Motor Function Assessment Scale
When scanning the literature we were not able to find any assessment scale which records motor disability after head injury in a differentiated and objective way (Bobath 1985; Bond 1976; Evans 1981; Ylvisaker 1985). Without such a scale communication becomes more difficult, for example, when patients change hospitals; moreover, differentiated control of their progress is impossible. It was therefore our aim to develop a test sheet answering the following demands: It should show motor disability as well as the course of the therapy after head injuries, and its use should be economical so that it can also be applied as a screening method. We developed our test sheet as a functional sheet, i.e. its objective is to test clearly defined tasks which are relevant in everyday life (for exampe 10 m of free walking without any help). These tasks are rated by “0 = fulfilled” or “1 =not fulfilled.” Altogether, the sheet examines 44 functions which are divided into four groups: sitting, standing up and standing, walking, functioning of the upper extremities. The tasks within the respective groups have a different, usually progressive degree of difficulty. They are chosen in such a way that they test motor capabilities which at the same time have functional importance. For example, item 35 “reaching left ear with right hand across head” tests the mobility of shoulder, elbow, and wrist, as well as indirectly to what extent the patient can comb his or her own hair without any help (Fig. 1).
KeywordsHead Injury Severe Head Injury Expert Rating Motor Disability Test Sheet
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