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Table 1 Clinical grading scales

From: The timed up and go test in idiopathic normal pressure hydrocephalus: a Nationwide Study of 1300 patients

Score

Gait

Balance

Urinary incontinence

mRS

0

   

No symptoms

1

Normal

Stands independently for ≥ 30 s on either lower extremity alone

Normal

No significant disability. Able to carry out all usual activities, despite some symptoms

2

Slight disturbance of tandem walk and turning

Stands independently for < 30 s on either lower extremity alone

Urgency without incontinence

Slight disability. Able to look after own affairs without assistance, but unable to carry out all previous activities

3

Wide-based gait with sway, without foot corrections

Stands independently for ≥ 30 s with the feet together at the heels

Infrequent incontinence without napkin

Moderate disability. Requires some help, but able to walk unassisted

4

Tendency to fall, with foot corrections

Stands independently for < 30 s with feet together at the heels

Frequent incontinence with napkin

Moderately severe disability. Unable to attend to own bodily needs without assistance, and unable to walk unassisted

5

Walking with cane

Stands independently for ≥ 30 s with the feet apart (one foot length)

Bladder incontinence

Severe disability. Requires constant nursing care and attention, bedridden, incontinent

6

Bi-manual support needed

Stands independently for < 30 s with the feet apart

Bladder and bowel incontinence

Dead

7

Aided

Unable to stand without assistance

Indwelling urinary catheter

 

8

Wheelchair bound

   
  1. Clinical criteria for ordinal scale assessment of function in gait, balance and urinary incontinence (i.e. the components of the modified iNPH scale) as well as mRS