**Appendix 2**. The outcome measures of spasticity


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

**Patient's name: Date of birth: Date: Diagnosis:**

Skin Please comment on the presence of pressure ulcers and the ability

used (Waterlow Tool)

Mobility Please comment on outdoor, indoor, aids, speed, and distance

Toilet/bath/shower transfers Please comment on ability and aids required. Indicate if this has

Transfers Please comment on car, bed, chair, level of independence and assistance required

Wheelchair Please comment on posture, position, type, and make of chair

Previous therapy and nursing input Please comment on physiotherapy, OT, seating assessments, and

and cushion

details

been getting worse, better, or remains the same

nursing advice. Ensure details of time, date, and location of treatment obtained, including names, addresses, and contact

> **Resting angle Right/left**

Distance in mm:

**Full range available Right/**

**left**

to relieve pressure, change position and sensation, and any aids

Bowel Please comment on current management

*Neurostimulation and Neuromodulation in Contemporary Therapeutic Practice*

Not needing to be assessed

Not needing to be assessed

Not needing to be assessed

Not needing to be assessed

Not needing to be assessed

Not needing to be assessed

Not needing to be assessed

Options discussed with patient

**(Norkin and White 1985):**

Hip flexion-extension Hip abduction-adduction Knee flexion-extension

Ankle PF-DF

in supine

extended

**106**

Assessment by: Signature:

**Appendix 2**. The outcome measures of spasticity

**Goniometry to measure range of passive movement**

**Maximum distance between knees as measured during**

**Clonus and spasms score (self-report) (Smith 1994)\***

**Modified Ashworth scale (Bohannon and Smith,1987):** Right Left

**passive hip abduction (Hyman 2000):**

Resistance to: hip and knee flexion in supine Resistance to: hip and knee extension

Resistance to: hip abduction in crook lying Resistance to: ankle dorsiflexion with knee

**Name: Data**


*spontaneous (5/day and/or < 2night); 3 = Provoked by passive movements (during physical therapy or nursing care) and/or frequently spontaneous (>5 day and/or 2/night).*
