CEMM Virtual Library

Moderate to Severe TBI

Rancho Los Amigos Scale of Cognitive Functioning

The Rancho Los Amigos Scale of Cognitive Functioning is a system of evaluation used to follow the recovery of the TBI patient and to design an appropriate rehabilitation program.

The scale is divided into eight stages, from coma to appropriate behavior and cognitive functioning. Those stages include:

Rancho Los Amigos Scale of
Cognitive Functioning

Stage Function
Stage 1  No response to stimulation
Stage 2  Generalized response to stimulation
Stage 3  Localized response to stimulation
Stage 4  Confused, agitated behavior
Stage 5  Confused, inappropriate, nonagitated behavior
Stage 6  Confused, appropriate behavior
Stage 7  Automatic, appropriate behavior
Stage 8 Purposeful, appropriate behavior

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