Neurological measurements: Composite scales



10.1055/b-0034-85236

Neurological measurements: Composite scales



ASIA / International Medical Society of Paraplegia (IMSOP)



Description


Contains five grades of impairment:




  • Grade A—Complete



  • Grade B—Incomplete: sensory but not motor function is preserved below the neurological level and includes the sacral segments S4/5



  • Grade C—Incomplete: motor function is preserved below the neurological level, and more than half of the key muscles below the neurological level have a muscle grade less than 3 strength



  • Grade D—Incomplete: motor function is preserved below the neurological level, and at least half of the key muscles below the neurological level have a muscle grade of 3 or more strength



  • Grade E—Normal



Interpretation


Grades are presented in ascending order of severity.



Clinical relevance


Assess severity of spinal cord injury.



Reliability

















Population tested in


Interobserver reliability


Intraobserver reliability


Not tested





Functional independence measure (FIM) [1]



Description


18 items relating to the following categories:




  • Self-care (42 points)



  • Sphincter control (14 points)



  • Transfers (7 points)



  • Mobility (14 points)



  • Locomotion (14 points)



  • Communication and cognition (35 points)


Each item scored on a 1 to 7 point scale.



Interpretation


Total score is the sum of all items.




  • Maximum score: 126



  • Minimum score: 18


The lower the score, the greater the disability.



Clinical relevance


A global assessment of daily physical and cognitive function often used for determining the need for additional supportive care.



Reliability

















Population tested in


Interobserver reliability


Intraobserver reliability


Not tested





References:
1. O′Toole DM, Golden AM (1991) Evaluating cancer patients for rehabilitation potential. West J Med; 155:384–387.


Spinal cord independence measure (SCIM) [1]



Description


16 items relating to the following categories:




  • Self-care (20 points)



  • Respiration and sphincter management (40 points)



  • Mobility in room and around toilet (10 points)



  • Mobility indoors and outdoors (30 points)


Each item scored on a scale with a minimum score of 0 and a variable maximum score of 2, 5, 6, 8, 10, or 15.

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Jul 2, 2020 | Posted by in NEUROSURGERY | Comments Off on Neurological measurements: Composite scales

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