|front |1 |2 |3 |4 |5 |6 |7 |8 |9 |10 |11 |12 |13 |14 |15 |review|
|Stage I : spastic gait with no need to use a walking stick
and no Babinski sign.
Stage II: spastic gait with the need of one walking stick. Ankle clonus and Babinski sign present.
Stage III: Spastic cross adductor gait with the need of two walking sticks. Ankle clonus and Babinsi sign present.Stage IV: There is bed ridden (wheel chair) state with loss of leg use and contracture. Arms are strong and pyramidal signs present.