Table 2.

Activities of Daily Living (ADL) Score range from 0 to 24 points. It was created to assess the impact of MG on activities of daily living. This scale includes eight functions that are often impaired in MG. It surveys symptom severity, with each response graded from 0 (normal) to 3 (most severe), (https://myasthenia.org/What-is-MG)

Grade	0	1	2	3
Talking	Normal	Intermittent slurring or nasal speech	Constant slurring or nasal, but can be understood	Difficult to understand speech
Chewing	Normal	Fatigue with solid food	Fatigue with soft food	Gastric tube
Swallowing	Normal	Rare episode of choking	Frequent choking necessitating changes in diet	Gastric tube
Breathing	Normal	Shortness of breath with exertion	Shortness of breath at rest	Ventilator dependence
Impairment of ability to brush teeth or comb hair	Normal	Extra effort, but no rest periods needed	Rest periods needed	Cannot do one of these functions
Impairment of ability to arise from chair	Normal	Mild, sometimes uses arms	Moderate, always uses arms	Severe, requires assistance
Double vision	Normal	Occurs, but not daily	Daily, but not constant	Constant
Eyelid droop	Normal	Occurs, but not daily	Daily, but not constant	Constant