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Table 1 Motor Activity Assessment Scale (MAAS) [14]

From: Palmar skin conductance variability and the relation to stimulation, pain and the motor activity assessment scale in intensive care unit patients

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.