MG-ADL | gMG

	None=0	Mild=1	Moderate=2	Severe=3
Talking	Normal	Intermittent slurring or nasal speech	Constant slurring or nasal speech, but can be understood	Difficult-to-understand speech
Chewing	Normal	Fatigue with solid food	Fatigue with soft food	Gastric tube
Swallowing	Normal	Rare episode of choking	Frequent choking necessitating changes in diet	Gastric tube
Breathing	Normal	Shortness of breath with exertion	Shortness of breath at rest	Ventilator dependence
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
Impairment of ability to arise from a chair	None	Mild, sometimes uses arms	Moderate, always uses arms	Severe, requires assistance
Double vision	None	Occurs, but not daily	Daily, but not constant	Constant
Eyelid droop	None	Occurs, but not daily	Daily, but not constant	Constant

Talking

None - Normal

Mild - Intermittent slurring or nasal speech

Moderate - Constant slurring or nasal speech, but can be understood

Severe - Difficult-to-understand speech

Chewing

None - Normal

Mild - Fatigue with solid food

Moderate - Fatigue with soft food

Severe - Gastric tube

Swallowing

None - Normal

Mild - Rare episode of choking

Moderate - Frequent choking necessitating changes in diet

Severe - Gastric tube

Breathing

None - Normal

Mild - Shortness of breath with exertion

Moderate - Shortness of breath at rest

Severe - Ventilator dependence

Impairment of ability to brush teeth or comb hair

None - None

Mild - Extra effort, but no rest periods needed

Moderate - Rest periods needed

Severe - Cannot do one of these functions

Impairment of ability to arise from a chair

None - None

Mild - Mild, sometimes uses arms

Moderate - Moderate, always uses arms

Severe - Severe, requires assistance

Double vision

None - None

Mild - Occurs, but not daily

Moderate - Daily, but not constant

Severe - Constant

Eyelid droop

None - None

Mild - Occurs, but not daily

Moderate - Daily, but not constant

Severe - Constant

Patient name:

Date:

Total score

(sum of values)

0

(out of 24)

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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:

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

MG Assessment Tool:

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

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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.

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

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ASSESS YOUR QUALITY OF LIFE