ANGINA SCALE BALANCE SCALE TENDERNESS GRADING

NORMAL = can assume & maintain balance w/o GRADING CHARACTERISTIC

SCALE CHARACTERISTICS 1 Pt. complains of pain
support; maximally challenged; shifts weight in all directions
1+ light, barely noticeable GOOD = can assume & maintain balance w/o 2 Pt. complains of pain and winces
2+ moderate, bothersome support; moderately challenged; shifts weight in all directions
3 Pt. winces and withdraws limb
3+ severe, very uncomfortable 4 Pt. won’t allow palpation
FAIR = can assume & maintain balance w/o
4+ most severe pain ever experienced support; cannot be challenged; cannot shift weight GRADING FOR EDEMA
POOR = requires support; to maintain GRADING DESCRIPTION
REVISED BORG SCALE (RATE OF PERCEIVED EXERTION) balance Absent Absent or unilateral
SCALE CHARACTERISTIC ZERO = requires maximal assistance to + Mild: both feet/ankles
balance ++ Moderate: both feet, plus lower legs,
0 nothing at all
LEVELS OF FUNCTION hands or lower arms
0.5 very weak INDEPENDENT (NO HELPER) +++ Severe: generalized
1 very, very weak 7 complete independence Bilateral pitting edema,
2 weak 6 modified independence Including both feet, legs, arms and face
3 moderate DEPENDENT (REQUIRES HELPER)
PRESSURE SORE GRADING
4 somewhat strong 5 supervision (subj: 100%)
4 minimal contact assistance (subj: 75%) GRADE DESCRPTION
5 strong
6 3 moderate assistance (subj: 50%) 1 Discoloration of intact skin; not affected by light
7 very strong 2 maximal assistance (subj: 25-50%) finger pressure (non-blanching erythema). This
8 1 total assistance (subj: <25%) may be difficult to identify in darkly pigmented
9 SHORTNESS OF BREATH SCALE (DYSPNEA W/ ACTIVITY) skin
10 very, very strong SCORE ACTIVITY PERCEIVED SOB 2 Partial-thickness skin loss or damage involving
1 Rest No SOB epidermis and/or dermis. The pressure ulcer is
2 Minimal activity Minimal SOB superficial and presents
DYSPNEA SCALE (ON CHEST) 3 Very light activity Slight SOB
4 Light activity Mild SOB
clinically as an abrasion, blister or shallow crater
SCALE CHARACTERISTICS
5 Somewhat hard Mild-Mod SOB 3 Full thickness skin loss involving damage of
1+ mild, noticeable to pt., but not to observer
6 Hard activity Moderate SOB subcutaneous
2+ mild, some difficulty, noticeable to observer 7 Mode-Severe SOB tissue but not extending to the underlying fascia.
3+ moderate difficulty but pt. can continue 8 Very hard activity Severe SOB
4 Full thickness skin loss with extensive destruction
4+ severe difficulty, pt. cannot continue 9 Breathing not in control
10 Very, very hard activity Maximal SOB and necrosis extending to underlying tissue.
 JOINT RESTING/LOOSE- CLOSED- KELLGREN AND LAWRENCE RADIOGRAPHIC
MEYERDING GRADING SYSTEM FOR PACKED/OPEN- PACKED CRITERIA FOR ASSESMENT OF OA
SPONDYLOLIOSTHESIS PACKED POSITION POSITION
GRADE CHARACTERISTICS GH 55° abduction, 30° Abduction, ER RADIOGRAPHIC CLASSIFICATION DESCRIPTION
1 0-25% subluxation horizontal adduction GRADE
HU 70° flexion, 10° Extension 0 Normal No features of
2 25-50% subluxation
supination OA
3 50-75% subluxation I Doubtful Minute
HR Full extension, full Flexion 90°, FA
4 >75% subluxation supination 5° osteophyte;
5 >100% (spondyloptosis) Prox. 70° flexion, 35° 5° supination doubtful
RU supination significance
Dis. RU 10° supination 5° supination II Mild Definite
WRIST Neutral w/ sight UD Extension w/ osteophyte;
RD normal joint
MACNAB’S CLASSIFICATION OF DISC HERNIATION space
MCP Slight flexion Full flexion
IP Slight flexion Full extension III Moderate Moderate
TYPES DESCRIPTION
HIP 30° flexion, 30° Full extension, joint space;
Bulging Nucleus pulposus protrudes
Prolapsed Nucleus pulposus breaks partially abduction, slight ER IR reduction
Extruded Completely torn annulus fibrosus, KNEE 25° flexion Full extension, IV Severe Joint space
nucleus pulposus goes out ER Tibia greatly
Sequestrated Annulus fibrosus open, nucleus ANKLE 10° PF Max DF refused;
pulposus detached MTP Neutral Full extension substantial
IP Slight flexion Full extension sclerosis
Source: Othopaedic Physical Assessment by Magee
 RHEUMATIC ARTHRITIS LEVELS/STAGES ASIA IMPAIRMENT SCALE FOR SCI GLASGOW COMA SCALE
STAGE DESCRIPTION SCALE CLASSIFICATION DESCRIPTION Eye Opening
1 (Early) (-) Destructive changes in A Complete (-) Motor and sensory 4 – spontaneous; open with blinking at baseline
radiographic exam function is preserved on
3 – to verbal stimuli, command, speech
(+) Radiographic osteoporosis may the sacral segments S4-
2 – to pain only (not applied to face)
S5
be present 1 – no response
B Incomplete (+) Sensory with no
2 (+) Radiographic osteoporosis with Verbal Response
motor function below
(Moderate) or without subchondral bone the neurological level 5 – oriented
destruction including sacral 4 – confused conversation, but able to answer
(+) Slight cartilage destruction segments S4-S5 questions
(-) Joint deformities although LOM C Incomplete Motor function 3 – inappropriate words
maybe present preserved below the 2 – incomprehensible speech/sounds
(+) Adjacent muscle atrophy neurological level and 1 – no response
(+) Extra-articular soft tissue lesion >1/2 of the key muscles Motor Response
such as nodules and tenosynovitis below the neurological 6 – obeys commands for movements
3 (Severe) (+) Radiographic evidence of level have a grade of <3 5 – purposeful movement to painful stimulus
cartilage and bone destruction in D Incomplete Motor function
4 – withdraws in response to pain
preserved below the
addition to osteoporosis 3 – flexion (decorticate) in response to pain
neurological level and at
(+) Joint deformity 2 – extension (decerebrate) in response to pain
least ½ of the key
(+) Extensive muscle atrophy muscles below the 1 – no response
(+) Extra-articular soft tissue lesion neurological level have a Total: 15 points
such as nodules and tenosynovitis grade of 3 or more Severe: 3-8
4 (Terminal) (+) Fibrous/bony ankyloses E Normal Motor and sensory Moderate: 9-12
Stage 3 criteria function are normal Mild: 13-15
 GALVESTON ORIENTATION & AMNESIA TEST RANCHOS LOS AMIGOS LEVEL OF COGNITIVE LEVEL NAME DESCRIPTION
LENGTH OF AMNESIA SEVERITY OF INJURY V Confused, Pt. gives random, fragmented,
FUNCTIONING SCALE inappropriate, and non-purposeful responses
<5 mins Very mild non-agitated to complex or unstructured
5-60 mins Mild LEVEL NAME DESCRIPTION response stimuli – simple commands are
1-24 hrs Moderate I No Pt. does not respond to followed consistently, memory
and selective attention are
1-7 days Severe Response external stimuli and appears impaired, and new information
1-4 weeks Very Severe asleep is not retained
>4 weeks Extremely Severe II Generalized Pt. reacts to external stimuli VI Confused, Pt. gives context appropriate,
Response in nonspecific, inconsistent appropriate goal-directed responses,
INJURY SEVERITY SCALE response dependent upon external input
and non-purposeful manner
MILD MODERATE SEVERE for direction. There is carry-
with stereotypic and limited over for relearned, but not for
Altered or LOC LOC <6 hours LOC >6 hours responses new tasks, and recent memory
<30 mins with with with abnormal problem persists
III Localized Pt. responds specifically and
normal CT abnormal CT CT and/or MRI VII Automatic, Pt. behaves appropriately in
Response inconsistently with delays to
and/or MRI and/or MRI appropriate familiar settings, performs daily
stimuli, but may follow response routines automatically, and
GCS 13-15 GCS 9-12 GCS <9
simple commands for motor shows carry-over for new
PTA <24 hours PTA <7 days PTA >7 days action learning at lower than normal
IV Confused, Patient exhibits bizarre, rates. Pt. initiates social
interactions but judgment
Agitated non-purposeful, incoherent remains impaired
Response or inappropriate behaviors, VIII Purposeful, Pt. oriented and responds to
has no short-term recall, appropriate the environment but abstract
attention is short and response reasoning abilities are
decreased relative to
nonselective premorbid levels
 GROSS MOTOR FUNCTIONAL CLASSIFICATION FOR
CEREBRAL PALSY
LEVEL DESCRIPTION
1 walks without restriction, limitation in
high-level skills
2 walk without devices, limitations walking
outdoors
3 walks with devices, limitations walking
outdoors
4 limited mobility, power mobility
outdoors
5 very limited self-mobility, even with
assistive technology

HOEHN & YAHR CLASSIFICATION OF DIABILITY

SCALE FOR PARKINSON’S DISEASE
STAGE DESCRPTION
I minimal/absent; unilateral
involvement if (+)
II minimal bilaterally but independent
in ADL & (-) postural instability
III bilateral; independent in ADL with
postural instability
IV bilateral involvement; needs
assistance with ADLs; independent
with ambulation
V confined to bed or wheelchair
y
MYOTOMES MMT ROM
C5 = elbow flexors 5 = full ROM AG; maximum resistance SHOULDER HIP
C6 = wrist extensors 4 = full ROM AG; moderate resistance Flexion = 0 – 180 Flexion = 0 – 120
C7 = elbow extensors 3+ = full ROM AG; minimum resistance Hyperextension = 0 – 45 Hyperextension = 0 – 30
C8 = finger flexors 3 = full ROM AG; w/o resistance Abduction = 0 – 180 Abduction = 0 – 45
T1 = finger abductors 3- = >1/2 ROM AG; w/o resistance Int. Rot. = 0 – 90 Adduction = 0 – 30
L2 = hip flexors 2+ = <1/2 ROM AG; w/o resistance Ext. Rot = 0 - 90 Int. Rot. = 0 – 35
L3 = knee extensors Ext. Rot. = 0 – 45
2 = full ROM gravity eliminated
ELBOW KNEE
L4 = dorsiflexors 2- = >1/2 ROM gravity eliminated
Flexion = 0 – 145 Flexion = 0 – 135
L5 = big toe extensors 1+ = <1/2 ROM gravity eliminated
FOREARM
S1 = plantarflexors 1 = palpable contraction Pronation = 0 – 80
0 = no contraction Supination = 0 – 90
DERMATOMES
C2 = occiput MODIFIED ASHWORTH SCALE
WRIST ANKLE
C3 = supraclavicular area 0 = increase in mm tone Flexion = 0 – 90 DF = 0 – 20
C4 = acromioclavicular area 1 = slight increase in mm tone, manifested by a catch and Extension = 0 – 70 PF = 0 – 50
C5 = lateral epicondyle release or by a minimal resistance at end of range Ulnar Dev. = 0 – 30 Inversion = 0–5
C6 = thumb
1+ = slight increase in mm tone, manifested by a catch and Radial Dev. = 0 – 20 Eversion = 0–5
C7 = middle finger
C8 = little finger
release, followed by a minimal resistance through <1/2 of ROM THUMB BIG TOE
2 = marked increase in mm tone through most of the CMC Abd. = 0 – 70 MTP Flex. = 0 – 45
T1 = medial epicondyle
range; affected part is easily moved Flexion = 0 – 15 Extension = 0 – 70
T2 = apex of axilla
3 = considerable increase in mm tone; passive movement Extension = 0 – 20 PIP Flex. = 0 – 90
T4 = nipple line
MCP Flex. = 0 – 50
T6 = xiphisternum is difficult
IP Flex. = 0 – 80
T10 = umbilicus 4 = rigid FINGERS SMALL TOES
T12 = inguinal line
MCP Flex. = 0 – 90 MTP Flex. = 0 – 40
L2 = mid-anterior thigh TOLERANCE SCALE
Extension = 0 – 45 Extension = 0 – 40
L3 = medial femoral condyle
PIP Flex. = 0 – 100 PIP Flex. = 0 – 35
L4 = medial malleolus
G = >60 mins. DIP Flex. = 0 – 90 DIP Flex. = 0 – 30
L5 = dorsum of foot; 3rd MTP
S1 = lateral heel F+ = 45-60 mins. Extension = 0 – 10
S2 = popliteal fossa F = 30-45 mins.
S3 = ischial tuberosity P+ = 15-30 mins.
S4,S5 = perineal area P = <15 mins.