The Modified Rankin Scale (SRM) is a scale frequently used to measure the degree of disability or dependence in the daily activities of people who have suffered a stroke or other causes of neurological disabilities. It has become the most common clinical criterion for clinical studies of stroke.   Keywords: Modified Rankin Scale Clinical EvaluationStrokeChina van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJ, van Gijn J. Interobserver agreement to assess disabilities in patients with stroke. – Tact. 1988 May;19 (5):604-7 (full-text article) The scale was originally introduced in 1957 by Dr. John Rankin, of Stobhill Hospital, Glasgow, Scotland, on a scale of 5 levels from 1 to 5.   It was later modified either by van Swieten et al.  or perhaps by prof.C. Warlow`s group at The Western General Hospital in Edinburgh, used in the UK-TIA study in the late 1980s, to include the “0” value for patients with no symptoms.  Still in 2005, the scale was still 0 to 5. At one point, between 2005 and 2008, the last change was made to add the value “6” to designate deceased patients. The modern version of the modified version differs from ranin`s original scale mainly by the addition of grade 0, which indicates an absence of symptoms, and the addition of grade 6 which indicates death.
 Rankin J. “Strokes in patients over 60 years of age.” Scott Med J 1957;2:200-15 Received: September 01, 2011 Acceptance: November 04, 2011Posted online: February 24, 2012 Release date: April 2012 The interobserver reliability of the SRM can be improved by the use of a structured questionnaire during the interview process and by a multimedia training process.  The mRS multimedia training system, developed by Professor K. Lees` group at the University of Glasgow, is available online. SRM is often criticized for its subjective nature, considered a distorted outcome, but used in all hospital systems to assess rehabilitation needs and outpatient outcomes. These criticisms have been raised by researchers who have conducted structured interviews that ask simple questions that the patient and caregiver can answer.   Modified by the Rankin scale (originally developed in 1957 by J. Rankin) of C.
Warlow`s group for use in the Transient Ischaemic Attack (UK-TIA) clinical trial in the United Kingdom (Farrel B et al., 1991). The scale is 0-6 and ranges from perfect health without symptoms to death. Farrell B, Godwin J, Richards S, Warlow C. The Study of Aspirin on Temporary Ischemic Attack (UK-TIA) in the UK: Definitive Results. J Neurol Neurosurgical psychiatry. 1991 Dec;54 (12):1044-54 (full article). . More recently, several tools have been developed to more systematically determine SRM, including mRS-SI,, RFA, and mRS-9Q.  The mRS-9Q is public and a free web calculator is available in www.modifiedrankin.com. Van Swieten JC; Kudstaal PJ; Screw MC; Schouten HJA; Van Gijn J.
Log in to MyKarger to verify that you already have access to this title. . A Modified Rankin Scale-Structured Interview (mRS-SI) was developed in 2002 to standardize the administration of SRM and thus improve its reliability (Wilson et al., 2002). For more information: www.karger.com/ENE number of print pages: 5 Number of illustrations: 1 Number tables: 3 Karger buy bundle items (KAB) and get a discount! If you would like to redeem your KAB credit, please log in.. . .