UMEM Educational Pearls

Category: Neurology

Title: Conventions for Performing the NIH Stroke Scale

Keywords: nihss, stroke scale (PubMed Search)

Posted: 3/11/2009 by Aisha Liferidge, MD (Updated: 9/24/2021)
Click here to contact Aisha Liferidge, MD

When performing the NIH Stroke Scale, keep the following conventions in mind:


-- Administer scale items in their exact order.
-- Avoid coaching the patient.
-- Accept the patient's first effort.
-- Be consistent.
-- Score only what the patient actually does.
-- Include all deficits in scoring.