MG Assessment Tool:

Myasthenia Gravis Activities of Daily Living (MG-ADL)1

Care to know where you stand today? Complete and share with your doctor.

Fill out this form to assess your gMG symptoms and their impact on your daily activities. Add up your total score and show the completed form to your doctor so you can both use the results to track your progress.

None=0 Mild=1 Moderate=2 Severe=3 Score

Talking

Normal

Intermittent slurring or nasal speech

Constant slurring or nasal speech, but can be understood

Difficult-to-understand speech

0

Chewing

Normal

Fatigue with solid food

Fatigue with soft food

Gastric tube

0

Swallowing

Normal

Rare episode of choking

Frequent choking necessitating changes in diet

Gastric tube

0

Breathing

Normal

Shortness of breath with exertion

Shortness of breath at rest

Ventilator dependence

0

Impairment of ability to brush teeth or comb hair

None

Extra effort, but no rest periods needed

Rest periods needed

Cannot do one of these functions

0

Impairment of ability to arise from a chair

None

Mild, sometimes uses arms

Moderate, always uses arms

Severe, requires assistance

0

Double vision

None

Occurs, but not daily

Daily, but not constant

Constant

0

Eyelid droop

None

Occurs, but not daily

Daily, but not constant

Constant

0

Patient name:

Date:

Total score

(sum of values)

0

(out of 24)

Patient name: xxxxx

Date: xxxxx

Total Score 0

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MG-ADL assessment adapted from Wolfe GI, et al. 1999.1
The information on this page is intended as educational information for healthcare providers. It does not replace a healthcare provider’s judgment or clinical diagnosis.

references:

  1. Wolfe GI, et al. Neurology. 1999;52(7):1487-1489.