As Redtail put it:"It seems that our neuros test us differently around the world",
here is a test procedure which is fairly common in France and in Belgium.
I find it interesting because you can test yourself at home with the aid of a relative and because it is quantified, so it enables you to follow the evolution of MG.
I think it is particularly useful in case of generalized MG, as all muscles are tested.
If you have any difficulty with the translation or with the tests themselves, do not hesitate to ask clarification…
Maurice.


QUANTIFIED MUSCULAR SCORE FOR MYASTHENIA

1)Arms stretched horizontally, patient seated: 1 point for each 10 second hold time
150 seconds = 15 points
100 seconds = 10
50 seconds = 5

2)Patient lying flat on his back, legs up and bent at 90 °: 1 point for each 5 seconds
75 seconds = 15 points
50 seconds = 10
25 seconds = 5

3)Flexing capability of the head, patient lying flat on his back
Capable of pushing against a hand applied on the front = 10 points
Not capable of pushing against a hand applied on the front = 5
Flexing not possible = 0

4)Moving from a laid flat position to a seated position
without using the hands = 10 points
not possible = 0

5)Movement of the eyes, patient must follow a finger moved up and down, right and left, at 40 cm from his face
Normal movements for both eyes = 10 points
Normal movements for one eye only or drooping eye-lid on one eye = 5
Double vision or drooping eye lid on both eyes = 0

6)Eye-lid and eye-brow closing
Normal = 10 points
Not full = 5
Not possible = 0

7)Chewing capability
Normal = 10 points
Reduced = 5
Reduced to zero = 0

8)Swallowing capability
Normal = 10 points
Reduced without choking = 5
Reduced with choking = 0

9)Speech
Normal = 10 points
Nasal speech = 5
No speech = 0

Maximum total score = 100 points