Stance | 0 | Standing and sitting balance normal for age |
1 | Mildly unstable standing for age, slightly wide based |
2 | Unable to stand without support but can sit without support |
3 | Unable to sit without using hands to prop or other support |
Gait | 0 | Walking normal for age |
1 | Mildly wide-based gait for age, but able to walk indoors and outdoors independently |
2 | Walks only or predominantly with support from person or equipment |
3 | Unable to walk even with support from person or equipment |
Arm/hand function | 0 | Normal for age |
1 | Mild, infrequent tremor or jerkiness without functional impairment |
2 | Fine motor function persistently impaired for age, but less precise manipulative tasks normal or almost normal |
3 | Major difficulties in all age-appropriate fine motor and manipulative tasks |
Opsoclonus | 0 | None |
1 | Rare or only when elicited by change in fixation or squeeze test |
2 | Frequent, interferes intermittently with fixation or tracking |
3 | Persistent, interfering continuously with function and tracking |
Mood/behavior | 0 | Normal |
1 | Mild increase in irritability but consolable and/or mild sleep disturbances |
2 | Irritability and sleep disturbances interfering with child and family life |
3 | Persistent severe distress |
Speech | 0 | Normal for age, no loss |
1 | Mildly unclear, plateaued in development |
2 | Loss of some words or some grammatical constructs (ie, from sentences to phrases) but still communicates verbally |
3 | Severe loss of verbal communication and speech |