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Motor Scale MAS

This document presents the Motor Evaluation Scale, a tool to assess the return of motor function after a stroke or other neurological impairment. It consists of 9 sections that evaluate a patient's ability to move from positions such as lying down to standing, as well as arm and hand function through progressive tasks. Higher scores indicate a greater level of function on the affected side. The test measures muscle tone and the ability to move outside of patterns.
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0% found this document useful (0 votes)
64 views4 pages

Motor Scale MAS

This document presents the Motor Evaluation Scale, a tool to assess the return of motor function after a stroke or other neurological impairment. It consists of 9 sections that evaluate a patient's ability to move from positions such as lying down to standing, as well as arm and hand function through progressive tasks. Higher scores indicate a greater level of function on the affected side. The test measures muscle tone and the ability to move outside of patterns.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MOTOR ASSESSMENT SCALE

___________________________________
Date: _____________
Evaluator: __________________________________
Score achieved: ______________________________

If the patient cannot complete any part of a section, record a zero (0) for
that section. There are 9 sections in total:

1. Supine lateral decubitus on the intact side (starting position: decubitus


supine with straight knees

1. Use the intact arm to pull the body towards the intact side. Use the intact leg.
to hook the injured leg to turn.
2. Actively move the affected leg across the body to roll, but leave the arm.
affected behind.
3. the affected arm is raised above the body with the other arm. The affected leg
It moves actively and the body follows like a block.
4. actively move the affected arm across the body, the rest of the body follows it as
a block.
5. actively move the affected arm and leg, balancing on the intact side but with
certain difficulty.
6. wheel on the intact side in 3 seconds without using hands.

2.Lie down on the side of the bed


1. klgo. Assist to the lateral decubitus position, Patient lifts the head to the sides,
but he/she cannot sit.
Can assist to the lateral decubitus position and helps the patient to sit up.
head control at all times.
3. can go. Can assist in the lateral decubitus position and helps to sit but with less.
support in transferring from bed to sitting.
4. can. Can assist to the lateral decubitus position, but the patient is able to
sit down without help.
5. the patient is able to transition from a supine position to sitting without assistance.
6. the patient is able to move from the supine position to sitting without assistance in 10
seconds.

3. Balance in Sitting Position


The patient is helped to sit down and needs support to remain seated.
The patient sits unsupported for 10 seconds with arms crossed, knees
and the feet together and the feet on the ground.
3. the patient sits unsupported with the weight shifted forward and distributes
evenly over both hips/legs. Head and
extended dorsal column.
4. the patient sits unsupported, with their feet together on the ground. Hands resting
about the thighs. Without moving the legs, the patient turns their head and torso to look
back towards the right and left of the shoulders.
5. The patient sits unsupported, with their feet together on the ground. Without allowing the
legs or feet move without assistance, the patient must reach forward to touch the
ground (10 cm or 4 inches in front of them), the affected arm can be supported if it is
necessary.
6. the patient sits on a stool without support with their feet on the ground, they move
reaching the sides without moving the legs or holding onto something, return to the position
sitting, the affected arm can be supported if necessary.

4.Biped sitting

the patient is assisted on foot - with any method.


2. the patient is assisted on foot. The patient's weight is distributed unevenly and
You can use your hands for support.
3. the patient stands up. The patient's weight is distributed evenly but the
hips and knees bend - Does not use support hands.
4. the patient stands up. He/she maintains balance for 5 seconds with the hips and knees
extended with the weight evenly distributed.
5. The patient gets up and sits down again. Standing, the hips and knees extend.
with the weight distributed evenly
6. the patient gets up and sits down again 3 times for 10 seconds with the hips and
knees extended and weight evenly distributed

To walk

1. With assistance, the patient maintains weight-bearing on the hip of the leg.
affected extended, and takes a step forward with the intact leg.
The patient walks with the assistance of a person.
3. The patient walks 10 steps or 3 meters without assistance but with a device for help.
march.
The patient walks 16 steps or 5 meters unassisted and without a device for 15 seconds.
The patient walks 33 steps or 10 meters without help or a device. They are able to pick up.
pick up a small object from the floor with either hand and walk back in 25 seconds.
6. The patient goes up and down 4 floors of a staircase with or without a walking device.
but without clinging to the railing 3 times and/or in 35 seconds.

6.Function of the upper arm

1. Supine position: the kinesiologist positions the affected arm at 90 degrees of flexion.
shoulder and keeps the elbow extended and the hand facing the ceiling. The patient
he actively protracts the affected shoulder.
2. Supine position: the kinesiologist places the arm in the same previous position. The
the patient must maintain the position for 2 seconds with some external rotation and with
the elbow at at least -20 degrees of full extension.
3. Supine: The patient assumes the previous position and flexes and extends the elbow, the klgo.
can help with forearm supination.
4. Sitting: therapist places arm affected at 90 degrees of flexion forward.
the patient must hold the affected arm in position for 2
second with some external rotation of the shoulder and supination of the forearm. Without elevation
excessive shoulder or pronation.
5. Sitting: the kinesiologist places the affected arm at 90 degrees of shoulder flexion
forward, the patient holds it there for 10 seconds and then lowers it with a
little external rotation and supination of the forearm. No excessive shoulder elevation or
pronation.
6. Standing: the patient places the affected arm at a 90-degree abduction with the palm flat.
against the wall. The patient must maintain the position of the arm
while moving the body toward the wall.

7.Hand movements

1. Sitting at a table (wrist extension): the klgo. places the affected forearm of the
patient resting on the table. With a cylindrical object in the palm of the hand of
patient, is asked to lift the object by extending the wrist - no is allowed the
elbow flexion.
2. Sitting at a table (radial deviation of the wrist): the klgo. Place the forearm of the
patient in a neutral position with the ulnar side resting on the table with the thumb in line
with the forearm and elbow relaxed and wrist in neutral, the fingers hold an object
cylindrical. You are asked to raise your hand off the table. Flexion is not allowed.
wrist extension.
3. Sitting (pronation / supination): the affected arm of the patient is placed on the table with
the elbow without support on the side. Patient performs supination and pronation of the forearm (¾
of acceptable range).
4. Place a small ball on the table for the patient to reach it with their arms.
extended forward. Have the patient pick up the ball with both hands, with
both arms with shoulders in protraction, elbows extended, and wrists in
neutral position or in extension. Once you take the ball, it must be returned by leaving it in the
same place.
5. The patient must take a glass of styrofoam with the affected hand and place it on the
table on the other side of his body without any alteration of the vessel.
6. the patient must perform continuous thumb opposition with each finger 14 times in 10
seconds, Starting at the index. Do not allow the thumb to slide from one finger to another or go
backwards.

8. Advanced Hand Activities

1. Have the patient move the affected arm forward to collect from the part
superior, a pen with the hand, I brought it to his side and placed the cap in front of him.
2. Place 8 candies (or beans) in a teacup, one arm's length away from the side.
patient's affected area. Place another empty tea cup on a arm's length away from the side
intact of the patient. Have him pick up a candy with the affected hand and transfer it to the
empty cup.
3. Draw a vertical line on a piece of paper. Have the patient draw lines.
horizontally towards the vertical line. The goal is 10 lines in 20 seconds with at least 5
lines that stop vertically.
4. Have the patient pick up a pen / pencil with their affected hand, holding it
position without the help of the pencil as if to write, and make consecutive points (not
quick strikes) on a piece of paper. Goal: at least 2 points per second for 5
seconds.
5. Have the patient take a dessert spoon and bring liquid to their mouth with their hand.
affected without lowering the head towards the spoon or spilling.
6. Have the patient hold a comb and comb the back of their head with it.
affected arm in abduction and external rotation, and forearm in supination.

9. General tone (mark "6" if the tone on the affected side is normal)

Flaccid, soft, without resistance when the body parts move.


Some resistance is felt when the body parts move.
____Variable, sometimes flaccid, sometimes well-toned, sometimes hypertonic.
_____Hypertonic 50% of the time.
Hypertonic All the time

6 = Consistently normal responses

This test is designed to evaluate the return of function after a stroke.


another neurological deterioration. The test examines a patient's ability to move
with a low tone or a synergistic pattern, finally move actively out of that
boss, in normal movement.

The higher the score, the higher the functioning the patient presents on their affected side.

Record Score: 54
Low Score: 0

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