Table 1

Definitions of the Modified Tardieu Scale and the Modified Modified Ashworth Scale

GradeModified Tardieu Scale (Boyd and Graham27)Modified Modified Ashworth Scale (Ansari et al15)
0No resistance throughout the course of the passive movementNo increase in muscle tone
1Slight resistance throughout the course of the passive movement, with no clear catch at precise angleSlight 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 extension
2Clear catch at precise angle, interrupting the passive movement, followed by releaseMarked increase in muscle tone, manifested by a catch in the middle range and resistance throughout the remainder of the range of motion, but affected part (s) easily moved
3Fatigable clonus (<10 s when maintaining pressure) occurring at precise angleConsiderable increase in muscle tone, passive movement difficult
4Infatigable clonus (>10 s when maintaining pressure) occurring at precise angleAffected part(s) rigid in flexion or extension