scoring scales

Question 1

What is muscle tones scoring scale

Answer 1

4+ sustained response (severe hypertonia)
3+ exaggerated response (mild to moderate hypertonia)
2+ normal response
1+ decreased response (hypotonia)
0 no response (flaccidity)

same grading scale as deep tendon reflexes

Question 2

What is the modified ashworth scale grading? (spasticity)

Answer 2

0: no increase in muscle tone
1: slight increase in muscle tone, manifested bya catch and release or by minimal resistance at end ROM when affected part is moved
1+: slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (<1/2) of ROM
2: more marked increase in muscle tone through most of ROM, but affected parts easily moved
3: consierable increase in muscle toe, passive movement difficult
4: affected parts rigid in ROM

documented as muscle group being stretch ( moving through flexion means you are testing extensors)

Question 3

duringthe pendulum test, reduced occulations is indicative of?

Answer 3

spasticity (hypertonicity)

Question 4

What is the grading for movement fractionation?

Answer 4

no scale, just document if the movemetn was fractionated or unfractionated at the joint

Question 5

What is the grading for spinal cord tests

Answer 5

norma = 5/5 probes
impaired = 1-4 correct, or 5 probes correct but feels different from reference
absent = 0 probes correct