|
Motor subscale
|
|
A
|
Self-care
| | |
| |
Eating
|
7 (Complete independence)
|
7 (Complete independence)
|
|
1.
|
Grooming
|
3 (Moderate assistance)
|
7 (Complete independence)
|
|
2.
|
Bathing/showering
|
1 (Total dependence)
|
5 (Done under supervision)
|
|
3.
|
Dressing of upper body
|
5 (Done under supervision)
|
7 (Complete independence)
|
|
4.
|
Dressing of lower body
|
1 (Total dependence)
|
7 (Complete independence)
|
|
5.
|
Toileting
|
1 (Total dependence)
|
7 (Complete independence)
|
|
B.
|
Sphincter control
| | |
|
6.
|
Bladder management
|
6 (Modified independence)
|
7 (Total independence)
|
|
7.
|
Bowel management
|
6 (Modified independence)
|
7 (Total independence)
|
|
C.
|
Transfers
| | |
|
8.
|
Bed/chair/wheelchair
|
1 (Total dependence)
|
7 (Total independence)
|
|
9.
|
Toilet
|
1 (Total dependence)
|
7 (Total independence)
|
|
10.
|
Bathtub/shower
|
1 (Total dependence)
|
7 (Total independence)
|
|
11.
|
Walking/wheelchair
|
1 (Total dependence)
|
7 (Total independence)
|
|
12.
|
Stairs climbing
|
1 (Total dependence)
|
5 (Done under supervision)
|
|
Cognition subscale
|
|
D.
|
Communication
| | |
|
13.
|
Comprehension
|
7 (Complete independence)
|
7 (Total independence)
|
|
14.
|
Expression
|
7 (Complete independence)
|
7 (Total independence)
|
|
E
|
Social cognition
| | |
|
15.
|
Social interaction
|
7 (Complete independence)
|
7 (Total independence)
|
|
16.
|
Problem solving
|
7 (Complete independence)
|
7 (Total independence)
|
|
17.
|
Memory
|
7 (Complete independence)
|
7 (Total independence)
|
| |
TOTAL
|
70/126
|
117/126
|
