NIH Stroke Scale

1a. Level of Consciousness

0 = Alert 1 = Not alert, arousable by minor stimulation 2 = Not alert, requires repeated stimulation 3 = Reflex motor only or unresponsive

1b. LOC Questions

0 = Answers both correctly 1 = Answers one correctly 2 = Answers neither correctly

1c. LOC Commands

0 = Performs both tasks correctly 1 = Performs one task correctly 2 = Performs neither

2. Best Gaze

0 = Normal 1 = Partial gaze palsy 2 = Forced deviation

3. Visual Fields

0 = No visual loss 1 = Partial hemianopia 2 = Complete hemianopia 3 = Bilateral hemianopia (blind including cortical blindness)

4. Facial Palsy

0 = Normal symmetric movement 1 = Minor paralysis 2 = Partial paralysis (lower face) 3 = Complete paralysis (absence of movement)

5a. Motor Arm – Left

0 = No drift 1 = Drift before 10 seconds 2 = Some effort against gravity 3 = No effort against gravity 4 = No movement UN = Amputation, joint fusion (unscorable)

5b. Motor Arm – Right

0 = No drift 1 = Drift before 10 seconds 2 = Some effort against gravity 3 = No effort against gravity 4 = No movement UN = Amputation, joint fusion (unscorable)

6a. Motor Leg – Left

0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity 4 = No movement UN = Amputation, joint fusion

6b. Motor Leg – Right

0 = No drift 1 = Drift 2 = Some effort against gravity 3 = No effort against gravity 4 = No movement UN = Amputation, joint fusion

7. Limb Ataxia

0 = Absent 1 = Present in one limb 2 = Present in two limbs UN = Amputation or joint fusion

8. Sensory

0 = Normal 1 = Mild-to-moderate loss 2 = Severe or total loss

9. Best Language

0 = No aphasia 1 = Mild-to-moderate aphasia 2 = Severe aphasia 3 = Mute/global aphasia

10. Dysarthria

0 = Normal articulation 1 = Mild-to-moderate dysarthria 2 = Severe dysarthria UN = Intubated or physical barrier

11. Extinction and Inattention (Neglect)

0 = No abnormality 1 = Visual, tactile, auditory, spatial, or personal inattention 2 = Profound hemi-inattention or extinction

NIH Stroke Scale

NIH Stroke Scale

1a. Level of Consciousness

1b. LOC Questions

1c. LOC Commands

2. Best Gaze

3. Visual Fields

4. Facial Palsy

5a. Motor Arm – Left

5b. Motor Arm – Right

6a. Motor Leg – Left

6b. Motor Leg – Right

7. Limb Ataxia

8. Sensory

9. Best Language

10. Dysarthria

11. Extinction and Inattention (Neglect)

Total Score: 0