15 September 2020 : Clinical Research
A Novel Multiple-Cue Observational Clinical Scale for Functional Evaluation of Gait After Stroke – The Stroke Mobility Score (SMS)
Dominik Raab1ABCDEFG*, Brigitta Diószeghy-Léránt2ABF, Meret Wünnemann2B, Christina Zumfelde2B, Elena Cramer3BE, Alina Rühlemann4B, Johanna Wagener45B, Silke Gegenbauer6BE, Francisco Geu Flores1G, Marcus Jäger45BEG, Dörte Zietz3BEG, Harald Hefter7ABCDEFG, Andres Kecskemethy1ACDEFG, Mario Siebler2ABCDEFGDOI: 10.12659/MSM.923147
Med Sci Monit 2020; 26:e923147
Table 1 SMS manual.
| Trunk posture | ||
|---|---|---|
| Patient Name or ID | No pathological findings | 0 |
| Mild trunk bending (lateral or frontal) AND/OR mild vertical trunk rotation | 1 | |
| EITHER significant trunk bending (lateral or frontal) OR significant vertical trunk rotation | 2 | |
| BOTH significant trunk bending (lateral or frontal) AND significant vertical trunk rotation | 3 | |
| RaterManualNotes | ||
| No pathological findings | 0 | |
| Mild leg movement abnormality (slightly impaired motions at hip, knee and/or foot) | 1 | |
| Significant leg movement abnormality (strongly impaired motions at hip, knee, and/or foot) AND/OR mild knee hyperextension (genu recurvatum) | 2 | |
| Leg nearly rigid (flexed or extended) AND/OR significantly affected leg with knee hyperextension (genu recurvatum) | 3 | |
| No pathological findings | 0 | |
| Mild arm movement abnormality (slightly impaired motions at shoulder, elbow and/or hand) | 1 | |
| Significant arm movement abnormality (strongly impaired motions at shoulder, elbow and/or hand) | 2 | |
| Rigidity of the entire arm OR no active arm movement (plegia) | 3 | |
| No pathological findings | 0 | |
| Mild walking speed abnormality (walking speed is slightly reduced compared to healthy subjects) | 1 | |
| Significant walking speed abnormality (walking is seemingly achieved only with full concentration) | 2 | |
| Extremely slow and exhausting walking (end of the 10-meter walkway is reached only with great effort) | 3 | |
| No pathological findings | 0 | |
| Mild asymmetric gait (left and right steps are slightly unequal) | 1 | |
| Significant asymmetric gait (left and right steps appear to be disconnected movements) | 2 | |
| Severe asymmetric gait (body motion for left and right steps is controlled individually and interrupted by breaks, leading to a “staccato” motion) | 3 | |
| No pathological findings | 0 | |
| Mild postural instabilities, but no visible risk of falling | 1 | |
| Significant risk of falling due to stumbling AND/OR tumbling at turning | 2 | |
| The patient is using a cane | 3 | |
| Sum of the 6 subscores |