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    Scale For The Assessment and Rating of Ataxia (SARA) : 1) Gait 2) Stance

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    trcoski
    This document contains a scale for assessing ataxia called the Scale for the Assessment and Rating of Ataxia (SARA). It consists of 8 tests that evaluate different motor functions including gait, stance, sitting, speech disturbances, finger chasing, nose-finger coordination, fast hand movements, and heel-shin coordination. Each test is rated on a scale of 0 to 3 or 4, with higher numbers indicating more severe ataxia. The tests assess abilities like walking, balance, coordination, speech, and rapid voluntary movements. The document provides detailed instructions for administering and scoring each of the 8 SARA tests.

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    Scale For The Assessment and Rating of Ataxia (SARA) : 1) Gait 2) Stance

    Uploaded by

    trcoski
    38 views2 pages
    This document contains a scale for assessing ataxia called the Scale for the Assessment and Rating of Ataxia (SARA). It consists of 8 tests that evaluate different motor functions including gait, stance, sitting, speech disturbances, finger chasing, nose-finger coordination, fast hand movements, and heel-shin coordination. Each test is rated on a scale of 0 to 3 or 4, with higher numbers indicating more severe ataxia. The tests assess abilities like walking, balance, coordination, speech, and rapid voluntary movements. The document provides detailed instructions for administering and scoring each of the 8 SARA tests.

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    Sara

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    This document contains a scale for assessing ataxia called the Scale for the Assessment and Rating of Ataxia (SARA). It consists of 8 tests that evaluate different motor functions including gait, stance, sitting, speech disturbances, finger chasing, nose-finger coordination, fast hand movements, and heel-shin coordination. Each test is rated on a scale of 0 to 3 or 4, with higher numbers indicating more severe ataxia. The tests assess abilities like walking, balance, coordination, speech, and rapid voluntary movements. The document provides detailed instructions for administering and scoring each of the 8 SARA tests.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    38 views2 pages

    Scale For The Assessment and Rating of Ataxia (SARA) : 1) Gait 2) Stance

    Uploaded by

    trcoski
    This document contains a scale for assessing ataxia called the Scale for the Assessment and Rating of Ataxia (SARA). It consists of 8 tests that evaluate different motor functions including gait, stance, sitting, speech disturbances, finger chasing, nose-finger coordination, fast hand movements, and heel-shin coordination. Each test is rated on a scale of 0 to 3 or 4, with higher numbers indicating more severe ataxia. The tests assess abilities like walking, balance, coordination, speech, and rapid voluntary movements. The document provides detailed instructions for administering and scoring each of the 8 SARA tests.

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    Rater: ____________________________date: ______________patient:_______________________

    Scale for the assessment and rating of ataxia (SARA)


    1) Gait

    2) Stance

    Proband is asked (1) to walk at a safe distance parallel to Proband is asked to stand (1) in natural position, (2) with
    a wall including a half-turn (turn around to face the
    feet together in parallel (big toes touching each other) and
    opposite direction of gait) and (2) to walk in tandem
    (3) in tandem (both feet on one line, no space between
    (heels to toes) without support.
    heel and toe). Proband does not wear shoes, eyes are
    open. For each condition, three trials are allowed. Best
    trial is rated.
    0

    Normal, no difficulties in walking, turning and

    Normal, able to stand in tandem for > 10 s

    walking tandem (up to one misstep allowed)

    Able to stand with feet together without sway, but

    Slight difficulties, only visible when walking 10


    consecutive steps in tandem

    Clearly abnormal, tandem walking >10 steps not


    possible

    not in tandem for > 10s

    with sway
    3

    Considerable staggering, difficulties in half-turn, but


    without support

    Able to stand for >10 s in natural position only with


    intermittent support

    Severe staggering, permanent support of one stick or


    light support by one arm required

    Able to stand for > 10 s without support in natural


    position, but not with feet together

    4 Marked staggering, intermittent support of the wall


    required

    Able to stand with feet together for > 10 s, but only

    Able to stand >10 s in natural position only with


    constant support of one arm

    Walking > 10 m only with strong support (two

    Unable to stand for >10 s even with constant support


    of one arm

    special sticks or stroller or accompanying person)


    7

    Walking < 10 m only with strong support (two


    special sticks or stroller or accompanying person)

    Unable to walk, even supported

    Score

    Score

    3) Sitting

    4) Speech disturbance

    Proband is asked to sit on an examination bed without


    support of feet, eyes open and arms outstretched to the
    front.

    Speech is assessed during normal conversation.

    Normal, no difficulties sitting >10 sec

    Normal

    Slight difficulties, intermittent sway

    Suggestion of speech disturbance

    Constant sway, but able to sit > 10 s without support

    Impaired speech, but easy to understand

    Able to sit for > 10 s only with intermittent support

    Occasional words difficult to understand

    Unable to sit for >10 s without continuous support

    Many words difficult to understand

    Only single words understandable

    Speech unintelligible / anarthria

    Score

    Score

    Rater: ____________________________date: ______________patient:_______________________

    5) Finger chase

    6) Nose-finger test

    Rated separately for each side


    Rated separately for each side
    Proband sits comfortably. If necessary, support of feet Proband sits comfortably. If necessary, support of feet
    and trunk is allowed. Examiner sits in front of proband and trunk is allowed. Proband is asked to point repeatedly
    and performs 5 consecutive sudden and fast pointing
    with his index finger from his nose to examiners finger
    movements in unpredictable directions in a frontal plane, which is in front of the proband at about 90 % of
    at about 50 % of probands reach. Movements have an probands reach. Movements are performed at moderate
    speed. Average performance of movements is rated
    amplitude of 30 cm and a frequency of 1 movement
    according to the amplitude of the kinetic tremor.
    every 2 s. Proband is asked to follow the movements
    with his index finger, as fast and precisely as possible.
    Average performance of last 3 movements is rated.
    0

    No dysmetria

    No tremor

    Dysmetria, under/ overshooting target <5 cm

    Tremor with an amplitude < 2 cm

    Dysmetria, under/ overshooting target < 15 cm

    Tremor with an amplitude < 5 cm

    Dysmetria, under/ overshooting target > 15 cm

    Tremor with an amplitude > 5 cm

    Unable to perform 5 pointing movements

    Unable to perform 5 pointing movements

    Score

    Right

    Left

    mean of both sides (R+L)/2

    Score

    Right

    Left

    mean of both sides (R+L)/2

    7) Fast alternating hand movements

    8) Heel-shin slide

    Rated separately for each side


    Rated separately for each side
    Proband sits comfortably. If necessary, support of feet Proband lies on examination bed, without sight of his
    and trunk is allowed. Proband is asked to perform 10
    legs. Proband is asked to lift one leg, point with the heel
    cycles of repetitive alternation of pro- and supinations of to the opposite knee, slide down along the shin to the
    the hand on his/her thigh as fast and as precise as
    ankle, and lay the leg back on the examination bed. The
    possible. Movement is demonstrated by examiner at a task is performed 3 times. Slide-down movements should
    speed of approx. 10 cycles within 7 s. Exact times for
    be performed within 1 s. If proband slides down without
    movement execution have to be taken.
    contact to shin in all three trials, rate 4.
    0

    Normal, no irregularities (performs <10s)

    Normal

    Slightly irregular (performs <10s)

    Slightly abnormal, contact to shin maintained

    Clearly irregular, single movements difficult

    Clearly abnormal, goes off shin up to 3 times

    to distinguish or relevant interruptions, but


    performs <10s

    during 3 cycles
    3

    3 Very irregular, single movements difficult


    to distinguish or relevant interruptions,

    Severely abnormal, goes off shin 4 or more times


    during 3 cycles

    Unable to perform the task

    performs >10s
    4

    Unable to complete 10 cycles

    Score

    Right

    mean of both sides (R+L)/2

    Left

    Score

    Right

    Left

    mean of both sides (R+L) / 2

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