Critical Care Research and Practice / 2012 / Article / Tab 2

Review Article

Mindsight: Diagnostics in Disorders of Consciousness

Table 2

The Nociception Coma Scale revised.

Description

Motor response

(3) Localization to noxious stimulationThe nonstimulated limb must locate and make contact with the stimulated body part at the point of stimulation.
(2) Flexion withdrawalThere is isolated flexion withdrawal of at least one limb. The limb must move away from the point of stimulation.
(1) Abnormal posturingSlow, stereotyped flexion, or extension of the upper and/or lower extremities occurs immediately after the stimulus is applied.
(0) None/flaccidThere 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) VocalizationAt least one episode of nonreflexive oral movement and/or vocalization in response to stimulation (such as “ah” or “aie”).
(1) GroaningGroans are observed not spontaneously but in response to nociceptive stimulation.
(0) NoneNo response to any of the above.

Facial expression

(3) CryCries are observed not spontaneously but in response to nociceptive stimulation.
(2) GrimaceGrimaces are observed not spontaneously but in response to nociceptive stimulation.
(1) Oral reflexive movement/startle responseClamping of jaws, tongue pumping, yawning, chewing movement.
(0) NoneThere is no discernible facial expression following application of noxious stimulation.

We are committed to sharing findings related to COVID-19 as quickly as possible. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. Review articles are excluded from this waiver policy. Sign up here as a reviewer to help fast-track new submissions.