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Trunk Impairment Scale

Item 1: Patient maintains starting position without support for 10 seconds
No 0
Yes 2
Item 2: Therapist crosses unaffected leg over hemiplegic leg
Falls or can’t maintain sitting position for 10 seconds without arm support. 0
Maintains sitting position for 10 seconds. 2
Item 3: Patient crosses unaffected leg over the hemiplegic leg
Falls 0
Can’t cross legs without arm support 1
Crosses legs but displaces trunk >10 cm backwards or assists crossing with hand 2
Crosses legs without trunk displacement or assistance 3
Item 1: Patient touches bed or table with hemiplegic elbow (shortens hemiplegic side and lengthens unaffected side) and returns to starting position
Falls, needs support from upper extremity, or elbow does not touch the bed or table 0
Moves actively without help, elbow touches bed or table. 1
Item 2: Patient touches bed or table with hemiplegic elbow (shortens hemiplegic side and lengthens unaffected side) and returns to starting position
No (or opposite) shortening/lengthening 0
Appropriate shortening/lengthening 1
Item 3: Patient touches bed or table with hemiplegic elbow (shortens hemiplegic side and lengthens unaffected side) and returns to starting position
Compensation (with upper extremity, hips, knees, or feet) 0
Moves without compensation 1
Item 4: Patient touches the bed or table with unaffected elbow (shortens unaffected side and lengthens hemiplegic side) and returns to starting position
Falls, needs support from upper extremity, or elbow doesn’t touch the bed or table 0
Moves actively without help, elbow touches bed or table 1
Item 5: Patient touches the bed or table with unaffected elbow (shortens unaffected side and lengthens hemiplegic side) and returns to starting position
No (or opposite) shortening/lengthening 0
Appropriate shortening/lengthening 1
Item 6: Patient touches the bed or table with unaffected elbow (shortens unaffected side and lengthens hemiplegic side) and returns to starting position
Compensation (with upper extremity, hips, knees, or feet) 0
Moves without compensation 1
Item 7: Lifts pelvis from bed or table at hemiplegic side (shortens hemiplegic side and lengthens unaffected side) and returns to starting position
No (or opposite) shortening/lengthening 0
Appropriate shortening/lengthening 1
Item 8: Lifts pelvis from bed or table at hemiplegic side (shortens hemiplegic side and lengthens unaffected side) and returns to starting position
Compensation (with upper extremity or foot) 0
Moves without compensation 1
Item 9: Lifts pelvis from bed or table at hemiplegic side (shortens hemiplegic side and lengthens unaffected side) and returns to starting position
No (or opposite) shortening/lengthening 0
Appropriate shortening/lengthening 1
Item 10: Lifts pelvis from bed or table at hemiplegic side (shortens hemiplegic side and lengthens unaffected side) and returns to starting position
Compensation (with upper extremity or foot) 0
Moves without compensation 1
Item 1: Rotates upper trunk 6x (each shoulder moved forward 3x), hemiplegic side must move first, head fixated in starting position
Hemiplegic side not moved 3x 0
Asymmetrical rotation 1
Symmetrical rotation 2
Item 2: Rotates upper trunk 6x (each shoulder moved forward 3x), hemiplegic side must move first, head fixated in starting position within 6 seconds
Asymmetrical rotation 0
Symmetrical rotation 1
Item 3: Rotate lower trunk 6x (each knee moved forward 3x), hemiplegic side must move first, upper trunk fixated in starting position
Hemiplegic side not moved 3x 0
Asymmetrical rotation 1
Symmetrical rotation 2
Item 4: Rotate lower trunk 6x (each knee moved forward 3x), hemiplegic side must move first, upper trunk fixated in starting position within 6 seconds
Asymmetrical rotation 0
Symmetrical rotation 1
Result:

Background

Result Interpretation

Ranges Ranges