MG-ADL Scale / Understanding MG | Ohio Valley Region MG

The Myasthenia Gravis Activities of Daily Living (MG-ADL) scale helps you find your current symptom score.

It’s important to track this score regularly and talk to your doctor about any changes.

Grade	0	1	2	3
1. Talking	Normal	Intermittent slurring or nasal speech	Constant slurring or nasal, but can be understood	Difficult to understand speech
2. Chewing	Normal	Fatigue with solid foods	Fatigue with soft foods	Gastric tube
3. Swallowing	Normal	Rare episode of choking	Frequent choking necessitating changes in diet	Gastric tube
4. Breathing	Normal	Shortness of breath with exertion	Shortness of breath at rest	Ventilator dependence
5. Impairment of ability to brush teeth or comb hair	Normal	Extra effort, but no rest periods needed	Rest periods needed	Cannot do one of these functions
6. Impairment of ability to arise from a chair	Normal	Mild, sometimes uses arms	Moderate, always uses arms	Severe, requires assistance
7. Double vision	Normal	Occurs, but not daily	Daily, but not constant	Constant
8. Eyelid droop	Normal	Occurs, but not daily	Daily, but not constant	Constant
				MG-ADL score total (items 1-8) =

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