Myasthenia Gravis Activities of Daily Living (MG-ADL)

Assesses symptom burden and functional impact in patients with myasthenia gravis.

Speech*

Normal speech0

Occasional slurred or nasal speech+1

Persistent slurred or nasal speech, still understandable+2

Speech is difficult to understand+3

Chewing*

Normal chewing0

Tires when chewing solid food+1

Tires when chewing soft food+2

Requires gastric tube feeding+3

Swallowing*

Normal swallowing0

Rare choking episodes+1

Frequent choking requiring diet changes+2

Requires gastric tube feeding+3

Breathing*

Normal breathing0

Shortness of breath with activity+1

Shortness of breath at rest+2

Ventilator dependent+3

Ability to brush teeth or comb hair*

No impairment0

Requires extra effort, no rest periods+1

Requires rest periods+2

Unable to perform one of these tasks+3

Ability to rise from a chair*

No impairment0

Mild difficulty, sometimes uses arms+1

Moderate difficulty, always uses arms+2

Severe difficulty, needs assistance+3

Double vision*

None0

Occurs occasionally, not daily+1

Occurs daily, not constant+2

Constant+3

Eyelid droop*

None0

Occurs occasionally, not daily+1

Occurs daily, not constant+2

Constant+3