Grading
|
Function
|
Gross
|
At Rest
|
Motion
|
Grade I |
Normal |
Normal |
Normal |
Normal |
Grade II |
Slight dysfunction |
Slight noticeable weakness on close inspection; may have very slight synkinesis |
Normal symmetry and tone |
Forehead - moderate to good function; eye - complete closure with minimum effort; mouth - slight asymmetry. |
Grade III |
Moderate dysfunction |
Obvious but not disfiguring difference between two sides; noticeable but not severe synkinesis, contracture, and/or hemifacial spasm |
Normal symmetry and tone, Motion: forehead - slight to moderate movement; eye - complete closure with effort; mouth - slightly weak with maximum effort. |
|
Grade IV |
Moderate to severe dysfunction |
Obvious weakness and/or disfiguring asymmetry |
Normal symmetry and tone |
Forehead - none; eye - incomplete closure; mouth - asymmetric with maximum effort. |
Grade V |
Severe dysfunction |
Only rare perceptible motion |
Asymmetry |
Forehead - none; eye - incomplete closure; mouth – slight movement. |
Grade VI |
Total paresis, no movement |
- |
- |
- |