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Modified Ashworth Scale

Grade Assessment Criteria
Grade 0 No increase in muscle tone
Grade 1 Slight increase in muscle tone: minimal resistance at the end of the range of motion when the affected part is moved in flexion or extension, or a sudden catch and release
Grade 1+ Slight increase in muscle tone: a catch followed by minimal resistance throughout the remainder (less than half) of the range of motion
Grade 2 More marked increase in muscle tone through most of the range of motion, but affected part is easily moved
Grade 3 Considerable increase in muscle tone, passive movement difficult
Grade 4 Affected part rigid in flexion or extension
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