Scala Wisconsin
Scala Wisconsin
Scala Wisconsin
Overview: The Wisconsin Gait Scale (WGS) can be used to evaluate the gait problems experienced by a
patient with hemiplegia following stroke. This can be used to monitor the effectiveness of rehabilitation
training. The authors are from the University of Wisconin.
(4) weight shift to the affected side with or without a gait aid
(5) stance width (measure distance between feet prior to toe off of affected foot)
(7) hip extension of affected side (observe gluteal creases from behind the subject)
marked use 4
stance time on impaired side equal (time spent on affected side same as 1
time spent on unaffected side during single
leg stance)
unequal 2
ver brief 3
weight shift to the affected full shift (head and trunk shift laterally over 1
side (with or without gait aid) the affected foot during the single stance)
decreased shift 2
slight 2
marked hesitation 3
hip extension of affected side equal extension (hips equally extend during 1
push off; maintains erect posture during toe
off)
slight flexion 2
marked extension 3
increased rotation 2
marked 3
moderate 2
marked 3
hip hiking at mid swing none (pelvis slightly dips during swing) 1
elevation 2
vaults 3
knee flexion from toe off to normal (affected knee flexes equally to 1
mid swing unaffected side)
some 2
minimal 3
none 4
slight drag 2
marked 3
neutral 2
retracted 3
initial foot contact heel strike (heel makes the initial contact with 1
the floor)
foot flat 2
no contact of heel 3
total score = SUM(points for 2 to 10 12 to 14) + (3/5 * (points for 1)) + (3/4 * (points for 11))
Interpretation:
• maximum score: 42
• The higher the score the more seriously affected the gait.
References:
Rodriquez AA Black PO et al. Gait training efficacy using a home-based practice model in chronic
hemiplegia. Arch Phys Med Rehabil. 1996; 77: 801-805. (Table 1 page 803).