| Facial |
Inability to “bury eyelashes”, “horizontal smile”, inability to whistle |
| Ocular |
Double vision, ptosis, disconjugate eye movements |
| Bulbar |
Nasal speech, weak cry, nasal regurgitation of liquids, poor suck, difficulty |
|
swallowing, recurrent aspiration pneumonia, cough during meals |
| Neck |
Poor head control |
| Trunk |
Scoliosis, lumbar lordosis, protuberant abdomen, difficulty sitting up |
| Shoulder girdle |
Difficulty lifting objects overhead, scapular winging |
| Forearm/hand |
Inability to make a tight fist, finger or wrist drop, inability to prevent escape from hand grip |
| Pelvic girdle |
Difficulty climbing stairs, waddling gait, Gower’s sign |
| Leg/foot |
Foot drop, inability to walk on heels or toes |
| Respiratory |
Use of accessory muscles |
