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The ILS is a comprehensive tool for assessing activities of daily living, behavior and initiation skills following traumatic brain injury.
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Fall Issue 2009
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Concussion Tissue Damage
TBI Treatment Wrong?
Case Study
TBI Haunts Children
Challenging Symptoms
Drug Treats TBI
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Disability Rating Scale (DRS)

Assessment Scales


* For detailed scoring instructions go here > >

Disability Rating Scale (DRS)

Category

Item

Instructions

Score

Arousability, Awareness and ResponsivityEye Opening0 = spontaneous  1 = to speech  2 = to pain  3 = none
Communication Ability0 = oriented  1 = confused  2 = inappropriate  3 = incomprehensible
4 = none
Motor Response0 = obeying  1 = localizing  2 = withdrawing  3 = flexing
4 = extending  5 = none
Cognitive Ability for Self Care ActivitiesFeeding0 = complete 1 = partial  2 = minimal  3 = none
Toileting0 = complete  1 = partial  2 = minimal  3 = none
Grooming0 = complete  1 = partial  2 = minimal  3 = none
Dependence on OthersLevel of Functioning0 = completely independent  1 = independent in special environment
2 = mildly dependent  3 = moderately dependent
4 = markedly dependent  5 = totally dependent
Psychosocial AdaptabilityEmployability0 = not restricted  1 = selected jobs
2 = sheltered workshop (non-competitive)
3 = not employable
Total DR Score

Disability Categories

Total DR ScoreLevel of Disability
0None
1Mild
2-3Partial
4-6Moderate
7-11Moderately Severe
12-16Severe
17-21Extremely Severe
22-24Vegetative State
25-29Extreme Vegetative State

Rappaport et al., (1982). Disability rating scale for severe head trauma patients:
coma to community. Archives of Physical Medicine and Rehabilitation, 63: 118-123



Glasgow Coma Scale . Rancho Los Amigos - Revised . Rancho Los Amigos - Original