Orpington Prognostic Score | Internet Stroke Center

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Orpington Prognostic Score

Clinical Features	Score
Motor deficit in arm (see chart below)
- MRC grade 5	0
- MRC grade 4	0.4
- MRC grade 3	0.8
- MRC grade 1-2	1.2
- MRC grade 0	1.6
Proprioception (eyes closed) Locates affected thumb:
-Accurately	0
-Slight difficulty	0.4
-Finds thumb via arm	0.8
-Unable to find thumb	1.2
Balance
-Walks 10 feet without help	0
-Maintains standing position	0.4
-Maintains sitting position	0.8
-No sitting balance	1.2
Cognition (see test below)
-Mental Test Score 10	0
-Mental Test Score 8-9	0.4
-Mental Test Score 5-7	0.8
-Mental Test Score 0-4	1.2
Total score = 1.6 + motor+ proprioception + balance + cognition

MEDICAL RESEARCH COUNCIL GRADING FOR POWER
Greatest power in the extensors of the affected limb	Score
Normal power	5
Diminished power	4
Movement against gravity	3
Movement with gravity eliminated	2
Flicker when attempting movement	1
No movement	0

HODKINSON'S MENTAL TEST SCORE
One point for each correct answer	Score
1. Age of the patient	1
2. Time (to the nearest hour)	1
3. Address of the patient	1
4. Name of hospital	1
5. Year	1
6. Date of birth of patient	1
7. Month	1
8. Years of First World War	1
9. Name of Monarch	1
10. Count backwards from 20 to 1	1
Total:	___

Reference

Kalra L, Crome P. The role of prognostic scores in targeting stroke rehabilitation in elderly patients.
J Am Geriatr Soc 1993 Apr;41(4):396-400.

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