Stroke Tools and Application

NIHSS (National Institute of Health Stroke Scale)

Is a systematic assessment tool that provides a quantitative measure of stroke-related neurologic deficit. A different cutoff NIHSS score are used to classify stroke level of severity: Very Severe: >25; Severe: 15 - 24; Mild to Moderately Severe: 5 - 14; Mild: 1 - 5.

SSS (Scandinavian Stroke Scale)

Is an alternative stroke scale that is designed to give a score based on the level of consciousness eye movement and severity of paralysis. Stroke severity has been graded using this scale as: Mild: 43 - 58; Moderate: 26 - 42, Severe: 0 - 25.

mRS (Modified Rankin Scale)

Is a stroke tool used as reference for prediction of outcomes; mRS > 2 is considered more related with dependency and death after stroke.

BI (Barthel Index)

The Barthel index is used to assess disability and to monitor changes in disability over time, second most used stroke scale for prediction and outcomes. The normal score is 100, and lower scores indicate greater dependency.

SIS (Stroke impact Scales)

Is a stroke scale based on self-report, health status measure that evaluates disability and health-related quality of life after stroke. It was designed to assess multidimensional stroke outcomes, including strength, hand function Activities of Daily Living, communication, emotion, memory and thinking, and participation.