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Table 2 Modified Modified Ashworth scale (MMAS)

From: Effects of dry needling on muscle spasticity of the upper limb in a survivor of traumatic brain injury: a case report

0 No increase in muscle spasticity
1 Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the ROM when the affected part(s) is moved in flexion or extension
2 Marked increase in muscle tone, manifested by a catch in the middle range and resistance throughout the remainder 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