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NIH Stroke Scale Instructions • Administer stroke scale items in the order listed. • Record performance in each category after each subscale exam. • Do not go back and change scores. • Follow directions provided for each exam technique. • Scores should reflect what the patient does, not what the clinician thinks the patient can do.
- Instructions Scale Definition Score - National Institute of ...
A score of 2, “severe or total sensory loss,” should only be...
- Instructions Scale Definition Score - National Institute of ...
19 lip 2024 · Get the NIH stroke scale, a validated tool for assessing stroke severity, in PDF or text version, and the stroke scale booklet for healthcare professionals.
Asked to show teeth & raise eyebrows. 5. Motor Arm. Asked to extend arms (palm down) 90o (if sitting) or 45o (if supine) & hold for 10 seconds. Begin with non-paretic limb. 6. Motor Leg. While supine, asked to hold leg at 30o for 5 seconds. 7.Limb Ataxia. Finger – nose & heel – shin test on both sides.
Sensory. Test as many body parts as possible (arms [not hands], legs, trunk, face) for sensation using pinprick or noxious stimulus (in the obtunded or aphasic patient). Sensation or grimace to pinprick when tested, or withdrawal from noxious stimulus in the obtunded or aphasic patient.
Administer stroke scale items in the order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Follow directions provided for each exam technique. Scores should reflect what the patient does, not what the clinician thinks the pat ient can do. The clinician should
A score of 2, “severe or total sensory loss,” should only be given when a severe or total loss of sensation can be clearly demonstrated. Stuporous and aphasic patients will, therefore, probably score 1 or 0. The patient with brainstem stroke who has bilateral loss of sensation is scored 2.
"The National Institutes of Health Stroke Scale (NIHSS) is a systematic assessment tool that provides a quantitative measure of stroke-related neurologic deficit. The NIHSS was originally designed as a research tool to measure baseline data on patients in acute stroke clinical trials.