12/8/2016
What is voluntary control
grading?
V.C. Grading is a type of assessment which is
VOLUNTARY
carried out in patient on whom other assessment
CONTROL GRADING techniques are not applicable.
For e.g: in order to plan a treatment for Hemiplegic
patient it is necessary to know about the stage of
dysfunction.
Dr Khyati Shah, M.P.T Neuro, Sr. Lecturer
What is Spasticity?
This stage cannot be found by using techniques like Spasticity is a velocity dependant hypertonicity of a
MMT or ROM etc… particular muscle group for e.g. either agonist or
Because the patient will be having spasticity. antagonist.
V.C. Grading is predominantly carried out in the Spasticity occurs due to upper motor neuron lesion.
patient having spasticity. UMNL means lesion in any part of pyramidal tract.
If the patient develops spasticity then the
assessment is done by V.C.
BRUNNSTROM’S GRADING BOBATH’S GRADING
0= Test position not achieved passively. Excessive
spasticity.
1= can be put in position but cant maintain it
2= can be put in position and maintain
3= can achieve test position actively but in abnormal
manner
4= can achieve test position in abnormal manner but
with assistance
5= can achieve test position in normal manner without
assistance but with minimal deviation
6= normal motor performance without deviation
