{"id":7423,"date":"2025-12-31T10:58:54","date_gmt":"2025-12-31T09:58:54","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=7423"},"modified":"2026-01-06T18:04:47","modified_gmt":"2026-01-06T17:04:47","slug":"nihss-national-institutes-of-health-stroke-scale","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=7423","title":{"rendered":"NIHSS (National Institutes of Health Stroke Scale)"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li>Evaluation des diff\u00e9rentes d\u00e9ficiences cliniques des AVC en phase aigu\u00eb<\/li>\n\n\n\n<li>Temps : 6 minutes 30 en moyenne<\/li>\n\n\n\n<li>Le score initial :  pr\u00e9diction  du handicap r\u00e9siduel\n<ul class=\"wp-block-list\">\n<li>Score &lt;10 avant la 3e heure : permet d\u2019esp\u00e9rer 40 % de gu\u00e9risons<br>spontan\u00e9es.<\/li>\n\n\n\n<li>Score &gt; 20 : exclue toute possibilit\u00e9 de r\u00e9cup\u00e9ration spontan\u00e9e.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Fichier PDF de la COFEMER : <a href=\"https:\/\/old.cofemer.fr\/cofemer\/ckeditorImage\/Files\/ECHELLES%20ADULTES%20TOME%202_page137.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">NIHSS<\/a><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><strong>1a &#8211; Niveau de conscience<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00c9veill\u00e9, r\u00e9activit\u00e9 vive (0)<\/li>\n\n\n\n<li>Non vigilant, mais r\u00e9veillable par une stimulation mineure : question, ordre (1)<\/li>\n\n\n\n<li>Non vigilant, n\u00e9cessit\u00e9 des stimulations r\u00e9p\u00e9t\u00e9es pour r\u00e9agir, ou est inconscient et n\u00e9cessite une stimulation forte et douloureuse pour obtenir un mouvement (non st\u00e9r\u00e9otyp\u00e9) (2)<\/li>\n\n\n\n<li>R\u00e9ponse par seulement un r\u00e9flexe moteur ou totalement r\u00e9actif, flasque (3)<\/li>\n<\/ul>\n\n\n\n<p><strong>1b &#8211; Questions LOC : poser deux questions<\/strong><br><strong>Quel mois sommes-nous ? Quel \u00e2ge avez-vous ? (Ne pas aider le patient)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>R\u00e9pond aux deux questions correctement 0<\/li>\n\n\n\n<li>Ne r\u00e9pond correctement qu\u2019\u00e0 une seule question<\/li>\n\n\n\n<li>(difficult\u00e9 m\u00e9canique ou linguistique non aphasique : 1) 1<\/li>\n\n\n\n<li>Ne r\u00e9pond pas correctement aux deux questions (stupeur, aphasie :2) 2<\/li>\n<\/ul>\n\n\n\n<p><strong>1c &#8211; Commandes LOC<\/strong><br><strong>Fermez ou ouvrez les yeux \/ Serrez les poings<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ex\u00e9cute les deux ordres correctement 0<\/li>\n\n\n\n<li>Ex\u00e9cute un seul ordre sur les deux 1<\/li>\n\n\n\n<li>N&rsquo;ex\u00e9cute aucun ordre 2<\/li>\n<\/ul>\n\n\n\n<p><strong>2 Meilleur regard (ne tester que le regard horizontal, volontaire ou r\u00e9flexe)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Normal 0<\/li>\n\n\n\n<li>Paralysie partielle du regard. Score attribu\u00e9 si regard perturb\u00e9 pour 1 ou 2 yeux 1<\/li>\n\n\n\n<li>D\u00e9viation forc\u00e9e ou paralysie totale du regard non vaincues par les m\u00e9thodes oculo-c\u00e9phaliques 2<\/li>\n<\/ul>\n\n\n\n<p><strong>3 Vision<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Absence de d\u00e9ficit visuel 0<\/li>\n\n\n\n<li>H\u00e9mianopsie partielle (ou extension visuelle) 1<\/li>\n\n\n\n<li>H\u00e9mianopsie compl\u00e8te 2<\/li>\n\n\n\n<li>H\u00e9mianopsie bilat\u00e9rale (incluant c\u00e9cit\u00e9 corticale et c\u00e9cit\u00e9 totale) 3<\/li>\n<\/ul>\n\n\n\n<p><strong>4 Paralysie faciale<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Mobilit\u00e9 normale, sym\u00e9trique 0<\/li>\n\n\n\n<li>Paralysie mineure (effacement du sillon nasog\u00e9nien, asym\u00e9trie du sourire) 1<\/li>\n\n\n\n<li>Paralysie partielle (paralysie de la partie inf\u00e9rieure de la face totale ou subtotale) 2<\/li>\n\n\n\n<li>Paralysie compl\u00e8te (faciale sup\u00e9rieure et inf\u00e9rieure) 3<\/li>\n<\/ul>\n\n\n\n<p><strong>5 &#8211; Motricit\u00e9 du membre sup\u00e9rieur<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pas de chute, le membre tient \u00e0 90\u00b0 (ou 45\u00b0) pendant 10 secondes 0<\/li>\n\n\n\n<li>Chute, le membre tient \u00e0 90\u00b0 (ou 45\u00b0) mais chute avant 10 secondes, sans atteindre le plan du lit ou un autre support 1<\/li>\n\n\n\n<li>Quelque effort contre la gravit\u00e9, le membre ne peut pas atteindre ou maintenir 90\u00b0 (ou 45\u00b0), tombe sur le lit mais peut faire quelque effort contre la gravit\u00e9 2<\/li>\n\n\n\n<li>Absence d&rsquo;effort contre la gravit\u00e9, le membre tombe 3<\/li>\n\n\n\n<li>Absence de mouvement 4<\/li>\n<\/ul>\n\n\n\n<p><strong>6 &#8211; Motricit\u00e9 du membre inf\u00e9rieur<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Absence de chute, la jambe garde la position \u00e0 30\u00b0 pendant 5 secondes 0<\/li>\n\n\n\n<li>Chute, la jambe tombe pendant les 5 secondes, mais sans atteindre le plan du lit 1<\/li>\n\n\n\n<li>Quelque effort contre la gravit\u00e9, la jambe tombe sur le lit mais peut faire quelque effort contre la gravit\u00e9 2<\/li>\n\n\n\n<li>Absence d&rsquo;effort contre la gravit\u00e9, la jambe tombe instantan\u00e9ment 3<\/li>\n\n\n\n<li>Absence de mouvement 4<\/li>\n<\/ul>\n\n\n\n<p><strong>7 &#8211; Ataxie des membres<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Absente 0<\/li>\n\n\n\n<li>Pr\u00e9sente pour un membre 1<\/li>\n\n\n\n<li>Pr\u00e9sente pour deux membres 2<\/li>\n<\/ul>\n\n\n\n<p><strong>8 &#8211; Sensibilit\u00e9<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Normale 0<\/li>\n\n\n\n<li>D\u00e9ficit sensitif discret \u00e0 mod\u00e9r\u00e9, du c\u00f4t\u00e9 atteint, le patient sent la piq\u00fbre moins aigu\u00eb ou faiblement ou il y a une perte de la sensibilit\u00e9 \u00e0 la piq\u00fbre mais le patient reste conscient d&rsquo;\u00eatre touch\u00e9 1<\/li>\n\n\n\n<li>D\u00e9ficit s\u00e9v\u00e8re \u00e0 total, le patient n&rsquo;a pas conscience d&rsquo;\u00eatre touch\u00e9 2<\/li>\n<\/ul>\n\n\n\n<p><strong>9 &#8211; Meilleur langage<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Normal, pas d&rsquo;aphasie 0<\/li>\n\n\n\n<li>Aphasie discr\u00e8te \u00e0 mod\u00e9r\u00e9e. Perte indiscutable de la fluence ou de la facilit\u00e9 de compr\u00e9hension sans limitation significative des id\u00e9es exprim\u00e9es ou de la forme d&rsquo;expression. Toutefois, la r\u00e9duction du discours et\/ou de la compr\u00e9hension rend la discussion difficile \u00e0 partir des seuls \u00e9l\u00e9ments fournis, voire impossible (mais l&rsquo;examinateur peut identifier l&rsquo;image d\u00e9sign\u00e9e \u00e0 partir de la r\u00e9ponse du patient) 1<\/li>\n\n\n\n<li>Aphasie s\u00e9v\u00e8re toute communication se fait par expression fragment\u00e9e, celui qui \u00e9coute doit faire des efforts pour d\u00e9duire, interroger et deviner. Peu d&rsquo;informations peuvent \u00eatre \u00e9chang\u00e9es. L&rsquo;examinateur fournit l&rsquo;essentiel de la communication. Il ne parvient pas \u00e0 identifier les documents pr\u00e9sent\u00e9s \u00e0 partir de la r\u00e9ponse du patient 2<\/li>\n\n\n\n<li>Mutisme, aphasie globale, absence de discours utile ou de compr\u00e9hension auditive 3<\/li>\n<\/ul>\n\n\n\n<p><strong>10 &#8211; Dysarthrie<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Normal 0<\/li>\n\n\n\n<li>Discret \u00e0 mod\u00e9r\u00e9, le patient n&rsquo;articule pas bien au moins quelques mots et au pire peut \u00eatre compris avec quelques difficult\u00e9s 1<\/li>\n\n\n\n<li>S\u00e9v\u00e8re, le discours du patient est tellement mal articul\u00e9 qu&rsquo;il devient inintelligible en l&rsquo;absence ou hors de proportion avec toute \u00e9ventuelle dysphasie ou est mutique, anarthrique 2<\/li>\n<\/ul>\n\n\n\n<p><strong>11 &#8211; Extinction ou inattention (n\u00e9gligence)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Absence d&rsquo;anomalie 0<\/li>\n\n\n\n<li>Extinction ou inattention visuelle, tactile, auditive, spatiale ou personnelle \u00e0 la stimulation bilat\u00e9rale simultan\u00e9e dans une des modalit\u00e9s sensorielles 1<\/li>\n\n\n\n<li>H\u00e9mi-inattention s\u00e9v\u00e8re ou h\u00e9mi-inattention de plus d&rsquo;une modalit\u00e9 sensorielle. Ne reconna\u00eet pas sa propre main ou ne s&rsquo;oriente que vers un c\u00f4t\u00e9 de l&rsquo;espace 2<\/li>\n<\/ul>\n\n\n\n<p><strong>12 &#8211; Fonction motrice distale<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Normale 0<\/li>\n\n\n\n<li>Une faible extension apr\u00e8s 5 secondes 1<\/li>\n\n\n\n<li>Aucune extension volontaire apr\u00e8s 5 secondes 2<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>1a &#8211; Niveau de conscience 1b &#8211; Questions LOC : poser deux questionsQuel mois sommes-nous ? Quel \u00e2ge avez-vous ? (Ne pas aider le patient) 1c &#8211; Commandes LOCFermez ou ouvrez les yeux \/ Serrez&hellip;<\/p>\n<p class=\"more-link-wrapper\"><a href=\"https:\/\/kineaphp.fr\/?p=7423\" class=\"more-link\">Continue Reading<span class=\"screen-reader-text\"> \u00ab\u00a0NIHSS (National Institutes of Health Stroke Scale)\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[402,146],"tags":[],"class_list":["post-7423","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-avc","category-champ-neuro-evaluations-et-tests"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>NIHSS (National Institutes of Health Stroke Scale) - wikine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kineaphp.fr\/?p=7423\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NIHSS (National Institutes of Health Stroke Scale) - wikine\" \/>\n<meta property=\"og:description\" content=\"1a &#8211; Niveau de conscience 1b &#8211; Questions LOC : poser deux questionsQuel mois sommes-nous ? Quel \u00e2ge avez-vous ? (Ne pas aider le patient) 1c &#8211; Commandes LOCFermez ou ouvrez les yeux \/ Serrez&hellip;Continue Reading &quot;NIHSS (National Institutes of Health Stroke Scale)&quot;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/kineaphp.fr\/?p=7423\" \/>\n<meta property=\"og:site_name\" content=\"wikine\" \/>\n<meta property=\"article:published_time\" content=\"2025-12-31T09:58:54+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-06T17:04:47+00:00\" \/>\n<meta name=\"author\" content=\"kineaphp.fr\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"kineaphp.fr\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/kineaphp.fr\/?p=7423\",\"url\":\"https:\/\/kineaphp.fr\/?p=7423\",\"name\":\"NIHSS (National Institutes of Health Stroke Scale) - wikine\",\"isPartOf\":{\"@id\":\"https:\/\/kineaphp.fr\/#website\"},\"datePublished\":\"2025-12-31T09:58:54+00:00\",\"dateModified\":\"2026-01-06T17:04:47+00:00\",\"author\":{\"@id\":\"https:\/\/kineaphp.fr\/#\/schema\/person\/b11b6a63c204e60f3f232e2d932be842\"},\"breadcrumb\":{\"@id\":\"https:\/\/kineaphp.fr\/?p=7423#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/kineaphp.fr\/?p=7423\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/kineaphp.fr\/?p=7423#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/kineaphp.fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"NIHSS (National Institutes of Health Stroke Scale)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/kineaphp.fr\/#website\",\"url\":\"https:\/\/kineaphp.fr\/\",\"name\":\"wikine\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/kineaphp.fr\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/kineaphp.fr\/#\/schema\/person\/b11b6a63c204e60f3f232e2d932be842\",\"name\":\"kineaphp.fr\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/kineaphp.fr\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/3e4687e4314cb4693ced1be1e5d6c08e8f972bd999181432c86361b667777888?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/3e4687e4314cb4693ced1be1e5d6c08e8f972bd999181432c86361b667777888?s=96&d=mm&r=g\",\"caption\":\"kineaphp.fr\"},\"sameAs\":[\"http:\/\/kineaphp.fr\"],\"url\":\"https:\/\/kineaphp.fr\/?author=1\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"NIHSS (National Institutes of Health Stroke Scale) - wikine","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/kineaphp.fr\/?p=7423","og_locale":"fr_FR","og_type":"article","og_title":"NIHSS (National Institutes of Health Stroke Scale) - wikine","og_description":"1a &#8211; Niveau de conscience 1b &#8211; Questions LOC : poser deux questionsQuel mois sommes-nous ? Quel \u00e2ge avez-vous ? (Ne pas aider le patient) 1c &#8211; Commandes LOCFermez ou ouvrez les yeux \/ Serrez&hellip;Continue Reading \"NIHSS (National Institutes of Health Stroke Scale)\"","og_url":"https:\/\/kineaphp.fr\/?p=7423","og_site_name":"wikine","article_published_time":"2025-12-31T09:58:54+00:00","article_modified_time":"2026-01-06T17:04:47+00:00","author":"kineaphp.fr","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"kineaphp.fr","Dur\u00e9e de lecture estim\u00e9e":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/kineaphp.fr\/?p=7423","url":"https:\/\/kineaphp.fr\/?p=7423","name":"NIHSS (National Institutes of Health Stroke Scale) - wikine","isPartOf":{"@id":"https:\/\/kineaphp.fr\/#website"},"datePublished":"2025-12-31T09:58:54+00:00","dateModified":"2026-01-06T17:04:47+00:00","author":{"@id":"https:\/\/kineaphp.fr\/#\/schema\/person\/b11b6a63c204e60f3f232e2d932be842"},"breadcrumb":{"@id":"https:\/\/kineaphp.fr\/?p=7423#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/kineaphp.fr\/?p=7423"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/kineaphp.fr\/?p=7423#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/kineaphp.fr\/"},{"@type":"ListItem","position":2,"name":"NIHSS (National Institutes of Health Stroke Scale)"}]},{"@type":"WebSite","@id":"https:\/\/kineaphp.fr\/#website","url":"https:\/\/kineaphp.fr\/","name":"wikine","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/kineaphp.fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Person","@id":"https:\/\/kineaphp.fr\/#\/schema\/person\/b11b6a63c204e60f3f232e2d932be842","name":"kineaphp.fr","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/kineaphp.fr\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/3e4687e4314cb4693ced1be1e5d6c08e8f972bd999181432c86361b667777888?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/3e4687e4314cb4693ced1be1e5d6c08e8f972bd999181432c86361b667777888?s=96&d=mm&r=g","caption":"kineaphp.fr"},"sameAs":["http:\/\/kineaphp.fr"],"url":"https:\/\/kineaphp.fr\/?author=1"}]}},"_links":{"self":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7423","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7423"}],"version-history":[{"count":6,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7423\/revisions"}],"predecessor-version":[{"id":7430,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=\/wp\/v2\/posts\/7423\/revisions\/7430"}],"wp:attachment":[{"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7423"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7423"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kineaphp.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}