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 Raab 1ABCDEFG* , Brigitta Diószeghy-Léránt 2ABF , Meret Wünnemann 2B , Christina Zumfelde 2B , Elena Cramer 3BE , Alina Rühlemann 4B , Johanna Wagener 45B , Silke Gegenbauer 6BE , Francisco Geu Flores 1G , Marcus Jäger 45BEG , Dörte Zietz 3BEG , Harald Hefter 7ABCDEFG , Andrés Kecskeméthy 1ACDEFG , Mario Siebler 2ABCDEFGDOI: 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 |