7/30/2019 Spasticity Scoring

1/2

Hygiene

Score Category Description

0 Impossible to clean Cant get into armpit/hand,

unable to cut the nails

1 Severely difficult to clean Smelly, skin breakdown

problems, extensive skin

buildup

2 Moderately difficult Occasionally smelly, occasional

skin breakdown and debris

buildup3 Minimal difficulty Rarely smells, no skin

problems, rare debris buildup

4 No hygiene problems No hygiene problems

Cosmesis

Score Category Description

0 Severe deformity Contractures at rest, extremely

embarrassing for

patient/caregiver, very low self-

esteem

1 Moderate deformity Contractures obvious,embarrassing, low self-esteem

2 Mild deformity Contractures present, mildly

embarrassing

3 Minimal deformity No deformity at rest, if using

hand, one can tell theres a

problem

4 No deformity No deformity at any time

Ability to dress

Score Category Description

0 Very difficult Completely dependent oncaregivers; requires extensive

modification to clothing, tight

muscles causing distress getting

arms through

1 Difficult Can wear normal clothes but

dependent on caregivers; some

difficulty getting arms through

but no distress

2 Moderate assistance Completely dependent but not

difficult

3 Minimal assistance Child does most of the dressing

4 Completely independent No help required if clothes are

selected for them

Houses Functional classification system

7/30/2019 Spasticity Scoring

2/2

Class Designation Activity level

0 Does not use Does not use

1 Poor passive assist Uses as stabilizing weight only

2 Fair passive assist Can hold onto object placed in

hand

3 Good passive assist Can hold onto object and

stabilize it for use by other hand

4 Poor active assist Can actively grasp object and

hold it weakly

5 Fair active assist Can actively grasp object and

stabilize it well

6 Good active assist Can actively grasp object and

then manipulate it against other

hand

7 Spontaneous use, partial Can perform bimanual

activities easily and occasionally

uses the hand spontaneously

8 Spontaneous use, complete Uses hand completely

independently without

reference to the other hand

Patient/ parent satisfaction

Score Category Description

0 Poor Worse than preoperative

1 Marginal Was not worth doing

2 Minor worthwhile gain Little improvement, but

worthwhile

3 Good result Reached expectation

4 Excellent result Better than expected