Version June 2024
| A. Motor deficit in arm |
| Lying supine, patient flexes shoulder to 90° and is given resistance. |
| 0.0 = MRC grade 5 (normal power) |
| 0.4 = MRC grade 4 (diminished power) |
| 0.8 = MRC grade 3 (movement against gravity) |
| 1.2 = MRC grade 1 to 2 (movement with gravity eliminated or trace) |
| 1.6 = MRC grade 0 (no movement) |
| B. Proprioception (eyes closed) |
| Locates affected thumb: |
| 0.0 = Accurately |
| 0.4 = Slight difficulty |
| 0.8 = Finds thumb via arm |
| 1.2 = Unable to find thumb |
| C. Balance |
| 0.0 = Walks 10 feet without help |
| 0.4 = Maintains standing position (unsupported for one minute) |
| 0.8 = Maintains sitting position |
| 1.2 = No sitting balance |
| D. Cognition |
| Hodkinson's Mental Test: Score one point for each correct answer. |
| _____ 1. Age of patient |
| _____ 2. Time (to the nearest hour) |
| I am going to give you an address, please remember it and I will ask you later: 42 West Street. |
| _____ 3. Name of hospital |
| _____ 4. Year |
| _____ 5. Date of birth of patient |
| _____ 6. Month |
| _____ 7. Years of the Second World War |
| _____ 8. Name of the President |
| _____ 9. Count backwards (20 to 1) |
| _____ 10. What is the address I asked you to remember: 42 West Street. |
| 0.0 = Mental test score of 10 |
| 0.4 = Mental test score of 8 to 9 |
| 0.8 = Mental test score of 5 to 7 |
| 1.2 = Mental test score of 0 to 4 |
| TOTAL SCORE: 1.6 + Motor + Proprioception + Balance + Cognition. |
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