Modified Ashworth scale

• 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 is moved in flexion or extension
• 1+: Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder of the ROM
• 2: More marked increase in muscle tone through most of the ROM, but affected part easily moved
• 3: Considerable increase in muscle tone, passive movement difficult
• 4: Affected part rigid in flexion or extension