Brooke Upper Extremity Grade
Clinician reported outcome. A 6-point classification designed originally for DMD. Summarises upper limb function with a low score 1 = normal simultaneous abduction of both arms and a score of 6 = no useful hand function. The modified Brooke reverses the scoring and adds an additional level of scoring. See PUL Entry Item SOP.
Developed for DMD but also used in SMA and other NMD
Level of function:
Ambulatory and non-ambulatory
Can be a quick method of summarising upper limb function. However, it does have a ceiling effect in strong patients. A modified version of the Brooke is the Entry item in the Performance of Upper Limb Scale.