Item | Score |
---|---|
DRESSING | 0 = dependent |
5 = needs help but can do about half unaided | |
10 = independent (including buttons, zips, laces, etc.) | |
TOILET USE | 0 = dependent |
5 = needs some help, but can do something alone | |
10 = independent (on and off, dressing, wiping) | |
TRANSFERS (BED TO CHAIR AND BACK) | 0 = unable, no sitting balance |
5 = major help (one or two people, physical), can sit | |
10 = minor help (verbal or physical) | |
15 = independent | |
MOBILITY (ON LEVEL SURFACES) | 0 = immobile or < 50 yards |
5 = wheelchair independent, including corners, > 50 yards | |
10 = walks with help of one person (verbal or physical) > 50 yards | |
15 = independent (but may use any aid; for example, stick) > 50 yards | |
Max. Score | 50 Points |