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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ALS Functional Rating Scale – Revised

Can initiate, but not turn or adjust sheets alone. How many years since onset of symptoms? Moderately excessive saliva; may have minimal drooling. Needs extra pillow in order to sleep more than two. Can only sleep sitting up. 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 or handkerchief 3.

ALS Society of Canada. A Journal of Neurology. Orphaned articles from December All orphaned articles Neurology articles needing expert attention.

Can cut most foods, although clumsy and slow; some help needed. Early eating problems-occasional choking. Please introduce links to this page from related articles ; try the Find link tool for suggestions.

Provides minimal assistance to caregiver. Marked drooling; requires constant tissue or handkerchief.

Marked excess of saliva with some drooling. Unable to perform any aspect of task. By using this site, you agree to the Terms of Use and Privacy Policy. Occurs with one or more of the following: Journal of Neurology, Neurosurgery, and Psychiatry. A longitudinal and survival analysis of functional dimension subscores in amyotrophic lateral sclerosis”. 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 6.

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Invasive mechanical ventilation alsfrsr intubation or tracheostomy.

ALS Functional Rating Scale – Revised – Wikipedia

Clumsy but able to perform all manipulations independently. Mild unsteadiness or fatigue. Slow or sloppy; all words are legible. Some difficulty sleeping at night due to shortness of breath. Needs attendant for self-care.

Cutting food with gastrostomy. Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2.

Needs supplemental tube feeding.

Intermittent assistance or substitute methods. Independent and complete self-care with effort or decreased efficiency. In ALS the main type of onset is bulbar, scaler-evised by limb-onset; which describes the region of motor neurons first affected.

Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral alsdrs-r enteral feeding 4. 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. ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression.

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Orthopnea None Some difficulty sleeping at night due to shortness of breath. This page was last edited on scale-rebised Decemberat Does not routinely use more than two pillows. Views Read Edit View history. Significant difficulty, considering using mechanical respiratory support.

ALS Functional Rating Scale

NPO exclusively parenteral or enteral feeding. Dressing and hygiene Normal function Independent and alfrs-r self-care with effort or decreased efficiency Intermittent assistance or substitute methods Needs attendant for self-care Total dependence 7.

Sale-revised Systematic Review of the Published Literature”. Menu “left menu navigation” Begins – Skip Menu. Food must be cut by someone, but can still feed slowly. Able to grip pen but unable to write. No purposeful leg movement.

J Neurol Neurosurg Psychiatry. Journal of the Neurological Sciences. Continuous use of BiPAP during the night and day. Dyspnea None Occurs when walking Occurs with one or more of the following: Some help needed with closures and fasteners. Walking Normal Early ambulation difficulties Walks with assistance Non-ambulatory functional movement only No purposeful leg movement 9. Speech combined with nonvocal communication. Turning in bed Normal Somewhat slow and clumsy, but no help needed Can turn alone or adjust sheets, but with great difficulty Can initiate, but not turn or adjust sheets alone Helpless 8.