| Item |
|
Value |
| (1) Maintain upper limbs horizontally outstretched |
1 point per 10 seconds |
0 to 15 |
| |
|
|
| (2) Maintain lower limbs above bed plane |
1 point per 5 seconds |
0 to 15 |
| |
|
|
| |
|
|
| (3) Raise head above the plane, while lying on back |
|
|
| |
Against resistance |
10 |
| |
Without resistance |
5 |
| |
Impossible |
0 |
| (4) Sit up from lying position |
|
|
| |
Without help of hands |
10 |
| |
Impossible |
0 |
| (5) Extrinsic ocular musculature |
|
|
| |
Normal |
10 |
| |
Ptosis |
5 |
| |
Double vision |
0 |
| (6) Eyelid occlusion |
|
|
| |
Complete |
10 |
| |
Incomplete with corneal covering |
5 |
| |
Incomplete without corneal covering |
0 |
| (7) Chewing |
|
|
| |
Normal |
10 |
| |
Weak |
5 |
| |
Impossible |
0 |
| (8) Swallowing |
|
|
| |
Normal |
10 |
| |
Impaired without aspiration |
5 |
| |
Impaired with aspiration |
0 |
| (9) Speech |
|
|
| |
Normal |
10 |
| |
Nasal |
5 |
| |
Slurred |
0 |
