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Stroke Scale
CATEGORY STROKE SCALE SCORE
2. Best Gaze
0 1 2
Eyes open - pt follows examiner’s
Normal Partial gaze Forced
fingers or face. palsy deviation
3. Visual
0 1 2 3
Introduce visual stimulus/threat to pt’s visual
field quadrants. Cover 1 eye and hold up No visual Partial Complete Bilateral
loss hemianopsia hemianopsia hemianopsia
fingers in all 4 quadrants.
4. Facial Palsy 0 1 2 3
Show teeth, raise eyebrows and squeeze
Normal Minor Partial Complete
eyes tightly shut.
TOTAL =
6.a Motor Leg - Left 0 1 2 3 4
Elevate extremity to 30 degrees and score No Drift Drift Can’t resist No effort No
drift/movement. Count to 5 out loud and use gravity against gravity Movement
7. Limb Ataxia 0 1 2
Finger to nose, heal down shin Absent Present in Present in
one limb two limbs
8. Sensory
0 1 2
Pin prick to face, arms, trunk, and legs -
Normal Partial loss Severe Loss
compare sharpness side to side
9. Best Language
Name items, describe picture, and read
0 1 2 3
sentences. Don’t forget glasses if they No aphasia Mild to Severe Mute
moderate aphasia
normally wear them. aphasia
10. Dysarthria 0 1 2
Normal Mild to Near to
Evaluate speech clarity by pt reading or articulation moderate unintelligible
dysarthria or worse
repeating words on list.
NT = Intubated or other physical barrier
0 No stroke symptoms
1-4
5-15
Minor stroke
Moderate stroke
TOTAL =
16-20 Moderate to severe stroke
21-42 Severe stroke