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Introduction
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Grades of reflex intensity
Two additional scales for the grading of reflex intensity are presented below to help identify similarities and differences that may exist between different scales of measurement.

Mayo Clinic scale for tendon reflex assessment Medical Research Council Clinical grading scale
Grade Response   Grade Response
-4
Absent  
-
Not present
-3
Just elicitable  
+/-
Present with reinforcement
-2
Low  
+
Present
-1
Moderately low  
++
Obviously present
0
Normal  
+++
Brisk
+1
Brisk    
++++
Pathologically brisk with clonus
+2
Very brisk  
J Neurol Neurosurg Psychiatry 1998; 65:794-796
+3
Exhaustible clonus  
+4
Continuous clonus      
J Neurol Neurosurg Psychiatry 1998; 64:253-255
 
 
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Section: Introduction
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