Online Course
Rancho Los Amigos Level of Cognitive Functioning Scale
Expand your understanding of the Rancho Scale for patients recovering from a traumatic brain injury

1-1.5 hours





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Stacy Schiurring
Course instructor

Stacy has experience in multiple practice settings, with advanced training in neurological conditions, wound care, and pain management

The WTR Project aims to improve the rehabilitation system in Ukraine

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Worldwide, traumatic brain injury (TBI) is a leading cause of death and disability in persons aged less than 45 years. It is estimated that between 64 and 74 million new TBI diagnoses occur annually worldwide, with the majority of the cases being mild and moderate in severity. TBI is a significant concern to public health and rehabilitation professionals as it is associated with both acute and long-term disabilities.

The Rancho Los Amigos Level of Cognitive Functioning Scale, commonly known as The Rancho Scale, is a widely used tool in the cognitive and behavioural assessment of persons following a TBI. It considers both the patient’s state of consciousness and the level of assistance they require to complete cognitive and physical functions. It can be used to facilitate communication among the multidisciplinary team to better understand the patient’s abilities, impairments, and prognosis. The real-time nature of therapy interventions provides an ideal opportunity to assess and assign a Rancho Level based on a patient’s abilities and behaviours. This course introduces the Rancho Los Amigos Level of Cognitive Functioning Scale, overviews the descriptive levels of the Scale, discusses clinical techniques and interventions to help manage patient behaviours during assessment, and discusses the Scale’s clinical and prognostic value.


This course aims to introduce rehabilitation professionals to the method and interpretation of the Rancho Los Amigos Level of Cognitive Functioning Scale.


This course is made up of videos, reading, forum posts and a final quiz. The course content is split into the following sections:

  1. Video
  2. Reading activity
  3. Quiz

Target audience

This course is aimed at Physiotherapy and Physical Therapy clinicians, students and assistants. Other interested professionals such as athletic trainers, occupational therapists, nurses or medical doctors interested in this subject are also invited to participate.


  • Availability - this course is online and can be completed on your own schedule.
  • Hours of Learning - No deadlines are applied to this course and it can be started and completed in your own time according to your personal schedule. We expect the required elements to take around 1-1.5 hours depending on your schedule and learning style. Additionally there are many optional resources provided and if you choose to review these the course could take longer to complete.
  • Types of Activities - Watching videos, reading, a final quiz and participating in an international discussion forum.
  • Certificates - At the end of the course, when you have completed all of the required elements, you will be able to download a certificate of completion and 1.1 Plus points will be added to your personalised learning dashboard.

Requirements to complete this course

In order to complete this course and receive a course completion certificate plus CEUs/CCUs/CPD points you will need to:

  1. Respect the Plus Community Culture.
  2. Log all the required learning activities as complete (represented by the orange icons!).
  3. Actively and appropriately participate in the course discussions.
  4. Pass a final quiz with a score of 80% or more.
  5. Complete a course evaluation form.

Learning outcomes

At the end of this course you will be able to:

  • discuss the key components of the 10 levels of the Rancho Los Amigos Level of Cognitive Functioning Scale
  • identify at least three clinical techniques to promote cognitive recovery during assessment of the 10 levels of the Rancho Los Amigos Level of Cognitive Functioning Scale

Instructor financial and non-financial disclosures

Stacy Schiurring: No relevant relationships disclosed by instructor.


For special needs or accommodations please contact us with details of how we can meet your needs.