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The Modified Ashworth scale (MAS) measures resistance during passive soft-tissue stretching and is used as a simple measure of spasticity. [1] Scoring (taken from Bohannon and Smith, 1987): 0: No increase in muscle tone
The primary advantages of a plantigrade foot are stability and weight-bearing ability; plantigrade feet have the largest surface area. The primary disadvantage of a plantigrade foot is speed. With more bones and joints in the foot, the leg is both shorter and heavier at the far end, which makes it difficult to move rapidly.
Spastic diplegia is a form of cerebral palsy (CP) that primarily affects the legs, with possible considerable asymmetry between the two sides. It is a chronic neuromuscular condition of hypertonia and spasticity in the muscles of the lower extremities of the human body, manifested as an especially high and constant "tightness" or "stiffness", [1] [2] usually in the legs, hips and pelvis.
Grade IV – Low amplitude, rhythmically oscillating joint glide that is performed at the end of the available arthrokinematic joint play. Designed to physically stretch the joint capsule. Grade V – This grade refers to the use of a single high-velocity, low-amplitude thrust performed at the end of the available joint play.
The muscle spasticity can cause gait patterns to be awkward and jerky. The constant spastic state of the muscle can lead to bone and tendon deformation, further complicating the patient's mobility. Many patients with spastic hemiplegia use canes, walkers and even wheelchairs.
Spasticity (from Greek spasmos- 'drawing, pulling') is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity, and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles.
Ankle clonus. Clonus is a set of involuntary and rhythmic muscular contractions and relaxations. Clonus is a sign of certain neurological conditions, particularly associated with upper motor neuron lesions involving descending motor pathways, and in many cases is accompanied by spasticity (another form of hyperexcitability). [1]
A unilateral spastic gait presents with the affected leg held in extension and plantar flexion.The arm on the same side is often flexed. The individual circumducts the affected leg as they swing it during walking.