|
| | Description |
|
| Motor response |
|
| (3) Localization to noxious stimulation | The nonstimulated limb must locate and make contact with the stimulated body part at the point of stimulation. |
| (2) Flexion withdrawal | There is isolated flexion withdrawal of at least one limb. The limb must move away from the point of stimulation. |
| (1) Abnormal posturing | Slow, stereotyped flexion, or extension of the upper and/or lower extremities occurs immediately after the stimulus is applied. |
| (0) None/flaccid | There is no discernible movement following application of noxious stimulation, secondary to hypertonic or flaccid muscle tone. |
|
| Verbal response |
|
| (3) Verbalization (intelligible) | Production of words in response to nociceptive stimulation. Each verbalization must consist of at least 1 consonant-vowel-consonant (C-V-C) triad. For example, “aie” would not be acceptable, but “stop” or “that hurts” would. |
| (2) Vocalization | At least one episode of nonreflexive oral movement and/or vocalization in response to stimulation (such as “ah” or “aie”). |
| (1) Groaning | Groans are observed not spontaneously but in response to nociceptive stimulation. |
| (0) None | No response to any of the above. |
|
| Facial expression |
|
| (3) Cry | Cries are observed not spontaneously but in response to nociceptive stimulation. |
| (2) Grimace | Grimaces are observed not spontaneously but in response to nociceptive stimulation. |
| (1) Oral reflexive movement/startle response | Clamping of jaws, tongue pumping, yawning, chewing movement. |
| (0) None | There is no discernible facial expression following application of noxious stimulation. |
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