Selective dorsal rhizotomy in cerebral palsy spasticity - a newly established operative technique in Slovenia: A case report and review of literature

Table 1 The Ashworth scale for classification of the degree of spasticity

SCORE- Degree of spasticity	DESCRIPTION
0	No increase in muscle tone.
1	Slight increase in tone giving a catch when the limb was moved in flexion or extension.
2	More marked increase in tone but limb easily flexed.
3	Considerable increase in tone - passive movement difficult.
4	Limb rigid in flexion or extension.

Table 2 The Gross Motor Function Classification System

SCORE- Level of spasticity	DESCRIPTION
Level I	Walks well in all settings. Balance and speed may be limited compared with children developing normally.
Level II	Walks in most settings but may have difficulty walking long distances or with balance. May utilise personal or environmental mobility aids to climb stairs.
Level III	Walks with the use of hand-held mobility aids such as K-walkers in most indoor settings. Uses wheeled mobility for longer distance travel.
Level IV	Utilises wheeled mobility aids in most settings (either attendant-propelled or powered) and requires assistance to transfer.
Level V	Transported in wheelchairs in all settings and has limited to no antigravity head, trunk and limb control.