Table 1.
Component | Examiner | Points towards total |
---|---|---|
Weakness (by Motricity Index*) | Physician | 0 = 4 points; 1–34 = 3 points; 35–64 = 2 points; 65–99 = 1 point; 100 = 0 points |
Sensory loss | Physician | 1 point if present |
Visual field cut or visual neglect | Physician | 1 point if present |
Aphasia | Speech therapist | 1 point if present |
Spatial neglect | Occupational therapist | 1 point if present |
Cognitive Deficit** | Physician (MMSE) and therapists (FIM) | 1 point if MMSE<24 or admission FIM Problem Solving <4 |
Motricity Index [36, 37] is a scale that converts a subset of the Medical Research Council (1 to 5 point) scale [38] into 0 to 100 points (0 no movement, 100 normal). It has been shown to correlate with the Rivermead Motor Assessment [39], Barthel ADLs [37], and with the Fugl-Meyer (r=0.87) in the 78% of our patients who had admission Fugl-Meyer performed.
Cognitive deficit was scored as present if Mini-Mental Status Exam (MMSE) <24 or FIM Problem Solving <4, as the MMSE is not sensitive to executive function deficits [40].