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INSTRUMENT DETAILS

National Institutes of Health Stroke Scale (NIHSS)

 
A modified version of the NIHSS was developed: mNIHSS
 

Author(s)

NINDS Investigators

 

Purpose

  • Pathology:

Cardiovascular diseases

Nervous system diseases

  • Disease:

Stroke

  • Objective:

To assess neurologic outcome and degree of recovery for stroke patients

  • Population for intended use:

Adult

 
 

Characteristics

  • Type of instrument:

Physical functioning

Signs and symptoms

  • Administration mode:

Interviewer-administered

  • Number of items:

NIHSS: 15; mNIHSS: 11

  • Recall/Observation period:

None

 
 

Language(s)

  • Original language:

English for the USA

  • List of existing translations:

The translations listed below may not have undergone a full linguistic validation process and may require further work to be suitable for use in a study.
This list of translations is subject to constant changes, therefore please check the status of translations with Mapi Research Trust / the developers / copyright holders / distributors.

NIHSS

Chinese for Hong Kong
Estonian for Estonia
German for Germany
Hindi for India
Hungarian
Italian for Italy
Marathi for India
Portuguese for Portugal
Spanish for Spain
Telugu
 

Bibliographic reference(s) of the original questionnaire

Albanese MA, Clarke WR, Adams HP Jr, Woolson RF. Ensuring reliability of outcome measures in multicenter clinical trials of treatments for acute ischemic stroke. The program developed for the Trial of Org 10172 in Acute Stroke Treatment (TOAST). Stroke. 1994 Sep;25(9):1746-51


Bulau P, Fuger J, Horn H. [Validating rehabilitation after stroke] Nervenarzt. 1994 Dec;65(12):836-40. German


Lyden P, et al, "Improved reliability of the NIH Stroke Scale using video training. NINDS TPA Stroke Study Group", Stroke. 25(11):2220-6, 1994 Nov


Wityk RJ. Pessin MS. Kaplan RF. Caplan LR, "Serial assessment of acute stroke using the NIH Stroke Scale", Stroke. 25(2):362-5, 1994 Feb


Brott T, Adams HP Jr, Olinger CP, Marler JR, Barsan WG, Biller J, Spilker J, Holleran R, Eberle R, Herztberg V, Rorick M, Moonaw CJ, Walker M. Measurement of acute cerebral infarction: a clinical examination scale. Stroke. 1989;20:864–870


Goldstein LB, Bertels C, Davis JN, "Interrater reliability of the NIH Stroke Scale", Archives of Neurology 46(6)660-2, 1989 June


  Bibliographic references of the modified version of the original NIHSS:


Meyer BC, Hemmen TM, Jackson CM, Lyden PD. Modified National Institutes of Health Stroke Scale for use in stroke clinical trials: prospective reliability and validity. Stroke. 2002 May;33(5):1261-6 (full text article)


Lyden PD, Lu M, Levine SR, Brott TG, Broderick J. A modified National Institutes of Health Stroke Scale for use in stroke clinical trials: preliminary reliability and validity. Stroke. 2001 Jun;32(6):1310-7 (full text article)

Last update: March 2012

Last update in collaboration with the author: November 2002