Table 1

 Neurological score (a functional assessment of impairment of disability) and our classification of impairment into three groups

Neurological score
• Grade 0, no impairment or disorder detected
• Grade 1, impairment or disorder detected but no apparent disability and requiring no treatment
• Grade 2, impairment or disorder detected with no apparent disability but requiring treatment
• Grade 3, impairment plus disorder but compensates well enough to cope
• Grade 4, impairment plus disorder requiring continuing treatment support or management
• Grade 5, impairment plus disorder preventing satisfactory functioning
Major impairment
• General cognitive index < 70
• Neurological score grade 4 or 5
• Sensory-neural hearing loss requiring aids
• Visual impairment of 6/60 or worse despite correction
Minor impairment
• General cognitive index 70–79
• Neurological score grade 1, 2, or 3
• Sensory-neural hearing loss not requiring aids
• The presence of amblyopia (visual acuity of 6/18 or worse)
• Treatment for hydrocephalus
Normal
• General cognitive index ⩾80
• Neurological score of 0
• No sensory-neural hearing loss
• No amblyopia
• No hydrocephalus