The Oxford Handicap Scale
The Oxford Handicap Scale is a simple means of grading patient handicap. It is a modification of the Rankin scale that has been used for evaluating patients following stroke in England (Oxfordshire). The score can be followed over time to monitor a patient's condition and response to interventions.
Lifestyle￼￼ ￼ Grade
no change￼ ￼ 0
no interference ￼￼ 1￼￼ ￼ minor handicap
some restrictions but able to look after self
2￼￼ ￼ moderate handicap
significant restriction; unable to lead a totally independent existence (requires some assistance)
unable to live independently but does not require constant attention ￼ ￼4
totally dependent; requires constant attention day and night￼ ￼ 5 ￼ References: Bamford JM Sandercock PAG et al. Letter to the Editor: Interobserver agreement for the assessment of handicap in stroke patients. Stroke. 1989; 20: 828 (Table 2).