ALS FUNCTIONAL RATING SCALE-REVISED ALSFRS-R PDF

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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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This article is an orphanas no other articles link to it. ALS Society of Canada. Walking Normal Early ambulation difficulties Walks with assistance Non-ambulatory functional movement only No purposeful leg movement 9.

Neurology Amyotrophic lateral sclerosis Rating systems. Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of functinoal speech 2.

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.

Independent and complete self-care with effort or decreased efficiency. Since there are three main pathways of progression, the questions are also divided in relation to the types of onset. 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. Somewhat slow and clumsy, but no help needed. Cutting food with gastrostomy. Non-ambulatory functional movement only.

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Moderately excessive saliva; may have minimal drooling. Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral or enteral feeding 4. Turning in bed Normal Somewhat slow and clumsy, but no help needed Can turn alone or adjust sheets, funtional with great difficulty Can initiate, but not turn or adjust sheets alone Helpless 8.

ALS Functional Rating Scale – Revised

A score of 0 on ratingg question would indicate no function while a score of 4 would indicate full function. Retrieved from ” https: How many years since onset of symptoms? Occurs with one or more of the following: Can cut most foods, although clumsy and slow; some help needed.

Salivation Normal Slight but definite excess of saliva in mouth; may have nighttime drooling Moderately excessive saliva; may have minimal drooling Marked excess of saliva with some drooling Marked drooling; requires constant tissue alwfrs-r handkerchief 3. Does not routinely use more than two pillows.

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. Early eating problems-occasional choking. Orphaned articles from December All orphaned articles Neurology articles needing expert attention.

Can only sleep sitting up. Provides minimal assistance to caregiver. Not all words are legible. Views Read Edit View history. Invasive mechanical ventilation by intubation or tracheostomy. Some help needed with closures and fasteners. Occurs at rest, difficulty breathing when either sitting or lying.

Some difficulty sleeping at night due to shortness of breath. From Wikipedia, the free encyclopedia. Please introduce links to this page ratnig related articles ; try the Find link tool for suggestions. Continuous use of BiPAP during the night and day. Journal of the Neurological Sciences. Dyspnea None Occurs when walking Occurs with one or more scxle-revised the following: In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected.

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Unable to perform any aspect of task.

Needs supplemental tube feeding. Journal of Neurology, Neurosurgery, and Psychiatry.

ALS Functional Rating Scale – Revised – Wikipedia

Needs attendant for self-care. Slow or sloppy; all words are legible. NPO exclusively parenteral or enteral feeding. Can initiate, but not turn or adjust sheets alone.

Marked drooling; requires constant tissue or handkerchief. Needs extra pillow in order to sleep more than two. 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 all manipulations independently Some help needed with closures and fasteners Provides minimal assistance to caregiver Unable to perform any aspect of task ratting.