Disability in Multiple Sclerosis (MS) Associated with Spasticity

Spasticity can occur in multiple sclerosis (MS) and may be disabling for the patient.

Patient selection: multiple sclerosis

Spasticity involves

(1) an unusual tightness/stiffness of the muscles

(2) jumbling of the legs or repetitive bounting of the foot

(3) muscle cramping

(4) limbs going out tight and straight or drawing up

Disability may involve:

(1) impaired gait

(2) fatigue

(3) limb spasms

(4) pain

(5) depression

Severity of Spasticity	Interference with Daily Activities	Scale
none	none	0
minimal and infrequent	none or minimal with no need to change activities	1
mild and occasional	need to change activities	2
moderate and several times a week	affect some activities	3
severe and every day	need to modify activities	4
severe and every day	unable to do many or all activities	5

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