Escalas en NeurologÃa - Sociedade Galega de Neuroloxia
Escalas en NeurologÃa - Sociedade Galega de Neuroloxia
Escalas en NeurologÃa - Sociedade Galega de Neuroloxia
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16-ESCALAS (319-327) 3/6/08 12:46 Página 320<br />
I.J. POSADA, F. BERMEJO PAREJA<br />
Escala 102. INTERNATIONAL COOPERATIVE ATAXIA RATING SCALE (ICARS)<br />
I. Posture and gait disturbances<br />
1. Walking capacities (observed during a 10-meter test including a half-turn, near a wall,<br />
at about 1,5 meter).<br />
Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Almost normal naturally, but unable to walk with feet in tan<strong>de</strong>m position . . . . . . . . . . . . . 1<br />
Walking without support, but clearly abnormal and irregular . . . . . . . . . . . . . . . . . . . . . . . . 2<br />
Walking without support but with consi<strong>de</strong>rable stagering; difficulties in half turn . . . . . .<br />
Walking with autonomous support no logner possible; the pati<strong>en</strong>ts uses the episodic<br />
3<br />
support of the wall for a 10-meter test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />
Walking only possible with one stick . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />
Walking only possible with two special sticks or with a stroller . . . . . . . . . . . . . . . . . . . . . . . 6<br />
Walking only with accompanying person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7<br />
Walking impossible, ev<strong>en</strong> with accompanying person (wheel chair) . . . . . . . . . . . . . . . . . .<br />
Score . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
8<br />
2. Gait speed (observed in pati<strong>en</strong>ts with preceding scores 1-3; preceding score 4 and up<br />
gives automatically score 4 in this test).<br />
Normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Slightly reduced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />
Markedly reduced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />
Extremely slow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />
Walking with autonomous support no longer possible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Score . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
4<br />
3. Standing capacities, eyes op<strong>en</strong> (The pati<strong>en</strong>t is asked first to try to stay on one foot, if<br />
impossible, to stand with feet in tan<strong>de</strong>m position; if impossible, to stand feet together; for<br />
the natural position, the pati<strong>en</strong>t is asked to find a comfortable standing position).<br />
Normal, able to stand on one foot more than 10 seconds . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Able to stand with feet together, but no longer able to stand on one foot more than 10 s. . . 1<br />
Able to stand with feet together . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
No longer able to stand with feet together, but able to stand in natural position without<br />
2<br />
support, with no or mo<strong>de</strong>rate sway . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Standing in natural position without support, with consi<strong>de</strong>rable sway and<br />
3<br />
consi<strong>de</strong>rable corrections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />
Unable to stand in natural position without strong support of one arm . . . . . . . . . . . . . . . 5<br />
Unable to stand at all, ev<strong>en</strong> with strong support of two arms . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Score . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
6<br />
4. Spread of feet in natural position without support, eyes op<strong>en</strong> (The pati<strong>en</strong>t is asked to find<br />
a comfortable position; th<strong>en</strong> the distance betwe<strong>en</strong> medial malleoli is measured).<br />
Normal (< 10 cm) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0<br />
Slightly <strong>en</strong>larged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<br />
Clearly <strong>en</strong>larged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2<br />
Severely <strong>en</strong>larged . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3<br />
Standing in natural position impossible . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
Score . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .<br />
4<br />
� 320 �<br />
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