Best motor response
- grade 6 - obeying command:
- the examiner asks the patient to do simple tasks
- be careful not to accept a grasp reflex for this grade
- grade 5 - localising response to pain:
- this is the purposeful movement of a limb to remove a painful stimulus applied supra-orbitally
- this is the purposeful movement of a limb to remove a painful stimulus applied supra-orbitally
- grade 4 - withdrawal response to pain:
- pain in a limb results in purposeful withdrawal of the limb
- pain in a limb results in purposeful withdrawal of the limb
- grade 3 - abnormal flexor response to pain:
- pain in a limb results in reflex flexion-withdrawal of the limb
- pain in a limb results in reflex flexion-withdrawal of the limb
- grade 2 - extensor posturing to pain:
- pain in a limb results in abnormal extension
- in the upper limb this involves adduction, internal rotation of the shoulder and pronation of the forearm
- grade 1 - no response to pain
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