Modified version of PASS
MODIEFIED POSTURAL ASSESMENT SCALE FOR STROKE (PASS)[edit | edit source]
Only one attempt per item is allowed. Ensure that the patient manages the criteria for the scores below, as well as the criterion for the registered score.
A stopwatch is used in items 4 and 7-9 where the patient should maintain a position within a specific time. Item 4 should be performed with the patient´s feet supported on the floor. In items 1-3, 5-6 and 10-12, the patient´s postural balance/control should be scored according to different degrees of support.
1. Supine to affected side lateral
Cannot perform the activity - 0
Can perform the activity with support from 2 persons-1
Can perform the activity with support from 1 person -2
Can perform the activity without any help - 3
2. Supine to non affected side lateral
Cannot perform the activity-0
Can perform the activity with support from 2 persons -1
Can perform the activity with support from 1 person-2
Can perform the activity without any help -3
3. Supine to sitting up on edge of bed
Cannot perform the activity -0
Can perform the activity with support from 2 persons-1
Can perform the activity with support from 1 person -2
Can perform the activity without any help-3
4. Sitting without support
Cannot sit-0
Can sit with slight support, for example by 1 hand-1
Can sit for more than 10 seconds without support- 2
Can sit for 5 minutes without support-3
5. Sitting to standing up
Cannot perform the activity -0
Can perform the activity with support from 2 persons -1
Can perform the activity with support from 1 person -2
Can perform the activity without any help -3
6. Standing with support
Cannot stand, even with support - 0
Can stand with strong support from 2 persons -1
Can stand with moderate support from 1 person - 2
Can stand with support of only 1 hand-3
7. Standing without support
Cannot stand without support -0
Can stand without support for 10 seconds or leans heavily on 1 leg -1
Can stand without support for more than 1 minute or stands slightly asymmetrically -2
Can stand without support for more than 1 minute and at the same time draw hand/s from forehand to neck (like drawing finger throw the hair) altered with arm/s hanging parallel with the trunk to avoid tiredness-3
8. Standing on non paretic leg
Cannot stand on the non paretic leg -0
Can stand on the non paretic leg for a few seconds -1
Can stand on the non paretic leg for more than 5 seconds - 2
Can stand on the non paretic leg for more than 10 seconds -3
9. Standing on paretic leg
Cannot stand on the non paretic leg -0
Can stand on the non paretic leg for a few seconds -1
Can stand on the non paretic leg for more than 5 seconds -2
Can stand on the non paretic leg for more than 10 seconds-3
10. Standing, picking up a shoe from the floor
Cannot perform the activity - 0
Can perform the activity with support from 2 persons -1
Can perform the activity with support from 1 person - 2
Can perform the activity without any help -3
1. Sitting down from standing up
Cannot perform the activity -0
Can perform the activity with support from 2 persons -1
Can perform the activity with support from 1 person -2
Can perform the activity without any help -3
12. Sitting on edge of bed to supine
Cannot perform the activity - 0
Can perform the activity with support from 2 persons -1
Can perform the activity with support from 1 person -2
Can perform the activity without any help -3