NMD I - Grading Scales

Determine the Mod AS Score:

“No increase in tone”

0

Determine the Mod AS Score:

“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(s) is moved in flexion or extension”

1

Determine the Mod AS Score:

“Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM”

1+

Determine the Mod AS Score:

“More marked increase in tone through most of the ROM, but the affected part(s) easily moved”

2

Determine the Mod AS Score:

“Considerable increase in muscle tone, passive movement difficult”

3

Determine the Mod AS Score:

“Affected part(s) rigid in flexion or extension”

4

T/F: The Modified Ashworth Scale is a test for hypertonicity

FALSE. It is a test for spasticity as the grading requires the clinician to elicit a quick stretch response

Determine the MMT Grade:

“No observable or palpable contraction”

0

Determine the MMT Grade:

“Can palpate contraction; no joint movement; may see tendon or palpate tendon movement”

1

Determine the MMT Grade:

“Movement of joint through less than (<50%) of available AROM, no resistance in the gravity eliminated position”

1+

Determine the MMT Grade:

“At least 50% available AROM but not full, gravity minimized (eliminated), no resistance”

2-

Determine the MMT Grade:

“Movement of joint through full available AROM in gravity-eliminated position. No resistance”

2

Determine the MMT Grade:

“Full available AROM in gravity eliminated position, can take slight manual resistance in that same position”

2+

Determine the MMT Grade:

“Less than (<50%) of AROM in the against-gravity position”

2+ (per Dr. Morgan)

Determine the MMT Grade:

“At least 50% but not full AROM against gravity, no resistance”

3-

Determine the MMT Grade:

“Full available AROM against-gravity, will not take manual resistance.”

3

Determine the MMT Grade:

“Full available AROM against-gravity; holds against slight manual resistance (QUICK catch and release).

3+

Determine the MMT Grade:

“Full AROM against-gravity; holds against minimal (slight) to moderate manual resistance (PROLONGED catch and release?).

4-

Determine the MMT Grade:

“Full available AROM, against gravity, moderate manual resistance (they are fighting you but giving away through the whole ROM).

4

Determine the MMT Grade:

“Full available AROM, against gravity, moderate to maximal (nearly strong) manual resistance.

4+

Determine the MMT Grade:

“Full available AROM, against gravity, maximal/strong manual resistance.'“

5

Describe the FIM Score:

7 - Total Independence

No helper is needed and the person performs the task safely and timley, without ADs or aids

Describe the FIM Score:

6 - Modified Independence

No help is needed, but the person takes too long to complete the task/does it unsafely OR uses an AD

Describe the FIM Score:

5 - Supervision

Needs standby to cue without physical contact OR needs help to setup items/ADs

Describe the FIM Score:

4 - Minimal Assistance

Client can do 75% or MORE by themselves, no more help than touching (SBA)

Describe the FIM Score:

3 - Moderate Assistance

Client can do 50% to 74% by themselves, no more than helping or touching

Describe the FIM Score:

2 - Maximal Assistance

Client can do 25% to 49% by themselves

Describe the FIM Score:

1 - Total Assistance

Client can do <25% independently

Determine the GG Score:

“Independent” (regardless of AD use)

6

Determine the GG Score:

“Set up or clean assistance (before or after)”

5

Determine the GG Score:

“Supervision or touching assistance”

4

The FIM equivalent is also a “4” = SBA/Min A

Determine the GG Score:

“Partial/moderate assistance, helper does <50% of effort” (51%> by client)

3

Determine the GG Score:

“Substantial/max assist, helper does EQUAL or >50% of the effort”

2

Determine the GG Score:

“Dependent; helper does all of the effort OR needs 2+ to complete activty’

1

Determine the GG Score:

“Patient refused”

7

Determine the GG Score:

“N/A - Will not perform this activity”

9

Determine the GG Score:

“Not attempted due to environmental limitations”

10

Determine the GG Score:

“Not attempted due to medical condition/safety concern”

88