. Clinical Guide [computer program] THE CORRELATION BETWEEN MAXIMAL SPASTICITY DEGREE IN MODIFIED ASHWORTH SCALE AND WALKING DYSFUNCTION AMONG ISCHAEMIC STROKE PATIENTS Steven*, Amin Husni**, Endang Kustiowati*** ABSTRACT Background : Walking dysfunction often occurs among ischaemic stroke patients. Knowing the factors that related with walking dysfunction will be minimize it. Th Method: The present study was carried out in two parts; In the first part of the study, the modified Ashworth Scale with Intermediate Scores (ASIS) was studied.. During the secon

A review of the properties and limitations of the Ashworth

Clinical assessment of spasticity in individuals with spinal cord injury. Results Mean age of patients and disease duration were Kita M, Goodkin DE. J Bone Joint Surg Br. Ashworth and Tardieu Scales: The University of British Columbia; The core clinical features of HSP are slowly progressive spasticity and weakness of the lower limbs This co-relational study was undertaken to understand any association or relation between clinical evaluation of muscular characteristics by Modified Ashworth Scale and neurobiological measures like H amplitude, H latency, H/M ratio parameters measuring alpha motor neuron excitability for spasticity after spinal cord lesions argued to be more sensitive than currently used clinical scales like the Modified Ashworth Scale MAS in detecting spasticity symptom severity. The use Documentation that may be required my include x - rays, ASIA scale results, or Modified Ashworth Scale scores. One of the standard means of assessing functional Low Brook N.B. India House was built more than a century later Geoffrey Ashworth The.

Table 1

The Modified Ashworth Scale is a 6-point rating scale that is used to measure muscle tone. The interrater and intrarater reliability of measurements obtained with the scale remain equivocal. The purpose of this study was to investigate the reliability of measurements obtained with the scale in the lower limb of patients with stroke View Modified ashworth scale Research Papers on Academia.edu for free. Skip to main content Percutaneous radiofrequency lesions adjacent to the dorsal root ganglion alleviate spasticity and pain in children with cerebral palsy: pilot study in 17 patients. Save to Library Original Ashworth Scale: Tests resistance to passive movement about a joint with varying degrees of velocity. Scores range from 0-4, with 5 choices. A score of 1 indicates no resistance, and 5 indicates rigidity. Original Ashworth Scale Scores (1964): 0 (0) - No increase in tone. 1 (1) - Slight increase in tone giving a catch when the limb was.

Definitions of the Modified Ashworth Scale and the

OBJECTIVE: To compare the Tardieu Scale as a clinical measure of spasticity after stroke with the Ashworth Scale. DESIGN: Cross-sectional study. PARTICIPANTS: Sixteen people, living in the community three years after their stroke. MAIN MEASURES: The Ashworth Scale and Tardieu Scale as well as laboratory measures of spasticity (stretch-induced electromyographic (EMG) activity) and contracture. I saw a citation needed insert with reference to the use of the Modified Ashworth Scale for the measurement of spasticity. Here's the article citation: Richard W Bohannon and Melissa B Smith, Interrater Reliability of a Modified Ashworth Scale of Muscle Spasticity, Physical Therapy 67, no. 2 (February 1, 1987): 206-207 Many translated example sentences containing Ashworth spasticity scale - Spanish-English dictionary and search engine for Spanish translations The Modified Ashworth Scale (MAS) purports to measure spasticity in patients with lesions of the central nervous system. Background: In the modified Ashworth Scale, a 1+ scoring category is added to indicate resistance through less than half of the movement (Bohannon & Smith, 1987) Summary What it measures: Both the Ashworth Scale (AS) and Modified Ashworth Scale (MAS) are used to assess spasticity. Target Population: The AS and 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

The Ashworth Scale is a clinical measure of the force required to move an extremity around a joint, with a reduction in score clinically representing a reduction in the force needed to move a joint (i.e., improvement in spasticity). Possible scores range from 0 to 4 (0 = No increase in muscle tone (none); 1 = Slight increase in muscle tone, giving a 'catch' when the limb was moved in flexion. 2. Hagglund et al (2008) used the Ashworth Scale (AS) as a test of spasticity (which they referred to as tone) rather than of stiffness. The authors undertook 6218 AS examinations on 547 Swedish children with CP, ages 0 to 15 years, during the period of 1995-2006. They gathered those with AS scores of 0-1 into one category, and those with score

Ashworth Scales are unreliable for the assessment of

Ashworth Scale (MAS) is the most used scale to determine spasticity. During MAS application, the evaluator performs passive movements on and assigns levels of spasticity to joints of interest according to the perceived muscle resistance to passive stretching [11]. Even though MAS is the most used scalin Muscle Tone Assessments Spasticity was assessed by the Modified Ashworth Scale (MAS). 16 The scale grades the resistance of a relaxed limb to rapid passive stretch in 6 stages. Zero relates to normal or lowered muscle tone and 4 relates to a state in which passive movement of the affected limb is impossible The Tardieu Scale was developed by. The Ashworth Scale was originally developed in 1964, and modified by Bohannon and Smith in 1987.13, 14 The Bohannon-Smith Modified Ashworth Scale (MAS) has been recently modified by Ansari et al15 in 2006 as the Modified Modified Ashworth Scale (MMAS; table 1). The MMAS is an ordinal level measure of spasticity, which grades the intensity of. The Modified Ashworth Scale (MAS) is a commonly used, and easily applicable scale used to score passive individual muscle movement as the limb is moved through its entire arc of joint motion over a one-second time period. 13 The amount of non-volitional resistance the examiner encounters is quantified to indicate the intensity of spasticity A couple of decades later, as botulinum toxin use became popular, the Ashworth Scale was gradually equated to a tool rating spasticity (instead of tone) and its use markedly increased (14). The Ashworth Scale was later modified ( Table 6.2 ) to a 6-point scale, with the aim of increasing the sensitivity of its grades at the lower end of the.

What does the Ashworth scale really measure and are

Reliability of the Modified Ashworth Scale and Modified

Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987 Feb;67(2):206-7 (PubMed Abstract Modified Ashworth Scale. Cinical Scale used to assess muscle spasticity . The position of the affected limbs at rest and during voluntary movements should be observed for tonal influences. No increase in muscle tone. Grade 0 Modified Ashworth Scale (MAS) of Muscle Spasticity 0 No increase in muscle tone 1 Slight increase in muscle tone manifested by a catch and release, or by minimal resistance through less than half the range of motion, when the affected part is moved in flexion or extension 1+ Slight increase in muscle tone, manifested by a catch The Ashworth Scale and the modified Ashworth Scale are the primary clinical measures of spast city. A prerequisite for using any scale is a knowledge of its characteristics and limitations, as these will play a part in analysing and interpreting the data. Despite the current emphasis on treating spasticity, clinicians rarely measure it. Objective Modified Ashworth Scale (Spasticity) Visit the post for more. Bailey Kochalko. 4k followers . Ot Therapy The Rancho Los Amigos Scale is a medical evaluation tool used to assess individuals after experiencing a traumatic brain injury (TBI). The scale is based on cognition and behavior in a patient as he/she emerges from a coma following a.

Poster 24: Ashworth Scale Score Changes From Baseline in Patients With Poststroke Upper-Limb Spasticity Treated With Botulinum Toxin Type A: Screening for Covariate Effects. Archives of Physical Medicine and Rehabilitation, 2008. Stuart A Yablon. Download PDF Certain scales that are commonly used are:- modified ashworth scale, preston's hypertonicity scale, Tardieu scale, mild moderate severe hypertonicity scale, etc. Management Common rehabilitation. The Modified Ashworth Scale (MAS) is a clinical tool that quantifies a patient's spasticity, 1 muscle tone, 2,3 or resistance to passive stretch. 4 Although the scale is widely used to assess tone in children, its reliability for children has not been conclusively established. Spasticity is often defined as velocity-dependent resistance of a. Spasticity is a common impairment that follows stroke, and it results typically in functional loss. For this reason, accurate quantification of spasticity has both diagnostic and therapeutic significance. The most widely used clinical assessment of spasticity is the modified Ashworth scale (MAS), an ordinal scale, but its validity, reliability and sensitivity have often been challenged

Scores obtained in the Modified Ashworth Scale (MAS) and

Ashworth scale: what is it and what is it for? 【NUOVO

Spasticity is frequently graded using the modified Ashworth scale, which is graded 0 to 4. Other commonly used scales include the Tardieu scale and Penn spasm frequency scale. Ashworth Scale. Zero is defined as no increase in tone. 1 is a catch and release, or minimal resistance towards end-of-range of motion (ROM) A more severe degree of spasticity (Modified Ashworth Scale ≥3) was observed in 15.6% of all patients. The prevalence of spasticity did not differ between upper and lower limbs, but in the upper limb muscles, higher degrees of spasticity (Modified Ashworth Scale ≥3) were more frequently (18.9%) observed than in the lower limbs (5.5%) A comparative study on the inter-rater reliability of the Ashworth Scales in assessment of spasticity. Acta Med Iranica 2006;44:246-250. [ Links ] 40. Mehrholz J, Wagner K, Meibne D, Grundmann K, Zange C. Reliability of the Modified Tardieu scale and the modified Ashworth scale in adult patients with severe brain injury: a comparison study The modified Ashworth scale was slightly more reliable than was the original scale but this difference was not significant (P> 0.05). Inter-rater reliability of the original and of the modified Ashworth scales in the assessment of elbow flexor spasticity was poor and therefore these spasticity scales may not be vali AS abbreviation stands for Ashworth Scale. All Acronyms. Search options. Acronym Meaning; How to Abbreviate; List of Abbreviations; Popular categories. Business; Medical; Military; Slang; Technology; Clear; Suggest. AS means Ashworth Scale. Abbreviation is mostly used in categories: Medical Scale Spasticity Patient Muscle. Rating: 4. 4 votes.

Modified Ashworth Scale Article - StatPearl

The Modified Ashworth scale (MAS) measures resistance during passive soft-tissue stretching and is used as a simple measure of spasticity. 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. ESCALA ASHWORTH MODIFICADA. BMC Musculoskelet Disord ; 9: Validation of a model of gross motor function for children with cerebral palsy. European consensus table on botulinum toxin for children with cerebral palsy. Reliability of the Tone Assessment Moodificada and the modified Ashworth scale as clinical tools for assessing poststroke spasticity Modified ashworth scale (MAS) 0. 근 긴장의 증가가 없다. 근 긴장의 증가가 없다. 1. 팔다리를 잡고 굽힘과 폄 운동시키면 근 긴장이 약간 증가한다. 손상된 부위를 굽히거나 펼 때 운동범위의 끝부분에서 약간의 저항이 증가하거나, 약간의 근 긴장도가 느껴졌다가.

Importance of Early Differential Diagnosis of Spasticity(PDF) The interrater and intrarater reliability of theSpasticity Management 1 5 2007

Modified Ashworth Scale - YouTub

The Modified Ashworth Scale (MAS) is the most commonly used clinical scale to measure hypertonic or spastic muscle. The scale ranges from 0 to 4, with the muscle acting across the joint rated based on what point during flexion or extension resistance or a catch is noted. During rapid elbow flexion, for example, the triceps should relax Key words: ankle plantar flexors, hip adductors, intrarater, knee extensors, lower limb, MMAS, Modified Modified Ash- worth Scale, muscle spasticity, rehabilitation. The development of spasticity with age in children with cerebral palsy (CP) has, to our knowledge, not been studied before. In 1994, a register and a health care program for children with CP in southern Sweden were initiated. In the programme the child's muscle tone according to the modified Ashworth scale is measured twice a year until six years of age, then once a year Conclusion: In conclusion, spasticity showed a moderate to high correlation with mobility measures such as gait and balance. The results from this study suggest that Modified Ashworth Scale is an appropriate measurement tool to measure spasticity. Key words: Multiple sclerosis, spasticity, Modified Ashworth Scale, balance, Mini-BESTest, gait

(goniometry), and the level of spasticity by the Modified Ashworth Scale, before and after the physiotherapeutic intervention in muscles with spasticity. The physiotherapeutic treatment was managed in 10 sessions during 5 weeks, lasting 30 minutes each session. The ice pack (cryotherapy), was applied to the muscl Search worldwide, life-sciences literature Search. Advanced Search Coronavirus articles and preprints Search examples: breast cancer Smith Doctors use different scales to determine the severity of spasticity, but most commonly they use the modified Ashworth scale, which measures resistance as your doctor moves and stretches your muscles. [10] For example, the testing includes having the doctor extend your wrist from maximum possible flexion to maximum possible extension, then. The prevalence of post-stroke spasticity is between 17-40%. In the assessment of spasticity, although biomechanical and neurophysiological methods provide quantitative data, semi-quantitative methods are mostly used clinically. The most frequently used spasticity measures are the Modified Ashworth Scale and the Modified Tardieu Scale