Scandinavian Stroke Scale
Citation, DOI, disclosures and article data
At the time the article was created R Liong had no recorded disclosures.
View R Liong's current disclosuresAt the time the article was last revised Rohit Sharma had no financial relationships to ineligible companies to disclose.
View Rohit Sharma's current disclosures- Scandinavian Stroke Scale (SSS)
The Scandinavian Stroke Scale was designed for ease of use by non-neurologists 1. 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.
Classification
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)
Interpretation
Stroke severity has been graded using this scale as 4:
mild: 43-58
moderate: 26-42
severe: 0-25
References
- 1. Multicenter Trial of Hemodilution in Ischemic Stroke--Background and Study Protocol. Scandinavian Stroke Study Group. Stroke. 1985;16(5):885-90. doi:10.1161/01.str.16.5.885 - Pubmed
- 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;48(10):909-12. doi:10.2340/16501977-2155 - Pubmed
- 3. Luvizutto G, Gabriel M, Braga G et al. ASPECTS Correlates with Scandinavian Stroke Scale for Predicting Early Neurological Impairment. Arq Neuropsiquiatr. 2015;73(5):450-3. doi:10.1590/0004-282X20150037 - Pubmed
- 4. Govan L, Langhorne P, Weir C. Categorizing Stroke Prognosis Using Different Stroke Scales. Stroke. 2009;40(10):3396-9. doi:10.1161/strokeaha.109.557645 - Pubmed
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