Home Back

JOA Cervical Myelopathy Score

Motor Function
Upper Limbs
Please select
Upper Limbs
Normal
Slight difficulty using chopsticks
Severe difficulty using chopsticks
Can use a spoon but not chopsticks
Cannot feed oneself
Lower Limbs
Please select
Lower Limbs
Normal
Can walk without assistance but with mild spasticity
Needs to hold onto a railing to go up and down stairs
Needs assistive devices to walk on flat ground
Cannot walk
Sensation
Upper Limbs
Please select
Upper Limbs
Normal
Mild sensory loss
Severe sensory loss
Lower Limbs
Please select
Lower Limbs
Normal
Mild sensory loss
Severe sensory loss
Trunk
Please select
Trunk
Normal
Mild sensory loss
Severe sensory loss
Bladder Function
Please select
Bladder Function
Normal
Mild dysfunction
Severe dysfunction
Complete urinary retention
Score:

Result Interpretation

This standard refers to the symptoms necessary to evaluate treatment outcomes, comparing the effects before and after treatment using the following methods.

1. Scoring method: Compare the total score of each stage. For example, from 10 points before treatment to 15 points after treatment. In this case, the treatment outcome can be expressed in an index form.

(1) Improvement rate = [post-treatment score - pre-treatment score] / post-treatment score × 100%.

(2) Improvement index = [post-treatment score - pre-treatment score] / post-treatment score.

(3) Improvement rate = [post-treatment score - pre-treatment score] / [normal - pre-treatment score].

2. Stage representation method: The evaluation numbers for each stage are used to represent the situation at each stage (e.g., muscle strength 0-5 levels). Each item can be compared separately. For example, upper limb motor function 4→2, lower limb motor function 3→1, sensation 1→1, bladder function cannot be evaluated (urinary tract obstruction), etc.

3. Comprehensive evaluation of treatment outcomes: When conducting a comprehensive evaluation of excellent, good, fair, or effective, ineffective, it is necessary to evaluate under clearly defined conditions. For example, when using scores, those with an improvement rate of more than 75% are rated as excellent; or using a grading method, an improvement of one grade in one item without any deterioration in other items is considered effective.

References

Research Paper Xieyuan Jiang et al., eds. Clinical Evaluation Standards for Orthopedics. People's Medical Publishing House. 2005.
Favorite