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. 2022 Sep 29;39(19-20):1417–1428. doi: 10.1089/neu.2022.0095

Table 5.

Describing Mean Category Difficulty of CRS-R Rating Scale Categories by Item Operationalized to States of Consciousness Based on the Aspen Consensus Criteria

Item Rating scale category Rating scale category Mean category difficulty Operationalization to Aspen criteria (Schnakers et al, 2009)
Oromotor/Verbal 0 None -5.66 Vegetative State/Unresponsive Wakefulness Syndrome
Arousal 0 None -5.09 Vegetative State/Unresponsive Wakefulness Syndrome
Motor 0 None -4.95 Vegetative State/Unresponsive Wakefulness Syndrome
Auditory 0 None -4.3 Vegetative State/Unresponsive Wakefulness Syndrome
Visual 0 None -3.57 Vegetative State/Unresponsive Wakefulness Syndrome
Motor 1 Abnormal Posturing -3.16 Vegetative State/Unresponsive Wakefulness Syndrome
Arousal 1 Eye Opening with Stimulation -2.56 Vegetative State/Unresponsive Wakefulness Syndrome
Oromotor/Verbal 1 Oral Reflexive Movement -2.44 Vegetative State/Unresponsive Wakefulness Syndrome
Auditory 1 Auditory Startle -1.83 Vegetative State/Unresponsive Wakefulness Syndrome
Visual 1 Visual Startle -1.62 Vegetative State/Unresponsive Wakefulness Syndrome
Motor 2 Flexion Withdrawal -1.19 Vegetative State/Unresponsive Wakefulness Syndrome
Visual 2 Fixation -0.59 Minimally Conscious State
Motor 3 Localization to Noxious Stimuli -0.27 Minimally Conscious State
Communication 0 None -0.08 Vegetative State/Unresponsive Wakefulness Syndrome
Auditory 2 Localization to Sound -0.02 Vegetative State/Unresponsive Wakefulness Syndrome
Motor 4 Object Manipulation 0.3 Minimally Conscious State
Visual 3 Visual Pursuit 0.37 Minimally Conscious State
Arousal 2 Eye Opening Without Stimulation 0.99 Vegetative State/Unresponsive Wakefulness Syndrome
Oromotor/Verbal 2 Vocalization/Oral Movement 1.2 Vegetative State/Unresponsive Wakefulness Syndrome
Motor 5 Automatic Motor Response 1.57 Minimally Conscious State
Visual 4 Object Localization: Reaching 1.67 Minimally Conscious State
Auditory 3 Reproducible Movement to Command 1.74 Minimally Conscious State
Communication 1 Non-functional: Intentional 1.99 Minimally Conscious State
Visual 5 Object Recognition 3.18 Minimally Conscious State
Oromotor/Verbal 3 Intelligible Verbalization 3.83 Minimally Conscious State
Communication 2 Functional: Accurate 4.06 Emerged from Minimally Conscious State
Auditory 4 Consistent Movement to Command 4.13 Minimally Conscious State
Arousal 3 Attention 4.25 Not aligned to criteria
Motor 6 Functional Object Use 4.49 Emerged from Minimally Conscious State

Rating scale categories at the top indicate less neurobehavioral function and categories at the bottom indicate more neurobehavioral function.