| 0 | No increase in tone |
| 1 | Slight increase in muscle tone, manifested by a catch and release or minimal resistance at the end of the ROM when the affected part(s) is moved in flexion or extension |
| 1+ | Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM |
| 2 | More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved |
| 3 | Considerable increase in muscle tone, passive movement difficult |
| 4 | Affected part(s) rigid in flexion or extension |
From Katz RT. Spasticity. In: O'Young B, Young MA, Stiens SA. PM&R Secrets. Philadelphia; Hanley & Belfus, 1997, p. 487, with permission.
From: Spasticity
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