J Neurol Sci. Oct 31;() The ALSFRS-R: a revised ALS functional rating scale that incorporates assessments of respiratory function. Amyotrophic Lateral Sclerosis (ALS), is a neurodegenerative disease that typically affects The ALSFRS-R scale has some limitations though since it is not useful to compare scores of people who present with different onset. In ALS the main. Subscales of the ALS Functional Rating Scale (ALSFRS-R) as met El Escorial- Revised criteria for Possible, Probable or Definite ALS at.
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Orphaned articles from December All orphaned articles Neurology articles needing expert attention. Can only sleep sitting up. This article is an orphanas no other articles link to it. Unable to perform any aspect of task. Speech combined with nonvocal communication. Menu “left menu raring Ends. Journal scale-reviesd Neurology, Neurosurgery, and Psychiatry.
This page was last edited on 3 Decemberat Questions 1 to 3 are related to bulbar onset, questions 4 to 9 are related to limb onset and questions are related to respiratory onset. Needs attendant for self-care.
How many years since onset of symptoms?
Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2. Can cut most foods, although clumsy and slow; some help needed.
ALS Functional Rating Scale – Revised
Clumsy but able to perform all manipulations independently. Orthopnea None Some difficulty sleeping at night due to shortness of breath. A Journal of Neurology. A Systematic Review of the Published Literature”.
Dressing and hygiene Normal function Independent and complete self-care with effort or decreased efficiency Intermittent assistance or substitute methods Needs attendant for self-care Total dependence 7.
From Wikipedia, the free encyclopedia. Non-ambulatory functional movement only. Journal of the Neurological Sciences. Slight but definite excess of saliva in mouth; may have nighttime drooling. A longitudinal and survival analysis of functional dimension subscores in amyotrophic lateral sclerosis”. Cutting food with gastrostomy. Significant difficulty, considering using mechanical respiratory support.
Please introduce links to this page from related articles ; try the Find link tool for suggestions. Continuous use of BiPAP during the night and day.
Marked drooling; requires constant aks or handkerchief. Cutting food with gastrostomy Normal Somewhat slow and clumsy, but no help needed Can cut most foods, although clumsy and slow; some help needed Food must be cut by someone, but can still feed slowly Needs to be fed Normal Clumsy but able to perform scale-revissed manipulations independently Some help needed with closures and fasteners Provides minimal assistance to caregiver Unable to perform any aspect of task 6.
People diagnosed with ALS live on average 2—4 years after diagnosis due to the quick progression of the disease. Somewhat slow and clumsy, but no help needed. A score of 0 on a question would indicate no function while a score of 4 would indicate full function.
ALS Functional Rating Scale – Revised – Wikipedia
Occurs at rest, difficulty breathing when either sitting or lying. In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected. Menu “left menu navigation” Begins – Skip Menu. J Neurol Neurosurg Psychiatry. Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube rqting NPO exclusively parenteral or enteral feeding 4.
Independent and complete self-care with effort or decreased efficiency. NPO exclusively parenteral or enteral feeding.
Can initiate, but not turn or adjust sheets alone. Needs supplemental tube feeding. Does not routinely use more than two pillows. Invasive mechanical ventilation by intubation or tracheostomy. Some help needed with closures and fasteners. ALSFRS-R scores calculated at diagnosis can be compared to scores sale-revised time to determine the speed of progression. Food must be cut by someone, but can still feed slowly. Handwriting Normal Slow or sloppy; all words are legible Not all words are legible Able to grip pen but unable to write Unable to grip pen 5.
Retrieved from ” https: Moderately aldfrs-r saliva; may have minimal drooling.