Zysquy

Zysquy — NIH Stroke Scale for non-English speaking patients
Zysquy helps learners and educators practice the NIH Stroke Scale (NIHSS) with support for non-English speaking patients. If you’re training in settings where patients speak Spanish or another language, the app gives you ready phrases and step-by-step guidance so you can practice the full scale in a consistent way.
What you get
Full NIH Stroke Scale — All 11 categories (1a through 11), including Motor Arm and Motor Leg for left and right
Spanish prompts — Clear “say or show to patient” text at each step for naming, reading, and picture description
Instructions in English — What to do and how to score, so providers can run the assessment while supporting the patient in Spanish
One-tap scoring — Large buttons and a running total so you can focus on the exam
Summary — Final score and item-by-item breakdown when you finish
Optional speech — Play Spanish phrases aloud and, where available, capture or translate patient-style responses for practice
Privacy and data
Zysquy does not collect your data. Everything stays on your device and is stored locally and encrypted. No account is required.
Important
This app is for education and training only. It is not a medical device and must not be used for clinical decisions, diagnosis, or treatment. It does not replace formal NIHSS training or your institution’s protocols. Use only in line with your facility’s policies and applicable certifications.