Modified Ashworth Scale
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 19 July 2023
⏱️ 10 minutes
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Summary
Bethany is evaluating a patient with hemiplegia who has increased tone in the upper extremity. The therapist uses the Modified Ashworth Scale (MAS) to grade the patient's muscle spasticity. The therapist describes the patient's resistance to movement as a "more marked increase in tone, but limb easily flexed". According to the MAS, how would this patient's spasticity be graded?
A. 1
B. 1+
C. 2
D. 3
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:09.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:16.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to change |
| 0:28.2 | lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.5 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.5 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life |
| 0:50.8 | you love, you're in the right place. |
| 0:53.1 | Enjoy the show. |
| 0:56.5 | All right. For this week's clinical file, we have Bethany, and Bethany is evaluating a patient with hemiplexia, |
| 1:01.9 | who has increased tone in the upper extremity. The therapist uses the modified ashworth scale, |
| 1:08.4 | also known as the MAS, to grade the patient's muscle spasticity. |
| 1:13.7 | The therapist describes the patient's resistance to movement as a more marked increase in |
| 1:20.5 | tone, but limb is easily flexed. According to the modified Ashworth scale, how would the patient's |
| 1:28.6 | masticity be graded? So for those of you on the podcast, let's take a look at these |
| 1:33.1 | answer choices. We have A, 1, B, 1 plus, C, 2, and D is 3. All right. So in this |
| 1:43.8 | question, we're looking at the modified Ashherst scale, one of the biggest scales that you need to know for the MPTE right here, especially in this neural area. |
| 1:52.8 | All right. |
| 1:53.4 | And on this scale, you know it is graded from a zero all the way up to a four. |
| 2:00.0 | And each of these levels have different explanations or different findings. |
| 2:05.6 | And so this question, it seems like, is just asking us, |
... |
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