Bromage Scale (Neuraxial Motor Block)

The Bromage scale of motor block after neuraxial (epidural / spinal) anesthesia, by residual lower-limb movement, grades I/II/III/IV.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Bromage grade
II - partial (just able to flex the knees)

Result: Bromage grade II: partial motor block, just able to flex the knees with free flexion of the feet.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Grade I
Nil: free flexion of the knees and feet (no motor block).
Grade II
Partial: just able to flex the knees, with free flexion of the feet.
Grade III
Almost complete: unable to flex the knees, but some flexion of the feet.
Grade IV
Complete: unable to move the legs or feet.

What you enter

  • Bromage grade
How this is calculated

Bromage PR. Epidural Analgesia. Philadelphia: WB Saunders; 1978 (originating from Bromage 1965). Search PubMed for this source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.