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Mathew Stroke Scale

printable version

Activity

Score

MENTATION

Level of Consciousness

8 = Fully conscious
6 = Lethargic but mentally intact
4 = Obtunded
2 = Stuperous
0 = Comatose

Orientation (time, place, person)

6 = Oriented x 3
4 = Oriented x 2
2 = Oriented x 1
0 = Disoriented

SPEECH

0-23, according to Reitan test

CRANIAL NERVES

Homonymous hemianopsia

3 = Intact
2 = Mild
1 = Moderate
0 = Severe

Conjugate deviation of eyes

3 = Intact
2 = Mild
1 = Moderate
0 = Severe

Facial Weakness

3 = Intact
2 = Mild
1 = Moderate
0 = Severe

MOTOR POWER

Right arm:
Right leg:
Left arm:
Left leg:

5 = Normal strength
4 = Contracts against resistance
3 = Elevates against gravity
2 = Gravity eliminated
1 = Flicker
0 = No movements

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PERFORMANCE, OR DISABILITY STATUS SCALE

28 = Normal
21 = Mild impairment
14 = Moderate impairment
7 = Severe impairment
0 = Death

REFLEXES

3 = Normal
2 = Asymmetrical or pathological reflexes
1 = Clonus
0 = No reflexes elicited

SENSATION

3 = Normal
2 = Mild
1 = Severe sensory abnormality
0 = No response to pain