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Glasgow Coma Scale
Variable
Score
Motor response
Obeys commands
(The patient does simple things as asked.)
6
Localizes to pain (Purposeful movements towards painful stimuli; hand crosses mid-line and gets above clavicle when supra-orbital pressure applied)
5
Flexion/Withdrawal to pain (Flexion of elbow, supination of forearm, flexion of wrist when supra-orbital pressure applied; pulls part of body away when nailbed pinched)
4
Abnormal flexion to pain (Flexor posturing: Adduction of arm, internal rotation of shoulder, pronation of forearm, flexion of wrist, decorticate response)
3
Extension to pain (Extensor posturing: Abduction of arm, external rotation of shoulder, supination of forearm, extension of wrist, decerebrate response)
2
No motor response
1
Verbal response
Oriented (Patient responds coherently and appropriately to questions such as the patient’s name and age, where they are and why, the year, month, etc.)
5
Confused (The patient responds to questions coherently but there is some disorientation and confusion)
4
Inappropriate words (Random or exclamatory articulated speech, but no conversational exchange)
3
Incomprehensible sounds (Moaning but no words)
2
No verbal response
1
Eye response
Eyes opening spontaneously
4
Eye opening to speech (Not to be confused with the awakening of a sleeping person; such patients receive a score of 4, not 3.)
3
Eye opening in response to pain stimulus (A peripheral pain stimulus, such as squeezing the lunula area of the patient's fingernail is more effective than a central stimulus such as a trapezius squeeze, due to a grimacing effect)
2
No eye opening
1
Glasgow Coma Scale:
Interpretation:
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