Categories | Scoring | ||
0 | 1 | 2 | |
F Face | No particular expression or smile | Occasional grimace or frown, withdrawn, disinterested; appears sad or worried | Frequent to constant frown, clenched jaw, quivering chin; distressed-looking face: expression of fright or panic |
L Legs | Normal position or relaxed | Uneasy, restless, tense; occasional tremors | Kicking or legs drawn up; marked increase in spasticity, constant tremors or jerking |
A Activity | Lying quietly, normal position, moves easily | Squirming, shifting back and forth, tense; mildly agitated (eg, head back and forth, aggression); shallow and splinting respirations, intermittent sighs | Arched, rigid, or jerking; severe agitation, head banging; shivering (not rigors); breath-holding, gasping or sharp intake of breath; severe splinting |
C Cry | No cry (awake or asleep) | Moans or whimpers, occasional complaint; occasional verbal outburst or grunt | Crying steadily, screams or sobs, frequent complaints; repeated outbursts, constant grunting |
C Consolability | Content, relaxed | Reassured by occasional touching, hugging, or being talked to, distractable | Difficult to console or comfort; pushing away caregiver, resisting care or comfort measures |