NIH Stroke Scale Study guides, Class notes & Summaries

Level of Consciousness (LOC) - ANSWER--General alertness -Includes Questions and Commands LOC Questions - ANSWER--What is the month? -How old are you? LOC Commands - ANSWER-Pt is asked to: -Open/close eyes -Grip then release non-paretic hand Best Gaze - ANSWER--Have pt follow moving objects side to side -Only horizontal movements are tested Visual - ANSWER--Visual fields are tested by confrontation -Includes upper and lower quadrants -Identify when they see your hand move by p...

1a LOC - alert - ANSWER-0 1a LOC - arousable by minor stimulation - ANSWER-1 1a LOC - Arousable by repeated or strong stimulation - ANSWER-2 1a LOC - unresponsive or reflex response only - ANSWER-3 1b LOC questions - answers month and age correctly - ANSWER-0 1b LOC questions - answers age but not month - ANSWER-1 1b LOC questions - answers month and age *incorrectly* - ANSWER-2 1c LOC commands - open/close eyes and grip/release hand - ANSWER-0 1c LOC commands - open/clos...

How many items on the NIH stroke scale? - ANSWER-11 NIH Stroke scale is - ANSWER-an 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) - ANSWER-levels of: consciousness vision motor function (facial and extremities) cerebellar function sensation language extinction or inattention NIH...

1B - ANSWER-LOC Q's: age and month 0 = both correct 1 = one wrong 2 = two wrong * physical or language barriers are scored 1 * comatose or aphasic scored 2 1C - ANSWER-LOC commands: eyes, fist (or other commands) 0 = both correct 1 = one wrong 2 = two wrong * count it if they make a visible effort 2 - ANSWER-GAZE: 0 = no paresis 1 = partial gaze palsy, cranial nerve palsy, or deviation which can be overcome with VOR 2 = forced deviation or paresis not overcome with V...

1b. LOC Question - ANSWER-The Pt. is asked month and her/her age 1.c LOC command - ANSWER-The Pt. is asked to open/close eyes and grip and release the non-peretic hand. 2. Best Gaze - ANSWER-Horizontal eye movements. Use pen and ask Px to follow. Look for any deviations. 3. Visual - ANSWER-Visual fields tested in all quadrants by confrontation, using finger counting. Peripheral vision is tested. Cover eye and ask Pt how many fingers do they see. Test 4 quadrants. 4. Facial palsy - AN...

1b- LOC questions - ANSWER-0=answers to questions correctly 1=Answers one questions correctly 2= Answers neither questions correctly 1c-LOC commands - ANSWER-0=Performs two tasks correctly 1=Perrforms one task correctly 2=Performs neither task correctly 2--Best Gaze - ANSWER-0=Normal 1=Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present 2=Forced deviation. or total gaze paresis not overcome by the oculocephalic maneuver....

Best Language - ANSWER--Pt asked to describe whats happening in the picture -Name the items on naming sheet -read from a list of sentences Dysarthria - ANSWER--pt asked to read/repeat words from an attached list Extinction and Inattention (formerly neglect) - ANSWER--Extinction is an impaired ability to perceive multiple-simultaneous stimulation (they'll only see on their strong side) -Sufficient information to identify neglect may be obtained during prior testing. -Touch left/right/b...

1a LOC - arousable by minor stimulation - ANSWER-1 stimulation - ANSWER-2 1a LOC - unresponsive or reflex response only - ANSWER-3 1b LOC questions - answers month and age correctly - ANSWER-0 1b LOC questions - answers age but not month - ANSWER-1 1b LOC questions - answers month and age *incorrectly* - ANSWER-2 1c LOC commands - open/close eyes and grip/release hand - ANSWER-0 1c LOC commands - open/close eyes but does not grip/release hand - ANSWER-1 1c LOC commands - ...

1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open and close the eyes and then to grip and release the non-paretic hand. If the patient does not respond to command, the task ...

1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open and close the eyes and then to grip and release the non-paretic hand. If the patient does not respond to command, the task ...