Spasticity evaluation

Range of Motion
Joint Action Active Passive
Shoulder Abduction    
Shoulder Extension    
Shoulder Flexion    
Elbow Extension    
Elbow Flexion    
Forearm Pronation    
Forearm Supination    
Wrist Extension    
Wrist Flexion    
First web space Maximum angle of abduction    
First web space Maximum index - thumb tip span    

Thumb Adduction Contracture
I Simple metacarpal adduction
II Metacarpal adduction, MCP flexion
III Metacarpal adduction, MCP hyperextension, MCP instability
IV Metacarpal adduction, MCP flexion, IP flexion

Muscle contractures Index Middle Ring Small
Wrist flexion required to
permit full finger extension
Active        
Passive        
Wrist extension which
produces full finger flexion
Active        
Passive        
Intrinsic tightness        

 

Hygiene problems?
Uses hand for Dominant Equal Helper Sometimes Never
play
eat
dress
toilet