Barry Albright Dystonia Scale

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3
At a glance
Powered by AI
The document describes the Barry Albright Dystonia Scale which is used to assess and rate the severity of dystonia in different body areas including eyes, mouth, neck, trunk, upper extremities, and lower extremities.

Dystonia in each body area is assessed based on the presence and severity of signs like prolonged eyelid spasms, grimacing, neck pulling, trunk pulling etc. The severity is rated on a scale of 0 to 4 with 0 being absence and 4 being most severe.

The body areas assessed using the scale include eyes, mouth, neck, trunk, upper extremities (left and right) and lower extremities (left and right).

BARRY ALBRIGHT DYSTONIA SCALE

Eyes: Signs of dystonia of the eyes include: Prolonged eyelid spasms and/or forced eye
deviations
1 Absence of eye dystonia
1. Slight. Dystonia less than 10% of the time
2. Mild. Frequent blinking without prolonged spasms of eye closure and/or eye
movements less than 50% of the time
3. Moderate. Prolonged spasms of eyelid closure, but eyes open most of the time
4. Severe. Prolonged Spasms of eyelid closure, with eyes closed at least 30% of the time

Mouth: Signs of dystonia of mouth include: Grimacing, clenched or deviated jaw, forced
open mouth, and/or forceful tongue thrusting
0. Absence of mouth dystonia
1. Slight. Dystonia less than 10% of the time and does not interfere with speech or feeding
2. Mild. Dystonia less than 50% of the time and does not interfere with speech or feeding
3. Moderate. Dystonia more than 50% of the time, or dystonia that interferes with speech or
feeding
4. Severe. Dystonia more than 50% of the time or dystonia that prevents speech or feeding

Neck: Signs of dystonia of the neck include: Pulling of the neck into any plane of motion:
Extension, flexion, lateral flexion, or rotation
0. Absence of neck dystonia
1. Slight. Pulling less than 10% of the time and does not interfere with lying, sitting, standing
or walking
2. Mild. Pulling less than 50% of the time and does not interfere with lying, sitting, standing,
or walking
3. Moderate. Pulling more than 50% of the time or dystonia that interferes with lying, sitting,
standing, or walking
4. Severe. Pulling more than 50% of the time or dystonia that prevents sitting in standard
wheelchair, standing or, walking (i e, requires more than standard head rest for seating)
Trunk:
0. Absence of trunk dystonia
1. Slight. Pulling less than 10% of the time and does not interfere with lying, sitting, standing,
or walking
2. Mild. Pulling less than 50% of the time and does not interfere with lying, sitting, standing,
or walking
3. Moderate. Pulling more than 50% of the time or dystonia that interferes with lying, sitting,
standing, or walking
4. Severe. Pulling more than 50% of the time or dystonia that prevents sitting in standard
wheelchair, standing or walking

Upper Extremities (Left/Right):


1. Absence of upper extremity dystonia
2. Slight. Dystonia less than 10% of the time and does not interfere with normal positioning
or functional activities
2. Mild. Dystonia less than 50% of the time and does not interfere with normal positioning or
functional activities
3. Moderate. Dystonia more than 50% of the time, or dystonia that interferes with normal
positioning or functional activities
4. Severe. Dystonia more than 50% of the time, or dystonia that prevents normal positioning
or upper extremity function; i e, arms restrained in wheelchair to prevent injury

Lower Extremities (Left/Right):


1. Absence of lower extremity dystonia
2. Slight. Dystonia less than 10% of the time and does not interfere with normal
positioning or functional activities
3. Mild. Dystonia less than 50% of the time and does not interfere with normal
positioning or functional activities
4. Moderate. Dystonia more than 50% of the time, or dystonia that interferes with
normal positioning or lower extremity weight bearing or function
5. Severe. Dystonia more than 50% of the time, or dystonia that prevents normal
positioning or lower extremity weight bearing or function
Source: Adapted from Barry M, VanSearingen J, Albright AL. Reliability and
responsiveness of the Barry-Albright-Dystonia Scale. Dev Med Child Neurol.
1999;41(6):404-411.

You might also like