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You may print or use the NSAA for academic or research purposes but any modification, translation or reproduction for redistribution or commercial exploitation of part or all of the contents in any form is strictly prohibited without our express written permission.  \nGOSH [Contact: Vandana Gupta:](Contact: Vandana Gupta: Vandana.AyyarGupta@gosh.nhs.uk)[ ](Contact: Vandana Gupta: Vandana.AyyarGupta@gosh.nhs.uk)[Vandana.AyyarGupta@gosh.nhs.uk](Contact: Vandana Gupta: Vandana.AyyarGupta@gosh.nhs.uk)  \nNewcastle Contact: Anna Mayhew: [anna.mayhew1@nhs.net](anna.mayhew1@nhs.net)  \n1.1 Test Description  \n• The NSAA is a 17-item scale that grades performance of various functional skills on a scale from 0 (unable), 1 (completes independently but with modifications), and 2 (completed without compensation) .  \n• NOTE: The order has been modified to enable more efficient conduct of the assessment.  \n• Climb and Descend stairs: climb box step is performed step up right, step down right, step up left, step down left.  \n• Lifts head is performed before ‘gets to sitting’ and‘rise from floor’ to avoid fatigue.  \n1.2 Test Guidelines  \n• Performance of upright activities must not be completed if a lower limb injury exists. However, the subject may perform the head lift and gets-to-sitting items if he is able. Provide ‘comments’ on the source worksheet.  \n• Complete the NSAA in the order provided (Please note this has been modified from previous trials for a smoother administration) .  \n• The patient should be barefoot.  \n• Do NOT use a mat.  \n• The timed 10-meter run/walk and timed rise from floor are conducted as part of the NSAA.  \n• For all timed function tests (10-meter run/walk, climb 4 stairs, descend 4 stairs, rise from floor), the time in seconds is rounded to the nearest tenth of a second (e.g., 5.11 to 5.14 seconds should be rounded down to  \n5.1 seconds, 5.15 to 5.19 should be rounded up to 5.2 seconds.  \n• Generally, activities are graded in the following manner:  \no Score of 2 = ‘Normal’ – no obvious modification of activity  \no Score of 1 = Modified method but achieves goal with no physical assistance  \no Score of 0 = Unable to achieve goal independently  \n• If you think the subject is capable of a better performance, due to non-compliance or improved understanding of task, it is acceptable to ask the subject to repeat the item if appropriate. Only the best attempt will be scored and documented on the worksheet and in the database.  \n• If unsure if the performance on a particular item meets the higher criteria, give the subject the lower score.  \n1.3 10m timed run Set-Up  \n• Mark off a 10-metre course in a long, quiet hallway or room. Stand approximately 1 to 2 meters beyond the finish line to ensure the subject moves ‘through’ the 10-metre line, rather than slowing down prior to finishing.  \n• Ensure a clear floor space, measuring approximately 10 feet x 12 feet, is available for remaining assessments (i.e., rise from floor) .  \n1.4 Conducting the Test  \n\n| 1.5 ITEM 1: STANDING |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Starting position | Feet must be no further than 10 cm apart and heels on the ground if possible. Arms by sides. |  |  |  |\n| Instruction | Can you stand up tall for me for as long as you can and as still as you can for three seconds with your heels flat on the ground? |  |  |  |\n| Scoring detail | Score is based on ability to hold correct posture and placement of the heels. Score is not based on lordosis.\u003Cbr>When counting to 3 – Use “And 1, and 2, and 3” so that three seconds is achieved on the word of 3.\u003Cbr>Score 2-Minimum co","cbCaitxGZ7I9g4It","https://ap.wps.com/l/cbCaitxGZ7I9g4It","pdf",655024,16,"English","# NSAA Manual\n## Test Description\n## Test Guidelines\n## 10m Timed Run Set-Up\n## Conducting the Test\n## Item 1: Standing\n## Item 2: Walk\n## Item 3: Stand Up from Chair","[{\"question\":\"What does the NSAA score represent?\",\"answer\":\"The NSAA is a 17-item scale graded from 0 (unable) to 2 (completed without compensation). Score 1 indicates a modified method that achieves the goal with no physical assistance, while score 0 indicates inability to achieve the goal independently.\"},{\"question\":\"What are the key test guidelines before starting?\",\"answer\":\"Upright activities should not be completed if a lower limb injury exists, though certain head lift and get-to-sitting items may be performed if able. Complete items in the provided order, test barefoot, do not use a mat, and document comments on the source worksheet.\"},{\"question\":\"How should timed tasks be handled and rounded?\",\"answer\":\"For timed function tests (including 10-meter run/walk, climb and descend stairs, and rise from floor), the time in seconds is rounded to the nearest tenth. Times from 5.11–5.14 should round down, and 5.15–5.19 should round up.\"}]","North Star Ambulatory Assessment (NSAA) - Manual | PDF",1789449834]