Only horizontal eye movements will be tested. Patients with trauma, amputation, or other physical impediments should be given suitable one-step commands. If the patient does not respond to command, the task should be demonstrated to him or her (pantomime), and the result scored (i.e., follows none, one, or two commands). Credit is given if an unequivocal attempt is made but not completed due to weakness. Substitute another one-step command if the hands cannot be used. The patient is asked to open and close the eyes and then to grip and release the non-paretic hand. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cues. Patients unable to speak because of endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language barrier, or any other problem not secondary to aphasia are given a 1. Aphasic and stuporous patients who do not comprehend the questions will score 2. The answer must be correct - there is no partial credit for being close. The patient is asked the month and his/her age. A 3 is scored only if the patient makes no movement (other than reflexive posturing) in response to noxious stimulation.ġ = Not alert but arousable by minor stimulation to obey, answer, or respond.Ģ = Not alert requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped).ģ = Responds only with reflex motor or autonomic effects, or totally unresponsive, flaccid, and areflexic.
#OPENING OF AUDITORY TUBE FULL#
The investigator must choose a response if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages. 1a: Level of Consciousness (LOC) Instructions Order free copies of the Stroke Scale booklet. Interested in a portable, pocket-sized, laminated reference booklet for health professionals who administer the NIH Stroke Scale to stroke patients.
#OPENING OF AUDITORY TUBE PDF#
Those items are not attached, but can be accessed by opening the PDF version of the NIH Stroke Scale (pdf, 855 KB) and viewing pages 5-8. Note: The instructions above refer to attachments such as a picture, naming sheet, list of sentences, and words. Except where indicated, the patient should not be coached (i.e., repeated requests to patient to make a special effort). The clinician should record answers while administering the exam and work quickly. Scores should reflect what the patient does, not what the clinician thinks the patient can do. Follow directions provided for each exam technique. Record performance in each category after each subscale exam. Instructions: Administer stroke scale items in the order listed.
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