[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-572226-105":53,"doc-detail-572226-en":120},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":113,"head_meta":115,"extra_data":117,"updated_unix":119},105,"en","nih-stroke-scale-instructions","NIH Stroke Scale - Instructions","","NIH Stroke Scale instructions define standardized administration of stroke assessment items in the specified order. The examiner records performance after each subscale exam, using the patient’s observed actions rather than clinical expectations, and does not revise scores once recorded. Directions for each exam technique must be followed precisely, with fast documentation during administration. The clinician avoids coaching unless explicitly indicated and ensures only the initial response is graded, while accommodating obstacles such as tubes, language barriers, trauma, and physical limitations.",{"@graph":63,"@context":112},[64,80,95],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/nih-stroke-scale-instructions/572226/",4,{"url":78,"name":59,"@type":81,"author":82,"headline":59,"publisher":85,"fileFormat":88,"inLanguage":57,"description":61,"dateModified":89,"datePublished":89,"encodingFormat":88,"isAccessibleForFree":90,"interactionStatistic":91},"DigitalDocument",{"name":83,"@type":84},"Mabel","Person",{"url":68,"name":86,"@type":87},"DocShare","Organization","application/pdf","2026-10-13",true,{"@type":92,"interactionType":93,"userInteractionCount":4},"InteractionCounter",{"@type":94},"ViewAction",{"@type":96,"mainEntity":97},"FAQPage",[98,104,108],{"name":99,"@type":100,"acceptedAnswer":101},"How should the NIH Stroke Scale be administered and scored?","Question",{"text":102,"@type":103},"Administer items in the listed order and record performance after each subscale exam. Do not go back and change scores, and ensure scores reflect what the patient does rather than what the clinician thinks the patient can do.","Answer",{"name":105,"@type":100,"acceptedAnswer":106},"Are patients allowed to be coached during the exam?",{"text":107,"@type":103},"Except where indicated, the patient should not be coached, meaning repeated prompts to make a special effort are not allowed. The examiner should follow the provided directions for each technique.",{"name":109,"@type":100,"acceptedAnswer":110},"When grading responses in the Level of Consciousness subscales, do you use partial credit or repeated attempts?",{"text":111,"@type":103},"For LOC questions, the answers must be correct with no partial credit. For commands, only the first attempt is scored, and if no response occurs the task may be demonstrated and then scored based on whether commands are followed.","https://schema.org",{"og:url":78,"og:type":114,"og:title":59,"og:site_name":86,"og:description":61},"article",{"robots":116,"canonical":78},"index,follow",{"doc_id":118,"site_id":56},572226,1791926241,{"code":4,"msg":5,"data":121},{"doc_id":118,"user_id":122,"nickname":83,"user_avatar":123,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":124,"file_id":125,"file_url":126,"file_type":127,"file_size":128,"view_count":4,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":15,"language":129,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":130,"faqs":131,"seo_title":132,"seo_description":61,"update_tm":119,"read_time":79},7971474920318,"https://ap-avatar.wpscdn.com/avatar/74000ee537e6b0ca360?x-image-process=image/resize,m_fixed,w_180,h_180&k=1788430171632181674","National Institute of Neurological Disordersand Stroke  \nNIH Stroke Scale  \nInstructions  \n• Administer stroke scale items in the order listed.  \n• Record performance in each category after each subscale exam.  \n• Do not go back and change scores.  \n• Follow directions provided for each exam technique.  \n• Scores should reflect what the patient does, not what the clinician thinks the patient can do.  \n• The clinician should record answers while administering the exam and work quickly.  \n• Except where indicated, the patient should not be coached (i.e., repeated requests to patient to make a special effort) .  \n[www.stroke.nih.gov](www.stroke.nih.gov)[ ](www.stroke.nih.gov)[1-800-352-9424](1-800-352-9424)  \n1a: Level of Consciousness  \nInstructions – Level of Consciousness (LOC): The investigator must choose a response if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages. A 3 is scored only if the patient makes no movement (other than reflexive posturing) in response to noxious stimulation.  \n\n| Scale Definition |  |  |  |\n| --- | --- | --- | --- |\n| 0 | Alert; keenly responsive. |  |  |\n| 1 | Not alert; but arousable by minor stimulation to obey, answer, or respond. |  |  |\n| 2 | Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped) . |  |  |\n| 3 | Responds only with reflex motor or autonomic effects, or totally unresponsive, flaccid, and areflexic. |  |  |\n|  |  | Score |  |\n\n1b: Level of Consciousness  \nInstructions – LOC Questions: The patient is asked the month and his/her age. The answer must be correct — thereis no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. Patients unable to speak because of endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language barrier, or any other problem not secondary to aphasia are given a 1. It is important that only the initial answer be graded and that the examiner not “help” the patient with verbal or non-verbal cues.  \n\n| Scale Definition |  |  |  |\n| --- | --- | --- | --- |\n| 0 | Answers both questions correctly. |  |  |\n| 1 | Answers one question correctly. |  |  |\n| 2 | Answers neither question correctly. |  |  |\n|  |  | Score |  |\n\n1c: Level of Consciousness  \nInstructions – LOC Commands: The patient is asked to open and close the eyes and then to grip and release the nonparetic hand. Substitute another one-step command if the hands cannot be used. Credit is given if an unequivocal attempt is made but not completed due to weakness. If the patient does not respond to command, the task should be demonstrated to him or her (pantomime), and the result scored (i.e., follows none, one, or two commands) . Patients with trauma, amputation, or other physical impediments should be given suitable one-step commands. Only the first attempt is scored.  \n\n| Scale Definition |  |  |  |\n| --- | --- | --- | --- |\n| 0 | Performs both tasks correctly. |  |  |\n| 1 | Performs one task correctly. |  |  |\n| 2 | Performs neither task correctly. |  |  |\n|  |  | Score |  |\n\n2: Best Gaze  \nInstructions: Only horizontal eye movements will be tested. Voluntary or reflexive (oculocephalic) eye movements will be scored, but caloric testing is not done. If the patient has a conjugate deviation of the eyes that can be overcome by voluntary or reflexive activity, the score will be 1. If a patient has an isolated peripheral nerve paresis (CN III, IV, or VI), score a 1. Gaze is testable in all aphasic patients. Patients with ocular trauma, bandages, pre-existing blindness, or other disorder of visual acuity or fields should be tested with reflexive movements, and a choice made by the investigator. Establishing eye contact and then moving about the patient from side to side will occasionally clarify the presence of a partial gaze palsy.  \nScale Definition  \n0  \n1  \n2","cbCaist5a4vsf0UF","https://ap.wps.com/l/cbCaist5a4vsf0UF","pdf",4218337,"English","# Instructions\n## Level of Consciousness\n### Level of Consciousness (LOC)\n### LOC Questions\n### LOC Commands\n## Best Gaze\n## Visual\n## Facial Palsy\n## Motor Arm","[{\"question\":\"How should the NIH Stroke Scale be administered and scored?\",\"answer\":\"Administer items in the listed order and record performance after each subscale exam. Do not go back and change scores, and ensure scores reflect what the patient does rather than what the clinician thinks the patient can do.\"},{\"question\":\"Are patients allowed to be coached during the exam?\",\"answer\":\"Except where indicated, the patient should not be coached, meaning repeated prompts to make a special effort are not allowed. The examiner should follow the provided directions for each technique.\"},{\"question\":\"When grading responses in the Level of Consciousness subscales, do you use partial credit or repeated attempts?\",\"answer\":\"For LOC questions, the answers must be correct with no partial credit. For commands, only the first attempt is scored, and if no response occurs the task may be demonstrated and then scored based on whether commands are followed.\"}]","NIH Stroke Scale - Instructions | PDF"]