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NIH stroke scale Package Deal With Solved Answers (Graded A )
NIH stroke scale Package Deal With Solved Answers (Graded A )
[Show more]NIH stroke scale Package Deal With Solved Answers (Graded A )
[Show more]PATIENT 1 - ANSWER-1/A: 0 
1/B: 0 
1/C: 0 
2: 0 
3: 0 
4: 1 
5/A: 3 
5/B: 0 
6/A: 1 
6/B: 0 
7: 2 - marked as wrong 
8: 2 
9: 0 
10: 0 
11: 1 
 
PATIENT 2 - ANSWER-1/A: 0 
1/B: 2 
1/C: 0 
2: 1 - marked as wrong 
3: 0 
4: 1 
5/A: 0 
5/B: 0
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Add to cartPATIENT 1 - ANSWER-1/A: 0 
1/B: 0 
1/C: 0 
2: 0 
3: 0 
4: 1 
5/A: 3 
5/B: 0 
6/A: 1 
6/B: 0 
7: 2 - marked as wrong 
8: 2 
9: 0 
10: 0 
11: 1 
 
PATIENT 2 - ANSWER-1/A: 0 
1/B: 2 
1/C: 0 
2: 1 - marked as wrong 
3: 0 
4: 1 
5/A: 0 
5/B: 0
Patient 1 - ANSWER-1a. 0 - alert. 
1b. 2 - neither correct. 
1c. 1 - preforms one task correctly. 
2. 0 - normal. 
3. 2 - severe. 
4. 1- minor paralysis. 
5a. 0 - no drift. 
5b. 4 - no movement. 
6a. 0 - no drift. 
6b. 4 - no movement. 
7. 1 - present in one limb. 
8. 2 - severe or total sensory los...
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Add to cartPatient 1 - ANSWER-1a. 0 - alert. 
1b. 2 - neither correct. 
1c. 1 - preforms one task correctly. 
2. 0 - normal. 
3. 2 - severe. 
4. 1- minor paralysis. 
5a. 0 - no drift. 
5b. 4 - no movement. 
6a. 0 - no drift. 
6b. 4 - no movement. 
7. 1 - present in one limb. 
8. 2 - severe or total sensory los...
Patient 1 - ANSWER-1a- 0 
1b- 0 
1c- 0 
2- 0 
3- 0 
4- 1 
5a- 0 
5b- 0 
6a- 1 
6b- 1 
7- 0 
8- 0 
9- 0 
10- 1 
11- 0 
 
Patient 2 (72 y/o Feb) - ANSWER-1a- 0 
1b- 2 
1c- 0 
2- 0 
3- 0 
4- 2 
5a- 2 
5b- 1
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Add to cartPatient 1 - ANSWER-1a- 0 
1b- 0 
1c- 0 
2- 0 
3- 0 
4- 1 
5a- 0 
5b- 0 
6a- 1 
6b- 1 
7- 0 
8- 0 
9- 0 
10- 1 
11- 0 
 
Patient 2 (72 y/o Feb) - ANSWER-1a- 0 
1b- 2 
1c- 0 
2- 0 
3- 0 
4- 2 
5a- 2 
5b- 1
How many items on the NIH stroke scale? - ANSWER-11 
 
NIH Stroke scale is - ANSWER-an 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. 
 
NIH Stroke Scale is used to quantify the effects of acute cere...
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Add to cartHow many items on the NIH stroke scale? - ANSWER-11 
 
NIH Stroke scale is - ANSWER-an 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. 
 
NIH Stroke Scale is used to quantify the effects of acute cere...
1--pretty ok, older white man with mustache and blue eyes - ANSWER-1a-0 
1b-0 
1c-0 
2-0 
3-0 
4-0 
5a-0 
5b-0 
6a-0 
6b-0 
7-0 
8-0 
9-0 
10-0 
11-0 
 
2-- 1,2,3,4,5 and a 1/2 - ANSWER-1a-0 
1b-1 
1c-0 
2-0 
3-0 
4-1 
5a-0 
5b-4 
6a-0
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Add to cart1--pretty ok, older white man with mustache and blue eyes - ANSWER-1a-0 
1b-0 
1c-0 
2-0 
3-0 
4-0 
5a-0 
5b-0 
6a-0 
6b-0 
7-0 
8-0 
9-0 
10-0 
11-0 
 
2-- 1,2,3,4,5 and a 1/2 - ANSWER-1a-0 
1b-1 
1c-0 
2-0 
3-0 
4-1 
5a-0 
5b-4 
6a-0
rate what they actually do - ANSWER- 
 
tips for scoring - ANSWER-use patient's first response 
- 
 
ataxia - ANSWER-lack of muscle coordination, reflects the affected coordination of one who has experienced a stroke 
 
Significance of NIH stroke scale - ANSWER-necessary prognostic tool for discern...
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Add to cartrate what they actually do - ANSWER- 
 
tips for scoring - ANSWER-use patient's first response 
- 
 
ataxia - ANSWER-lack of muscle coordination, reflects the affected coordination of one who has experienced a stroke 
 
Significance of NIH stroke scale - ANSWER-necessary prognostic tool for discern...
common signs of a stroke - ANSWER-•Confusion 
•Slurred speech 
•Facial droop 
•Extremity weakness and/or numbness 
•Vision disturbance 
•Dysphasia 
•Ataxia 
 
FAST - ANSWER-•FAST - rapid identification for lay people 
•Does not identify sensory impairment, vertigo or gait changes 
...
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Add to cartcommon signs of a stroke - ANSWER-•Confusion 
•Slurred speech 
•Facial droop 
•Extremity weakness and/or numbness 
•Vision disturbance 
•Dysphasia 
•Ataxia 
 
FAST - ANSWER-•FAST - rapid identification for lay people 
•Does not identify sensory impairment, vertigo or gait changes 
...
1a LOC - alert - ANSWER-0 
 
1a LOC - arousable by minor stimulation - ANSWER-1 
 
1a LOC - Arousable by repeated or strong stimulation - ANSWER-2 
 
1a LOC - unresponsive or reflex response only - ANSWER-3 
 
1b LOC questions - answers month and age correctly - ANSWER-0 
 
1b LOC questions - answer...
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Add to cart1a LOC - alert - ANSWER-0 
 
1a LOC - arousable by minor stimulation - ANSWER-1 
 
1a LOC - Arousable by repeated or strong stimulation - ANSWER-2 
 
1a LOC - unresponsive or reflex response only - ANSWER-3 
 
1b LOC questions - answers month and age correctly - ANSWER-0 
 
1b LOC questions - answer...
Level of Consciousness (LOC) - ANSWER--General alertness 
-Includes Questions and Commands 
 
LOC Questions - ANSWER--What is the month? 
-How old are you? 
 
LOC Commands - ANSWER-Pt is asked to: 
-Open/close eyes 
-Grip then release non-paretic hand 
 
Best Gaze - ANSWER--Have pt follow moving obj...
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Add to cartLevel of Consciousness (LOC) - ANSWER--General alertness 
-Includes Questions and Commands 
 
LOC Questions - ANSWER--What is the month? 
-How old are you? 
 
LOC Commands - ANSWER-Pt is asked to: 
-Open/close eyes 
-Grip then release non-paretic hand 
 
Best Gaze - ANSWER--Have pt follow moving obj...
Score for large strokes - ANSWER-> 10 
 
(however, if it is a brainstem stroke it can have a low score and still be a large stroke) 
 
Lowest score 
 
Highest score - ANSWER-Lowest score is 0 
 
Highest score is 42 
 
Components of *Eyes* - ANSWER-Gaze 
- voluntary gaze direction (non-comatose) 
...
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Add to cartScore for large strokes - ANSWER-> 10 
 
(however, if it is a brainstem stroke it can have a low score and still be a large stroke) 
 
Lowest score 
 
Highest score - ANSWER-Lowest score is 0 
 
Highest score is 42 
 
Components of *Eyes* - ANSWER-Gaze 
- voluntary gaze direction (non-comatose) 
...
1B - Level of consciousness/orientation: Ask month and age - ANSWER-0 - Both questions correct 
1 - One question correct 
2 - Zero questions correct 
 
1C - Level of consciousness commands: "Blink eyes" and "Squeeze hands" - ANSWER-0 - Both tasks correct 
1 - One task correct 
2 - Zero tasks cor...
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Add to cart1B - Level of consciousness/orientation: Ask month and age - ANSWER-0 - Both questions correct 
1 - One question correct 
2 - Zero questions correct 
 
1C - Level of consciousness commands: "Blink eyes" and "Squeeze hands" - ANSWER-0 - Both tasks correct 
1 - One task correct 
2 - Zero tasks cor...
What does the NIH stroke scale measure? - ANSWER-neurological dysfunction and helps determine level of stroke severity in acute stroke 
 
What is it's purpose? - ANSWER-Method of identifying persons likely to have poor outcomes during first week after stroke 
 
best predictor in first 3 hrs of stro...
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Add to cartWhat does the NIH stroke scale measure? - ANSWER-neurological dysfunction and helps determine level of stroke severity in acute stroke 
 
What is it's purpose? - ANSWER-Method of identifying persons likely to have poor outcomes during first week after stroke 
 
best predictor in first 3 hrs of stro...
1a - ANSWER-level of consciousness 
 
1b - ANSWER-LOC questions 
 
ask what month it is and their age 
 
1c - ANSWER-LOC commands 
 
close and open eyes, or make a fist and open it 
 
2 - ANSWER-best gaze 
 
horizontal eye movement is tested 
 
3 - ANSWER-visual fields 
 
by finger counting or v...
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Add to cart1a - ANSWER-level of consciousness 
 
1b - ANSWER-LOC questions 
 
ask what month it is and their age 
 
1c - ANSWER-LOC commands 
 
close and open eyes, or make a fist and open it 
 
2 - ANSWER-best gaze 
 
horizontal eye movement is tested 
 
3 - ANSWER-visual fields 
 
by finger counting or v...
NIH T/F: This test is diagnostic - ANSWER-True 
 
NIH - Who is this test for? - ANSWER-Stroke patients 
 
NIH - Purpose - ANSWER-Tests severity of stroke and impairment of function it has on patient 
 
NIH - How many different items does it use to measure severity of stroke? - ANSWER-11 
 
NIH - T/F...
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Add to cartNIH T/F: This test is diagnostic - ANSWER-True 
 
NIH - Who is this test for? - ANSWER-Stroke patients 
 
NIH - Purpose - ANSWER-Tests severity of stroke and impairment of function it has on patient 
 
NIH - How many different items does it use to measure severity of stroke? - ANSWER-11 
 
NIH - T/F...
1A - Level of consciousness (stimulate, rub, pinch) - ANSWER-0 - Alert; keenly responsive 
1 - not alert, Arouses to minor stimulation 
2 - Requires repeated stimulation to arouse 
 
3 - reflex movements only or totally unresponsive; Postures or unresponsive( use painful/noxious stimulus) 
 
1B - As...
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Add to cart1A - Level of consciousness (stimulate, rub, pinch) - ANSWER-0 - Alert; keenly responsive 
1 - not alert, Arouses to minor stimulation 
2 - Requires repeated stimulation to arouse 
 
3 - reflex movements only or totally unresponsive; Postures or unresponsive( use painful/noxious stimulus) 
 
1B - As...
What NIHSS measures - ANSWER-measures severity of symptoms of stroke 
 
NIHSS areas of assessment - ANSWER-Level of consciousness 
Vision 
Extraoccular movements 
Facial Palsy 
Limb strength 
Ataxia 
Sensation 
Speech and language
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Add to cartWhat NIHSS measures - ANSWER-measures severity of symptoms of stroke 
 
NIHSS areas of assessment - ANSWER-Level of consciousness 
Vision 
Extraoccular movements 
Facial Palsy 
Limb strength 
Ataxia 
Sensation 
Speech and language
NIHSSI - ANSWER-The National Institutes of Health Stroke Scale International 
 
Important Conventions - ANSWER-Administer scale items in their exact order 
Avoid coaching patient 
Accept patients first attempt 
Score only what patient does 
Be consistent 
Include all deficits in scoring 
 
1A. Leve...
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Add to cartNIHSSI - ANSWER-The National Institutes of Health Stroke Scale International 
 
Important Conventions - ANSWER-Administer scale items in their exact order 
Avoid coaching patient 
Accept patients first attempt 
Score only what patient does 
Be consistent 
Include all deficits in scoring 
 
1A. Leve...
1a- Level of consciousness - ANSWER-0=Alert; keenly responsive 
1=Not alert; but arousable by minor stimulation to obey, answer, or respond. 
2=Not alert; requires repeated stimulation to attend or is obtunded and requires strong or painful stimulation to make movements (not stereotyped). 
3=Respond...
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Add to cart1a- Level of consciousness - ANSWER-0=Alert; keenly responsive 
1=Not alert; but arousable by minor stimulation to obey, answer, or respond. 
2=Not alert; requires repeated stimulation to attend or is obtunded and requires strong or painful stimulation to make movements (not stereotyped). 
3=Respond...
1a LOC - ANSWER-Assess basic state of wakefulness, awareness, or alertness. 
 
1b. LOC Question - ANSWER-The Pt. is asked month and her/her age 
 
1.c LOC command - ANSWER-The Pt. is asked to open/close eyes and grip and release the non-peretic hand. 
 
2. Best Gaze - ANSWER-Horizontal eye movements...
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Add to cart1a LOC - ANSWER-Assess basic state of wakefulness, awareness, or alertness. 
 
1b. LOC Question - ANSWER-The Pt. is asked month and her/her age 
 
1.c LOC command - ANSWER-The Pt. is asked to open/close eyes and grip and release the non-peretic hand. 
 
2. Best Gaze - ANSWER-Horizontal eye movements...
When should the NIHSS be administered? - ANSWER-C. As soon as possible and if there is a sudden change in status 
 
What is one way that the NIHSS is reproducible? - ANSWER-C. Use by certified professionals Correct 
 
Worsening scores in which of the following NIHSS categories is associated with neu...
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Add to cartWhen should the NIHSS be administered? - ANSWER-C. As soon as possible and if there is a sudden change in status 
 
What is one way that the NIHSS is reproducible? - ANSWER-C. Use by certified professionals Correct 
 
Worsening scores in which of the following NIHSS categories is associated with neu...
1. LOC - ANSWER-0 = Alert 
1 = Rousable to minor stim 
2 = Rousable to painful stim 
3 = Reflex response or unresponsive 
 
2. LOC Questions - ANSWER-Ask patients age and current month 
 
LOC Questions Score - ANSWER-0 = Both correct 
1 = One correct or dysarthria, foreign language 
2 = Neither corr...
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Add to cart1. LOC - ANSWER-0 = Alert 
1 = Rousable to minor stim 
2 = Rousable to painful stim 
3 = Reflex response or unresponsive 
 
2. LOC Questions - ANSWER-Ask patients age and current month 
 
LOC Questions Score - ANSWER-0 = Both correct 
1 = One correct or dysarthria, foreign language 
2 = Neither corr...
For å vurdere alvorlighetsgraden av et slag - dess høyere score, dess hardere rammet. 
 
(NIHSS på over 8 gir økt sjanse for mediaokklusjon) - ANSWER-Hvorfor bruker vi NIHSS? 
 
Bevissthetsnivå: våken, våken ved tilsnakk/forsiktig berøring, våken ved kraftig berøring/smertestimulering? - A...
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Add to cartFor å vurdere alvorlighetsgraden av et slag - dess høyere score, dess hardere rammet. 
 
(NIHSS på over 8 gir økt sjanse for mediaokklusjon) - ANSWER-Hvorfor bruker vi NIHSS? 
 
Bevissthetsnivå: våken, våken ved tilsnakk/forsiktig berøring, våken ved kraftig berøring/smertestimulering? - A...
Patient 1 - ANSWER-1a. Level of Consciousness: 0 
1b. LOC Questions: 0 
1c. LOC Commands: 0 
2. Best Gaze: 0 
3. Visual: 0 
4. Facial Palsy: 0 
5a. Motor Arm Left:0 
5b. Motor Arm Right:0 
6a. Left Leg:0 
6b. Right Leg: 1 
7. Limb Ataxia: 0 
8. Sensory: 1 
9. Best Language: 0 
10. Dysarthria: 0 
11....
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Add to cartPatient 1 - ANSWER-1a. Level of Consciousness: 0 
1b. LOC Questions: 0 
1c. LOC Commands: 0 
2. Best Gaze: 0 
3. Visual: 0 
4. Facial Palsy: 0 
5a. Motor Arm Left:0 
5b. Motor Arm Right:0 
6a. Left Leg:0 
6b. Right Leg: 1 
7. Limb Ataxia: 0 
8. Sensory: 1 
9. Best Language: 0 
10. Dysarthria: 0 
11....
NIH Stroke scale - ANSWER-It measures impairment caused by a stroke. 
 
Score of 0 indicates... - ANSWER-No Stroke 
 
Any score higher than 0 indicates... - ANSWER-A level of impairment 
 
Level of Consciousness - ANSWER-Assess if they alert and responsive, ask them their age and what month it is, a...
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Add to cartNIH Stroke scale - ANSWER-It measures impairment caused by a stroke. 
 
Score of 0 indicates... - ANSWER-No Stroke 
 
Any score higher than 0 indicates... - ANSWER-A level of impairment 
 
Level of Consciousness - ANSWER-Assess if they alert and responsive, ask them their age and what month it is, a...
Part 1 (a, b, c) - ANSWER-*LEVEL OF CONSCIOUSNESS* 
*1a: Arousal* 
0 = alert 
1 = drowsy; awakens w minor stimulation 
2 = obtunded or needs repeated stimulation 
3 = reflexive responses only or unresponsive 
 
*1b: Questions* = Name and current month, +1 for language barrier 
0 = both questions 
1 ...
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Add to cartPart 1 (a, b, c) - ANSWER-*LEVEL OF CONSCIOUSNESS* 
*1a: Arousal* 
0 = alert 
1 = drowsy; awakens w minor stimulation 
2 = obtunded or needs repeated stimulation 
3 = reflexive responses only or unresponsive 
 
*1b: Questions* = Name and current month, +1 for language barrier 
0 = both questions 
1 ...
A nurse assesses a client with the National Institutes of Health (NIH) Stroke Scale and determines the client's score to be 36. How should the nurse plan care for this client? 
a. 
The client will need near-total care. 
b. 
The client will need cuing only. 
c. 
The client will need safety precautio...
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Add to cartA nurse assesses a client with the National Institutes of Health (NIH) Stroke Scale and determines the client's score to be 36. How should the nurse plan care for this client? 
a. 
The client will need near-total care. 
b. 
The client will need cuing only. 
c. 
The client will need safety precautio...
Patient 1 - ANSWER-1a. Level of Consciousness: 0 
1b. LOC Questions: 0 
1c. LOC Commands: 0 
2. Best Gaze: 0 
3. Visual: 0 
4. Facial Palsy: 0 
5a. Motor Arm Left:0 
5b. Motor Arm Right:0 
6a. Left Leg:0 
6b. Right Leg: 1 
7. Limb Ataxia: 0 
8. Sensory: 1 
9. Best Language: 0 
10. Dysarthria: 0 
11....
Preview 1 out of 4 pages
Add to cartPatient 1 - ANSWER-1a. Level of Consciousness: 0 
1b. LOC Questions: 0 
1c. LOC Commands: 0 
2. Best Gaze: 0 
3. Visual: 0 
4. Facial Palsy: 0 
5a. Motor Arm Left:0 
5b. Motor Arm Right:0 
6a. Left Leg:0 
6b. Right Leg: 1 
7. Limb Ataxia: 0 
8. Sensory: 1 
9. Best Language: 0 
10. Dysarthria: 0 
11....
Level of consciousness - ANSWER-Must choose a response if full eval is prevented by obstacles (end tube, etc). 0-3 
 
LOC questions - ANSWER-Pt is asked month and age. 
0-2 
 
LOC commands - ANSWER-PT is asked to open/close eyes, grip and release non-involved hand 
0-2 
 
Best gaze - ANSWER-Establ...
Preview 1 out of 2 pages
Add to cartLevel of consciousness - ANSWER-Must choose a response if full eval is prevented by obstacles (end tube, etc). 0-3 
 
LOC questions - ANSWER-Pt is asked month and age. 
0-2 
 
LOC commands - ANSWER-PT is asked to open/close eyes, grip and release non-involved hand 
0-2 
 
Best gaze - ANSWER-Establ...
A nurse educator is teaching a group of nursing students about use of the NIHSS. The nurse educator is correct to tell the students that the NIHSS is a clinical tool that can be used to - ANSWER-A,B,D 
 
Which of the following statements about NIHSS is not accurate? - ANSWER-The NIHSS is a 10-item s...
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Add to cartA nurse educator is teaching a group of nursing students about use of the NIHSS. The nurse educator is correct to tell the students that the NIHSS is a clinical tool that can be used to - ANSWER-A,B,D 
 
Which of the following statements about NIHSS is not accurate? - ANSWER-The NIHSS is a 10-item s...
population - ANSWER-individuals who have had a stroke 
 
time - ANSWER-5 minutes 
 
materials - ANSWER-scoring sheet, sterile needle, picture/word cards 
 
where is this administered? - ANSWER-in a clinical setting 
 
order - ANSWER-1A - level of consciousness 
1B - level of consciousness questions ...
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Add to cartpopulation - ANSWER-individuals who have had a stroke 
 
time - ANSWER-5 minutes 
 
materials - ANSWER-scoring sheet, sterile needle, picture/word cards 
 
where is this administered? - ANSWER-in a clinical setting 
 
order - ANSWER-1A - level of consciousness 
1B - level of consciousness questions ...
Impairment outcome measures - ANSWER-NIH Stroke Scale 
Fugl Meyer 
Orpington Prognositc Scale 
Upright Motor Control Test 
S Stream 
 
Activity Limitations outcome measures - ANSWER-FAI 
Modified Rankin Scale (MRS) 
Mobility Scale for Acute Stroke (MSAS) 
Motor Assessment Scale (MAS) 
Stroke rehab a...
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Add to cartImpairment outcome measures - ANSWER-NIH Stroke Scale 
Fugl Meyer 
Orpington Prognositc Scale 
Upright Motor Control Test 
S Stream 
 
Activity Limitations outcome measures - ANSWER-FAI 
Modified Rankin Scale (MRS) 
Mobility Scale for Acute Stroke (MSAS) 
Motor Assessment Scale (MAS) 
Stroke rehab a...
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