Table.

National Institute of Health Stroke Scale (NIHSS) item 7 (current) and suggested modification to item 7.

Item 7, NIHSS current	Item 7, NIHSS modified
0 = No drift; limb holds 90 (or 45) degrees for full 10 seconds	0 = No drift; limb holds 90 (or 45) degrees for full 10 seconds
1 = Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support.	1 = Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support.
2 = Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity.	2 = Some effort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some effort against gravity.
3 = No effort against gravity; limb falls.	3 = No effort against gravity; limb falls.
	3= isolated hand palsy
4 = No movement.	4 = No movement.