Escalas en Neurología - Sociedade Galega de Neuroloxia

20-ESCALAS (357-361) 3/6/08 12:56 Página 360
F. BERMEJO PAREJA
Escala 112. MIASTHENIA MUSCULAR SCORE
Maintain upper limbs horizontally outstretched
1 point per 10 secs Maximum 15
Minimum 0
Maintain lower limbs above bed plane while lying on back
1 point per 5 secs Maximunm 15
Minimum 0
Raise head above bed plane while lying on back
Against resistance 10
Without resistance 5
Impossible 0
Sit up from lying position
Without help of hands 10
Impossible 0
Extrinsic ocular musculature
Normal 10
Ptosis 5
Double vision 0
Eyelid occlusion
Complete 10
Incomplete with corneal covering 5
Incomplete without corneal covering 0
Chewing
Normal 10
Weak 5
Impossible 0
Swallowing
Normal 10
Impaired without aspiration 5
Impaired wih aspiration 0
Speech
Normal 10
Nasal 5
Slurred 0
Escala 113. NURICK’S CLINICAL GRADING OF CERVICAL SPONDYLOTIC MYELOPATHY
Grade 0 Sings or symptoms of root involvement but without evidence of spinal cord
disease
Grade 1 Signs of spinal cord disease but no difficulty in walking.
Grade 2 Slight difficulty in walking prevents full-time employment .
Grade 3 Difficulty in walking, which prevents full-time employment or the ability to do
all housework but which is not so severe as to require someone else’s help to
walk.
Grade 4 Able to walk only with someone else’s help or with the aid of a frame.
Grade 5 Chair-bound or bedridden.
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