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Table 1 Clinician's clinical score of the modified Japanese orthopedic association (mJOA) system

From: Leverage of applying diffusion tensor imaging (DTI) indices in assessment of cervical spondylotic myelopathy

Evaluation description

Point

1. Motor function of upper limbs:

 

Inability to move hands

0

Inability to eat with spoon but able to move hands

1

Inability to button shirt but able to eat with spoon

2

Able to button shirt with great difficulty

3

Able to button shirt with slight difficulty

4

No dysfunction

5

2. The lower extremity dysfunction score:

 

Complete loss of motor and sensory function

0

Sensory preservation without ability to move legs

1

Able to move legs, but unable to walk

2

Able to walk on flat floor with a walking aid

3

Able to walk up and /or down stairs with hand rail

4

Moderate to significant lack of stability, but able to walk up and/or down without hand rail

5

Mild lack of stability but walks with smooth reciprocation unaided

6

No dysfunction

7

3. Sensory dysfunction score of the upper extremities:

 

Complete motor and sensory function loss

0

Severe sensory loss of pain

1

Mild sensory loss

2

No sensory loss

3

4. Sphincter dysfunction score:

 

Unable to micturate voluntarily

0

Marked difficulty with micturition

1

Mild to moderate difficulty with micturition

2

Normal micturition

3

  1. It is an 18-point scale that assesses the upper extremities motor function (5 points), lower extremities motor function (7 points), sensation and micturition each (3 points). A total score of 18 indicates that there are no neurological abnormalities, while a score below that suggests a greater level of functional impairment and disability. The severity of myelopathy is graded as mild if the score is ≥ 15, moderate if the score 12–14 or severe if the score is < 12