The Myasthenia Gravis Activities of Daily Living 

(MG-ADL) scale

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.

The Myasthenia Gravis Activities of Daily Living (MG-ADL) scale is a 0-24 point, 8-item patient-reported questionnaire used to measure the impact of MG symptoms on daily function. It helps doctors track treatment progress by scoring symptoms like breathing, swallowing, chewing, and vision from 0 (normal) to 3 (most severe). 

Grade 0 1 2 3 Score (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) =