Research Article

The Changes in Rats with Sciatic Nerve Crush Injury Supplemented with Evening Primrose Oil: Behavioural, Morphologic, and Morphometric Analysis

Table 1

The scoring and grading of the toe-spreading reflex.

⁢Toe-spreading reflex (Gutmann 1942)
GradeClinical symptoms

Degree 0Absence of any abduction (movement) in any digit.
Degree IJust visible spreading of the 4th toe alone (or one of the digit)
Degree IISlight spreading of all three toes
Degree IIISpreading of all three toes less forceful than normal
Degree IVFull spreading of all three toes (which resembles the
unoperated left site)

The toe-spreading reflex is an excellent and sensitive indicator of the onset of nerve and motor neuron recovery [24].