ToolsCalculators
Myasthenia Gravis Activities of Daily Living (MG-ADL)
Patient-reported disease severity across 8 symptom domains in myasthenia gravis.
Myasthenia Gravis Activities of Daily Living (MG-ADL)
Talking
Chewing
Swallowing
Breathing
Impairment of brushing teeth or combing hair
Impairment of ability to arise from a chair
Double vision (diplopia)
Eyelid droop (ptosis)
Result0 points
Higher scores reflect greater disease burden across ocular, bulbar, respiratory, and limb domains; a change of >=2 points is generally considered clinically meaningful.
When to use
- Serial assessment of MG symptom burden in clinic and treatment trials.
- Tracking response to symptomatic or immunomodulatory therapy.
Formula
Sum of 8 items (talking, chewing, swallowing, breathing, hygiene tasks, rising from a chair, diplopia, ptosis), each graded 0 (normal) to 3 (most severe); range 0-24.
Pearls and pitfalls
- Recall period is the preceding 7 days (or since last visit if shorter).
- Complements but does not replace quantitative exam-based scales (e.g., QMG) or the MGFA clinical classification.