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Performance
Scales
Karnofsky
Performance Score (KPS)
Neurological
Performance Scale (MRC)
CPS
Scale (WHO)
Barthel
Activities of Daily Living (ADL) Index
Glasgow
Coma Scale (GCS)
KPS
(Karnofsky Performance Score)
- 100%
= Normal; no complaint; no evidence of disease.
- 90% =
Able to carry on normal activity; minor signs of disease.
- 80% =
Normal activity with effort, some signs or symptoms of disease.
- 70% =
Cares for self, unable to carry out normal activity or to do
active work.
- 60% =
Requires occasional assistance, but is able to care for most of own
needs.
- 50% =
Requires considerable assistance and frequent medical care.
- 40% =
Disabled, requires special care and assistance.
- 30% =
Severely disabled, hospitalization is indicated although death not
imminent.
- 20% =
Hospitalization necessary, very sick, active supportive treatment
necessary.
- 10% =
Moribund, fatal processes progressing rapidly.
Neurological
Performance Scale (MRC)
- 0 =
No neurologic deficit.
- 1 =
Some neurologic deficit but function adequate for useful work.
- 2 =
Neurologic deficit causing moderate functional impairment, e.g.
ability to move limbs only with difficulty, moderate dyphasia,
moderate paresis, some visual disturbance (e.g. field defect).
- 3 =
Neurologic deficit causing major functional impairment, e.g. inability
to use limb/s, gross speech or visual disturbances.
- 4 =
No useful function - inability to make conscious responses
CPS
Scale (WHO)
- 0 =
Able to carry out all normal activity without restriction.
- 1 =
Restricted in physically strenuous activity but ambulatory and able to
carry out light work.
- 2 =
Ambulatory and capable of all self-care but unable to carry out any
work; up and about more than 50% of waking hours.
- 3 =
Capable only of limited self-care; confined to bed or chair more than
50% of waking hours.
- 4 =
Completely disabled; cannot carry out any self-care; totally confined
to bed or chair.
Barthel
Activities of Daily Living (ADL) Index
This is based on the following factors:
| Bowels |
0
= incontinent
1 =
occasional accident
2 =
continent |
| Bladder |
0
= incontinent or catheterised and unable to manage
1 = occasional accident (maximum 1x per 24 hours)
2 = continent (for over 7 days) |
| Grooming |
0
= needs help
1 =
independent - face/hair/teeth/shaving |
| Toilet
needs |
0
= dependent
1 = needs some help, but can do something
2 =
independent but with some difficulty
3 =
normal |
| Feeding |
0
= unable
1 = needs help cutting, spreading butter etc.
2 =
independent but slow
3 =
normal |
| Transfer |
0
= unable
1 = major help (1-2 people, physical)
2 = minor help (verbal or physical)
3 = independent but slow
4 = normal |
| Mobility |
0
= immobile
1 = wheel chair independent including corners etc.
2 =
walks with help of 1 person (verbal or physical)
3 = independent but slower than before
4 = normal |
| Dressing |
0
= dependent
1 = needs help, but can do about half unaided
2 =
independent but has difficulties
3 =
normal |
| Stairs |
0
= unable
1 = needs help (verbal, physical, carrying aid)
2 =
independent up and down but slow and with difficulty
3 = normal |
| Bathing |
0
= dependent
1 =
independent |
Glasgow
Coma Scale
|
Eye
opening |
Spontaneous
= 4
To speech = 3
To pain = 2
None = 1 |
|
Verbal
response |
Orientated
= 5
Confused = 4
Occasional words = 3
Sounds but no words = 2
No
response = 1 |
|
Best motor response |
Obeys commands = 5
Localises painful stimulus = 4
Flexes to painful stimuli = 3
Extends to painful stimuli = 2
No response = 1 |
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