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Mitchell and Pike OMAS rating scale

Mitchell and Pike OMAS rating scale
Stance 0 Standing and sitting balance normal for age
1 Mildly unstable standing for age, slightly wide based
2 Unable to stand without support but can sit without support
3 Unable to sit without using hands to prop or other support
Gait 0 Walking normal for age
1 Mildly wide-based gait for age, but able to walk indoors and outdoors independently
2 Walks only or predominantly with support from person or equipment
3 Unable to walk even with support from person or equipment
Arm/hand function 0 Normal for age
1 Mild, infrequent tremor or jerkiness without functional impairment
2 Fine motor function persistently impaired for age, but less precise manipulative tasks normal or almost normal
3 Major difficulties in all age-appropriate fine motor and manipulative tasks
Opsoclonus 0 None
1 Rare or only when elicited by change in fixation or squeeze test
2 Frequent, interferes intermittently with fixation or tracking
3 Persistent, interfering continuously with function and tracking
Mood/behavior 0 Normal
1 Mild increase in irritability but consolable and/or mild sleep disturbances
2 Irritability and sleep disturbances interfering with child and family life
3 Persistent severe distress
Speech 0 Normal for age, no loss
1 Mildly unclear, plateaued in development
2 Loss of some words or some grammatical constructs (ie, from sentences to phrases) but still communicates verbally
3 Severe loss of verbal communication and speech
OMAS: opsoclonus-myoclonus-ataxia syndrome.
From: Rossor T, Yeh EA, Khakoo Y, et al. Diagnosis and management of opsoclonus-myoclonus-ataxia syndrome in children: An international perspective. Neurol Neuroimmunol Neuroinflamm 2022; 9:e1153. Reproduced with permission from Wendy G Mitchell, MD.
Graphic 143897 Version 1.0

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