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Stroke Scales & Clinical Assessment Tools

Glasgow Coma Scale

printable version

 

ACTIVITY SCORE

Eye Opening
 
None 1 = Even to supra-orbital pressure
To pain 2 = Pain from sternum/limb/supra-orbital pressure
To speech 3 = Non-specific response, not necessarily to command
Spontaneous 4 = Eyes open, not necessarily aware

Motor Response
 
None 1 = To any pain; limbs remain flaccid
Extension 2 = Shoulder adducted and shoulder and forearm internally rotated
Flexor response 3 = Withdrawal response or assumption of hemiplegic posture
Withdrawal 4 = Arm withdraws to pain, shoulder abducts
Localizes pain 5 = Arm attempts to remove supra-orbital/chest pressure
Obeys commands 6 = Follows simple commands

Verbal Response
 
None 1 = No verbalization of any type
Incomprehensible 2 = Moans/groans, no speech
Inappropriate 3 = Intelligible, no sustained sentences
Confused 4 = Converses but confused, disoriented
Oriented 5 = Converses and oriented
 
TOTAL (3–15):

 


References

Teasdale G, Jennett B. "Assessment of coma and impaired consciousness. A practical scale."
The Lancet 13;2(7872):81-4, 1974.


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