Modified Rankin Scale

Grade 0障害が存在しない
Grade 1明らかな障害は存在しない。通常の動作を補助無しで行うことが出来る。
Grade 2軽度の困難、いくつかの日常動作を行うことが出来ない。しかし多くの介助なくても自分の身の回りのことが出来る。
Grade 3中等度の困難。ある程度の介助を必要とするが、助け無しで歩くことが出来る。
Grade 4中等度〜重度の困難。介助無しでは歩いたり身体の位置を好きなように動かすことが出来ない。
Grade 5重度の困難。ベッド臥床、失禁、持続的な看護と監視が必要とされる。



Barthel Index

(Mahoney FI, Barthel DW: Functional evaluation; the Barthel index. Md Med State J 14: 61-65, 1965)
食事10 Independent; feeds self from tray or table; can put on assistive device if needed; accomplishes feeding in reasonable time.
5 Assistance necessary with cutting food, etc.
車椅子またはベッドへの移動15 Independent in all phases of this activity.
10 Minimal help needed or patient needs to be reminded or supervised for safety of 1 or more parts of this activity.
5 Patient can come to sitting position without help of second person but needs to be lifted out of bed and assisted with transfers.
整容(身だしなみ)5 Can wash hands, face; combs hair, cleans teeth. Can shave (males) or apply makeup (females) without assistance; females need not brain or style hair.
トイレ移動10 Able to get on and off toilet, fastens/unfastens clothes, can use toilet paper without assistance. May use wall bar or other support if needed; if bedpan necessary patient can place it on chair, empty, and clean it.
5 Needs help because of imbalance or other problems with clothes or toilet paper.
入浴5 May use bath tub, shower or sponge bath. Patient must be able to perform all functions without another person being present.
歩行15 Patient can walk at least 50 yards without assistance or supervision; may use braces, protheses, crutches, canes, or walkerette but not a rolling walker. Must be able to lock/unlock braces, assume standing or seated position, get mechanical aids into position for use and dispose of them when seated (putting on and off braces should be scored under dressing).
10 Assistance needed to perform above activities, but can walk 50 yards with little help.
5 Patient cannot ambulate but can propel wheelchair independently; can go around corners, turn around maneuver chair to table, bed toilet, etc. Must be able to push chair 50 yards.
階段の昇降10 Able to go up and down flight of stairs safely without supervision using canes, handrails, or crutches when needed and can carry these items as ascending/descending.
5 Needs help with or supervision of any of the above items.
着替え10 Able to put on, fasten and remove all clothing; ties shoelaces unless necessary adaptions used. Activity includes fastening braces and corsets when prescribed; suspenders, loafer shoes and dresses opening in the front may be used when necessary.
5 Needs help putting on, fastening, or removing clothing; must accomplish at least half of task alone within reasonable time; women need not be scored on use of brassiere or girdle unless prescribed
排便10 Able to control bowels and have no accidents. Can use a suppository or take an enema when necessary (as for spinal cord injury patients who have had bowel training).
5 Needs help in using a suppository or taking an enema or has occasional accidents.
排尿10 Able to control bladder day and night. Spinal injury patients must be able to put on external devices and leg bags independently, clean and empty bag, and must stay dry day and night.
5 Occasional accidents occur, cannot wait for bed pan, does not get to toilet in time or needs help with external device


参考:http://www.stanford.edu/group/neurology/stroke/strokescales.html

Brunnstrom stage

(Brunnstrom S: Movement therapy in hemiplegia; A neurophysiological approach. Harper & Row, New York, 1970.) 片麻痺の評価法。
ステージ上肢・下肢手指
I動きなし(弛緩麻痺)動きなし(弛緩麻痺)
II連合反応 わずかに握る
III共同運動握れるが開けない
IV分離運動の開始横つまみ・わずかな伸展
V個別的な関節運動可能色々なつまみ・伸展可能
VI全運動可能全運動可能