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Escalas en Neurología - Sociedade Galega de Neuroloxia

Escalas en Neurología - Sociedade Galega de Neuroloxia

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12-ESCALAS (225-262) 3/6/08 12:54 Página 259<br />

TRASTORNOS DEL MOVIMIENTO. II. HIPERCINESIAS Y OTROS TRASTORNOS DEL MOVIMIENTO<br />

Escala 81. TOURETTE'S SYNDROME GLOBAL SCALE (TSGS) (Cont.)<br />

Symptom <strong>de</strong>scription and scoring co<strong>de</strong>s Score<br />

Something more than normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4<br />

Adv<strong>en</strong>titial, occasional, increased movem<strong>en</strong>t, mostly fine motor,<br />

visible but no problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />

More frequ<strong>en</strong>t but still no problem. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9<br />

Increased motor restlessness, clearly visible (example: e,g, shaking, fidgety,<br />

would be trouble at dinner table or movies), mild-interfer<strong>en</strong>ce . . . . . . . . . . . . . . . . . . . 10<br />

Greater <strong>de</strong>gree of interfer<strong>en</strong>ce. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4<br />

Clear motor restlessness, fidgetting, hyperactive, some impairm<strong>en</strong>t (interv<strong>en</strong>tion). . . . . 15<br />

Greater <strong>de</strong>gree of impairm<strong>en</strong>t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-19<br />

Mostly in motion but occasionally stops, impaired direction,<br />

difficulty with structure, functioning greatly impaired . . . . . . . . . . . . . . . . . . . . . . . . . . . 20<br />

Fewer stops, greater impairm<strong>en</strong>t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-24<br />

Nonstop motion, impared conc<strong>en</strong>tration, unable to sit still, always in motion,<br />

clearly cannot function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25<br />

School and learning problems (G)<br />

No problem, at gra<strong>de</strong> level, doing at least average work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />

Degree of bor<strong>de</strong>line gra<strong>de</strong>s (example: 4 Cs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4<br />

Low gra<strong>de</strong>s: Cs+Ds -not working up to pot<strong>en</strong>tial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />

Degree of failing (example: 2 Fs might be 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Should be or is ¡n some especial classes, special teacher, learning laboratory,<br />

6-9<br />

tutor, or repeated gra<strong>de</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10<br />

Degree of special help (example: special class for 2 subjects might be 12). . . . . . . . . . . . . 11-14<br />

All special classes or repeated more than one gra<strong>de</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15<br />

Degree of learning (example: if very little learning. 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-19<br />

Special school. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20<br />

Having trouble in special school . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-24<br />

Unable to remain in school, home bound, unable learn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25<br />

Work and occupation problems (H)<br />

Have Job, no problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />

Occasional problem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Has held down Job for at least 6 months, some problems doing work,<br />

1-4<br />

getting along with co-workers, or taking or<strong>de</strong>rs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />

Shorter duration and/or <strong>de</strong>gree of problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />

Poor functioning, changed Jobs a few times in the past year<br />

6-9<br />

Serious problems (2 or 3 Jobs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10<br />

Number of jobs or seriousness of problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-14<br />

Cannot hold a Job for long, lost lots of jobs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15<br />

Number of jobs, or seriousness of problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-19<br />

Almost never employed, sporatic employm<strong>en</strong>t, out of work 2-3 months . . . . . . . . . . . . . . 20<br />

Number of months out of work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21-24<br />

Unemployed -did not work for 6 or more months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25<br />

� 259 �

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