(REVISED) FLACC Scale
Categories 0 1 2
Face No particular
expression or smile.
Occasional grimace or
Frequent to constant quivering chin,
clenched jaw, distressed looking
face, expression of fright/ panic.
Legs Normal position or
relaxed; usual tone
and motion to limbs.
Uneasy, restless, tense,
Kicking, or legs drawn up, marked
increase in spasticity, constant
Activity Lying quietly, normal
Squirming, shifting back
and forth, tense,
Arched, rigid or jerking, severe
agitation, head banging, shivering,
breath holding, gasping, severe
Cry No cry (awake or
Moans or whimpers:
Crying steadily, screams or sobs,
frequent complaints, repeated
outbursts, constant grunting.
Consolability Content, relaxed Reassured by
hugging, or being talked
Difficult to console or comfort,
pushing caregiver away, resisting
care or comfort measures.
Each of the five categories (F) Face; (L) Legs; (A) Activity; (C) Cry; (C) Consolability
is scored from 0-2, which results in a total score between zero and ten.
Merkel, S. et al. The FLACC: A Behavioural Scale for Scoring Postoperative Pain in Young Children, Pediatric Nurse
23(3): 293-297, 1997. Copyright: Jannetti Co. University of Michigan Medical Centre.
Malviya, S., Vopel-Lewis, T. Burke, Merkel, S., Tait, A.R. (2006). The revised FLACC Observational Pain Tool:
Improved Reliability and Validity for Pain Assessment in Children with Cognitive Impairment. (Pediatric
Anesthesia 16: 258-265).