Skip to main content
. 2025 Jun 9;26:201. doi: 10.1186/s13063-025-08849-z

Table 2.

FLACC Face Legs Activity Cry Consolability Scale. Each of the five categories (F) Face, (L) Legs, (A) Activity, (C) Cry, and (C) Consolability is scored from 0 to 2, which results in a total score between 0 and 10. 0 = Relaxed and comfortable; 1–3 = mild discomfort; 4–6 = moderate pain; and 7–10 = severe pain or discomfort or both. In our study, the category Face will not be used since the patient’s face is not visible in the video

0 1 2
Face No particular expression or smile Occasional grimace or frown, withdrawn or disinterested; appears sad or worried Consistent grimace or frown; frequent/constant quivering chin; clenched jaw; distressed-looking face; expression of fright or panic
Legs Normal position or relaxed; usual tone and motion to limbs Uneasy, restless, tense; occasional tremors Kicking, or legs drawn up, marked increase in spasticity, constant tremors or jerking
Activity Lying quietly, normal position, moves easily; regular and rhythmic respirations Squirming, shifting back and forth, tense mildly agitated, shallow, splinting respirations intermittent sighs Arched, rigid, or jerking, severe agitation, head banging, shivering; breath-holding, gasping or sharp intake of breath, severe splinting
Cry No cry/verbalization Moans or whimpers, occasional complaint, occasional verbal outburst or grunt Crying steadily, screams or sobs, frequent complaints, repeated outbursts, constant grunting
Consolability Content or relaxed Reassured by occasional touching, hugging, or being talked to, distractible Difficult to console or comfort, pushing away caregiver, resisting care or comfort measures