Table 1 Motor Activity Assessment Scale (MAAS) [14]
Score | Description | Definition |
|---|---|---|
0 | Unresponsive | Does not move with noxious stimuli |
1 | Responsive only to noxious stimuli | Open eyes, raises eyebrows or turns head toward stimulus; moves limbs with noxious stimulus |
2 | Responsive to touch or name | Open eyes, raises eyebrows or turns head toward stimulus when touched or name is loudly spoken |
3 | Calm and cooperative | No external stimulus in required to elicit movement; adjusts sheets or clothes purposefully, follows commands |
4 | Restless and cooperative | No external stimulus in required to elicit movement; picks at sheets or tubes, uncovers self, follows commands |
5 | Agitated | No external stimulus in required to elicit movement, attempts to sit up or moves limbs out of bed, does not consistently follow commands (for example, will lie down when asked to but soon reverts back to attempts to sit up or move limbs out of bed) |
6 | Dangerously agitated, uncooperative | No external stimulus in required to elicit movement; pulls at tubes or catheters, thrashes side to side, strikes at staff, tries to climb out of bed, does not calm down when asked. |