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

 

TRANSFERS

Scoring levels for the  items 1 to 15                                      

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

 

 

2

Transferring from Bobath's couch to wheelchair, legs bent and/or extended and vice-versa

REPOSITIONING ON BOBATH'S COUCH

3

Moving the pelvis sideways, in a sitting position, legs extended

4

Sitting in a cross-legged position

 

5

Rolling over from the stomach or the side to the back, and vice versa.

6

Rising from a supine position to a seated position on the edge of the Bobath's couch

REPOSITIONING ON WHEELCHAIR SEAT

7

Moving the buttocks forward and backward

8

Raising the buttocks off the seat

9

Crossing the legs at the knees

10

Putting the feet on the foot rests

11

Raising from a bent position using the upper limbs

LOCOMOTION

-in a manual wheelchair

Scoring levels for the items 16 and 17  

12

Propelling on a flat surface

5: possible with standard joystick without wrist orthosis

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

14

Engaging and releasing the breaks

3: possible with modified  or standard joystick but with forearm support

15

Rocking on the back wheels and maintaining balance

2: possible with a head control (by whatever means)

-in an electric wheelchair

1:i mpossible

16

Propelling on a flat surface

 

17

Using the controls

 

MOTOR CAPACITIES OF SPATIAL EXPLORATION

Scoring levels for the items 18 and 19

18

right hand-side: Touching a predetermined target

2: performed

19

left hand-side:    Touching a predetermined target

1: not performed

 

MOTOR CAPACITIES FOR GRASPING AND GRIPPING        

Patient in wheelchair

A :GRAB

B :HOLD

C :RELEASE

Score

A+B+C

-Right hand -side

 

 

 

 

20

Grasp: soda can

 

 

 

 

21

Grasp: bottle of water

 

 

 

 

22

Key-grip: play card

 

 

 

 

23

Key-grip: pen

 

 

 

 

24

Key-grip: fork

 

 

 

 

25

Key-grip: chocolate tablet

 

 

 

 

-Left hand -side

 

 

 

 

26

Grasp: soda can

 

 

 

 

27

Grasp: bottle of water

 

 

 

 

28

Key-grip: playing card

 

 

 

 

29

Key-grip: pen

 

 

 

 

30

Key-grip: fork

 

 

 

 

31

Key-grip: chocolate tablet

 

 

 

 

 

Scoring levels for the items 20 to 31

 

 

GRAB

HOLD

RELEASE

4: with one hand without compensating movements

4: with one hand without compensating movements

4: with one hand without compensating movements

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)

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

1: the object cannot be grabbed

1: the object cannot be held

1: the object cannot be released