Table 2 Activities of Daily Living (ADL) Score range from 0 to 24 points. It was created to assess the impact of MG on activities of daily living. This scale includes eight functions that are often impaired in MG. It surveys symptom severity, with each response graded from 0 (normal) to 3 (most severe), (https://myasthenia.org/What-is-MG)
Grade | 0 | 1 | 2 | 3 |
|---|---|---|---|---|
Talking | Normal | Intermittent slurring or nasal speech | Constant slurring or nasal, but can be understood | Difficult to understand speech |
Chewing | Normal | Fatigue with solid food | Fatigue with soft food | Gastric tube |
Swallowing | Normal | Rare episode of choking | Frequent choking necessitating changes in diet | Gastric tube |
Breathing | Normal | Shortness of breath with exertion | Shortness of breath at rest | Ventilator dependence |
Impairment of ability to brush teeth or comb hair | Normal | Extra effort, but no rest periods needed | Rest periods needed | Cannot do one of these functions |
Impairment of ability to arise from chair | Normal | Mild, sometimes uses arms | Moderate, always uses arms | Severe, requires assistance |
Double vision | Normal | Occurs, but not daily | Daily, but not constant | Constant |
Eyelid droop | Normal | Occurs, but not daily | Daily, but not constant | Constant |