**Appendix 1.**

Demographic data and checklist for impact of the spasticity on the patient's communications and interactions with the environment.



**Name: Data**

**Pain intensity by visual analogue scale(VAS) Seating posture score (please record 0 = yes, 1 = no)**

*Rehabilitation Medicine Management of Spasticity DOI: http://dx.doi.org/10.5772/intechopen.93008*

Are the feet well positioned on the footplates?

falls, 1 = two to three falls per week, 2 = five to six falls per week, 3 = daily falls,

4 = more than one fall per day) **10-metre timed walk (Wade 1987)**

**Record the frequency of falls over the last month**(0 = No

**Identify the main problem that is amenable to treatment:**

*and/or frequently spontaneous (>5 day and/or 2/night).*

*0 = absent; 1 = Provoked by painful stimuli only; 2 = Provoked by touch, light pressure and/or occasionally spontaneous (5/day and/or < 2night); 3 = Provoked by passive movements (during physical therapy or nursing care)*

Seyed Mansoor Rayegani, Marzieh Babaee\* and Seyed Ahmad Raeissadat

\*Address all correspondence to: rambabaee@yahoo.com

Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University

© 2020 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

Clonus Spasms

Total

No. of steps Time Aid used

**Author details**

**107**

of Medical Sciences, Tehran, Iran

provided the original work is properly cited.

*\**

Are the knees apart? Are the hips well aligned? Is the trunk posture symmetrical?
