Introduction
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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