Padua Scoring System for Venous Thromboembolism Risk and Prophylaxis in Hospitalized Motor dysfunction Upper extremities Unable to move hands (0 points) Unable to eat with a spoon but able to move hands (1 point) Unable to button shirt but able to eat with a spoon (2 points) Able to button shirt with great difficulty (3 points) Able to button shirt with slight difficulty (4 points) <-- Upper extremities?
Lower extremities Complete loss of motor and sensory function (0 points) Sensory preservation without ability to move legs (1 point) Able to move legs but unable to walk (2 points) Able to walk on a flat floor with a walking aid (cane or crutch) (3 points) Able to walk up and/or down stairs with aid of a handrail (4 points) Moderate to significant lack of stability but able to walk up and/or down stairs without a handrail (5 points) Mild lack of stability but able to walk unaided with smooth reciprocation (6 points) No dysfunction (7 points) <-- Lower extremities?
Sensory dysfunction Upper extremities Complete loss of hand sensation (0 points) Severe sensory loss or pain (1 point) Mild sensory loss (2 points)=2 No sensory loss (3 points) <-- Upper extremities?
Sphincter dysfunction Unable to urinate voluntarily (0 points) Marked difficulty with urination (1 point) Mild to moderate difficulty with urination (2 points) Normal urination (3 points) <-- Sphincter dysfunction?
Score: numberscore=(variable_1)+(variable_2)+(variable_3)+(variable_4) out of 17 points. Scoring: ≥ 15 points = mild, 12 to 14 points = moderate, ≤ 11 points = severe.
Interpretation --> resultscore=(variable_1)+(variable_2)+(variable_3)+(variable_4);score>14?'Mild.':score>11?'Moderate.':'Severe.'
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notes/reference:
Cervical myelopathy is associated with:
Nondermatomal numbness of arms > legs
Gait disturbance (spastic, broad-based gait)
Hand clumsiness (difficulty holding objects or performing fine-motor activites)
Upper extremity radicular symptoms (including Lhermitte phenomenon)
Neck pain and stiffness
Leg stiffness
Urinary difficulties (retention and incontinence)
#1 Bakhsheshian J, Mehta VA, Liu JC. Current diagnosis and management of cervical spondylotic myelopathy. Global Spine J. 2017;7(6):575

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