TBI Tests and Measures

Question 1

Ranchos Los Amigos Levels of Cognitive Functioning

Answer 1

Test of cognitive functioning post TBI

Levels I-VIII with least to most functional

Question 2

RLA Level I

Answer 2

aka No Response

Deep sleep, unresponsive to any stimuli

Question 3

RLA Level II

Answer 3

aka Generalized Response
Patient reacts non-purposefully and nonspecifically to stimuli
Responses may be physiological changes, gross body movements, and/or vocalization

Question 4

RLA Level III

Answer 4

aka Localized Response
Pt reacts specifically but inconsistently to stimuli
May follow simple commands (close eyes, squeeze hand) in an inconsistent and delayed manner

Question 5

RLA Level IV

Answer 5

aka Confused-Agitated
Bizarre and non-purposeful behavior
Unable to cooperate directly with treatment efforts
Incoherent and/or inappropriate vocalizations
General and selective attention impaired
Lacks short- and long-term recall

Question 6

RLA Level V

Answer 6

aka Confused-Inappropriate
Able to respond to simple commands fairly consistently
More complex commands = non-purposeful/random responses
Gross attention to environment but highly destractible
Short periods of conversation
Severely impaired memory
Able to perform learned tasks with structure

Question 7

RLA Level VI

Answer 7

aka Confused-Appropriate
Shows goal-directed behavior
Follow simple directions consistently
Carryover for learned tasks
Responses may be incorrect d/t memory problems, but are appropriate to the situation

Question 8

RLA Level VII

Answer 8

aka Automatic-Appropriate
Appropriate and oriented in hospital/home setting
Automatic, robot-like routine behavior
Minimal-no confusion with shallow recall of activities
Carryover with new tasks but at slower rate
Initiate social or recreational activities with structure
Judgement impaired

Question 9

RLA Level VIII

Answer 9

aka Purposeful-Appropriate
Aware and repsonsive to environment
Integrate past and present events
Carryover for new activities with no need for supervision once learned

Question 10

Glascow Coma Scale

Answer 10

Neuro assessment tool after TBI to determine arousal and cerebral cortex function

Question 11

Lowest possible score on Glascow Coma Scale

Answer 11

3; the lowest you can score in each of the three sections is a 1

Question 12

Glascow Coma Scale score correlating to severe brain injury

Answer 12

8 or less

Question 13

GCS score indicating moderate brain injury

Answer 13

8-12

Question 14

GCS indicating mild brain injury

Answer 14

13-15

Question 15

Highest possible score on GCS

Answer 15

15; Eye opening graded 1-4, Best Motor Response graded 1-6, and Verbal response graded 1-5