Scandinavian Stroke Scale
Citation, DOI & article data
The Scandinavian Stroke Scale was designed for ease of use by non-neurologists1. It is simpler than the NIHSS and has comparable performance in predicting death or dependence after stroke 2. The degree of neurological impairment measured by the Scandinavian Stroke Scale has been shown to correlate with ASPECTS score severity in acute stroke 3.
- consciousness: 2 (reacts to verbal commands but not fully conscious) to 6 (fully conscious)
- eye movements: 0 (conjugate eye deviation) to 4 (no gaze palsy)
- arm motor power on affected side: 0 (paralysis) to 6 (raises arm with normal strength)
- hand motor power on affected side: 0 (paralysis) to 6 (normal strength)
- leg motor power on affected side: 0 (paralysis) to 6 (normal strength)
- orientation: 0 (completely disoriented) to 6 (correct for time, place and person)
- speech: 0 (only answers yes/no or less) to 10 (no aphasia)
- facial palsy: 0 (present) to 2 (none)
- gait: 0 (bedridden/wheelchair) to 12 (walks 5 m without aids)
Stroke severity has been graded using this scale as 4:
- mild: 43-58
- moderate: 26-42
- severe: 0-25
- 1. Aberg E, Adielsson G, Almqvist A, Andersson LO, Asplund K, Aursnes I, et al. Multicenter trial of hemodilution in ischemic stroke--background and study protocol. Scandinavian Stroke Study Group. Stroke. 1985 Sep;16(5):885–90.
- 2. Askim T, Bernhardt J, Churilov L, Indredavik B. The scandinavian stroke scale is equally as good as the national institutes of health stroke scale in identifying 3-month outcome. J Rehabil Med. 2016 Nov 1;48(10):909–12.
- 3. Luvizutto GJ, Gonçalves Gabriel M, Pereira Braga G, Dias Fernandes T, Antônio De Lima Resende L, Marques Pontes-Neto O, et al. ASPECTS correlates with Scandinavian Stroke Scale for predicting early neurological impairment. Arquivos de Neuro-psiquiatria, 17 Apr 2015, 73(5):450-453.
- 4. Lindsay Govan, Peter Langhorne, Christopher J. Weir. Categorizing Stroke Prognosis Using Different Stroke Scales. (2009) Stroke. 40 (10): 3396-9. doi:10.1161/STROKEAHA.109.557645 - Pubmed