Stroke and Brain Attack
The NIH Stroke Scale
Harold Adams MD, Patricia Davis MD, James Torner PhD, Karla Grimsman RN, Jeff Vande Berg MS
Peer Review Status: Internally Peer Reviewed
The NIH Stroke Scale is an 11-item, clinical evaluation instrument
widely used in clinical trials and practice to assess neurologic
outcome and degree of recovery. The instrument's reliablity
[1] [2]
[3] and validity [4]
[5] are well documented in
scientific literature. It has been used most recently in clinical
trials of r-tPA in Ischemic Stroke.
We post it here for downloading or printing directly from a
browser, for use as a multi-page, bedside assessment instrument:
The NIH Stroke Scale Questionnaire and Images: (each can be
printed as a single page from your browser)
Stroke Scale Item Definitions -
explanations and instructions for the Questionnaire.
References
-
Goldstein LB, Bertels C, Davis JN, "Interrater
reliability of the NIH Stroke Scale", Archives of Neurology 46(6)660-2,
1989 June.
-
Lyden P, et al, "Improved reliability of the
NIH Stroke Scale using video training. NINDS TPA Stroke Study Group", Stroke.
25(11):2220-6, 1994 Nov.
-
Albanese MA. Clarke WR. Adams HP Jr. Woolson
RF, "Ensuring reliability of outcome measures in multicenter clinical trials
of treatments for acute ischemic stroke. The program developed for the Trial
of Org 10172 in Acute Stroke Treatment (TOAST)." Stroke. 25(9):1746-51,
1994 Sep.
-
Bulau P. Fuger J. Horn H, "Validating rehabilitation
after stroke", Nervenarzt. 65(12):836-40, 1994 Dec.
-
Wityk RJ. Pessin MS. Kaplan RF. Caplan LR, "Serial
assessment of acute stroke using the NIH Stroke Scale", Stroke. 25(2):362-5,
1994 Feb.
Title Page
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