EVALUATION of RESULTS
Charles FATTAL, MD
(Centre Mutualiste neurologique Propara, Parc Euromedecine, 263 rue du Caducee, 34090 Montpellier)
(See : MOTOR CAPACITIES EVALUATION SHEET FOR THE TETRAPLEGIC PATIENT )
MOTOR CAPACITIES SCALE
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TRANSFERS |
Scoring levels for the items 1 to 15 |
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1 |
Putting the legs on a level equal to the level of the wheelchair seat |
5: no human aid and no technical aid 4: only technical aid 3: human supervision with or without technical aid 2: partial human aid 1: full human aid
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2 |
Transferring from Bobath's couch to wheelchair, legs bent and/or extended and vice-versa |
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REPOSITIONING ON BOBATH'S COUCH |
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3 |
Moving the pelvis sideways, in a sitting position, legs extended |
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4 |
Sitting in a cross-legged position |
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5 |
Rolling over from the stomach or the side to the back, and vice versa. |
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6 |
Rising from a supine position to a seated position on the edge of the Bobath's couch |
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REPOSITIONING ON WHEELCHAIR SEAT |
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7 |
Moving the buttocks forward and backward |
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8 |
Raising the buttocks off the seat |
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9 |
Crossing the legs at the knees |
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10 |
Putting the feet on the foot rests |
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11 |
Raising from a bent position using the upper limbs |
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LOCOMOTION -in a manual wheelchair |
Scoring levels for the items 16 and 17 |
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12 |
Propelling on a flat surface |
5: possible with standard joystick without wrist orthosis |
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13 |
Positioning and removing the armrests or the clothing guards |
4: possible with standard joystick and wrist orthosis or possible with modified joystick and/or wrist orthosis |
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14 |
Engaging and releasing the breaks |
3: possible with modified or standard joystick but with forearm support |
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15 |
Rocking on the back wheels and maintaining balance |
2: possible with a head control (by whatever means) |
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-in an electric wheelchair |
1:i mpossible |
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16 |
Propelling on a flat surface |
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17 |
Using the controls |
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MOTOR CAPACITIES OF SPATIAL EXPLORATION |
Scoring levels for the items 18 and 19 |
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18 |
right hand-side: Touching a predetermined target |
2: performed |
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19 |
left hand-side: Touching a predetermined target |
1: not performed |
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MOTOR CAPACITIES FOR GRASPING AND GRIPPING Patient in wheelchair |
A :GRAB |
B :HOLD |
C :RELEASE |
Score A+B+C |
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-Right hand -side |
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20 |
Grasp: soda can |
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21 |
Grasp: bottle of water |
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22 |
Key-grip: play card |
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23 |
Key-grip: pen |
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24 |
Key-grip: fork |
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25 |
Key-grip: chocolate tablet |
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-Left hand -side |
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26 |
Grasp: soda can |
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27 |
Grasp: bottle of water |
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28 |
Key-grip: playing card |
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29 |
Key-grip: pen |
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30 |
Key-grip: fork |
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31 |
Key-grip: chocolate tablet |
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Scoring levels for the items 20 to 31 |
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GRAB |
HOLD |
RELEASE |
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4: with one hand without compensating movements |
4: with one hand without compensating movements |
4: with one hand without compensating movements |
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3: with one hand with compensating movements (pronation or supination) |
3: with one hand with compensating movements (pronation or supination) |
3: with one hand with compensating movements (pronation or supination) |
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2: using the mouth or the other hand or the environment |
2: using the other hand or the environment |
2: using the mouth or the other hand or the environment |
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1: the object cannot be grabbed |
1: the object cannot be held |
1: the object cannot be released |
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