The document provides instructions for administering the Orpington Prognostic Scale to assess patients after a stroke. The scale evaluates 4 areas: motor deficit, proprioception, balance, and cognition. Scores are calculated for each area and a total score is determined to classify the stroke as minor, moderate, or major.
The document provides instructions for administering the Orpington Prognostic Scale to assess patients after a stroke. The scale evaluates 4 areas: motor deficit, proprioception, balance, and cognition. Scores are calculated for each area and a total score is determined to classify the stroke as minor, moderate, or major.
The document provides instructions for administering the Orpington Prognostic Scale to assess patients after a stroke. The scale evaluates 4 areas: motor deficit, proprioception, balance, and cognition. Scores are calculated for each area and a total score is determined to classify the stroke as minor, moderate, or major.
The document provides instructions for administering the Orpington Prognostic Scale to assess patients after a stroke. The scale evaluates 4 areas: motor deficit, proprioception, balance, and cognition. Scores are calculated for each area and a total score is determined to classify the stroke as minor, moderate, or major.
Therapist:_________________ Date of Assessment:___________
Stroke Prevention Exercise Program SPEP
Orpington Prognostic Scale A. Motor Deficit (in arm) Lying supine, patient flexes shoulder to 90 and is given resistance. 0.0=MRC grade 5 (normal power) 0.4=MRC grade 4 (diminished power) 0.8=MRC grade 3 (movement against gravity) 1.2=MRC grade 1-2 (movement with gravity eliminated or trace) 1.6=MRC grade 0 (no movement) B. Proprioception (eyes closed; affected arm held overhead by therapist.) Locates affected thumb with opposite hand: 0.0=Accurately 0.4=Slight difficulty 0.8=Finds thumb via arm 1.2=Unable to find thumb C. Balance (may use assistive device for walking portion only) 0.0=Walks 10 feet without help 0.4=Maintains standing position (unsupported for 1 min) 0.8=Maintains sitting position (unsupported for 1 min) 1.2=No sitting balance D. Cognition Hodkinsons Mental Test: Score one point for each correct answer. _____ 1. Age of patient _____ 2. Time (to the nearest hour) I am going to give you an address, please remember it and I will ask you later: 42 West Street. _____ 3. Name of hospital _____ 4. Year _____ 5. Date of birth of patient _____ 6. Month _____ 7. A year of the Second World War (1939-45) _____ 8. Name of the President _____ 9. Count backwards (20-1) _____ 10. What is the address I asked you to remember: 42 West Street 0.0=Mental test score of 10 0.4=Mental test score of 8-9 0.8=Mental test score of 5-7 1.2=Mental test score of 0-4 TOTAL SCORE: 1.6 + Motor + Proprioception + Balance + Cognition = __________ < 3.2 = Minor > 3.2 and 5.2 = Moderate > 5.2 = Major
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