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

Neurology Amyotrophic lateral sclerosis Rating systems. Marked drooling; requires constant tissue or handkerchief.

Since there are three main pathways of progression, the questions are also divided in relation to the types of onset. Slight but definite excess of saliva in mouth; may have nighttime drooling. Views Read Edit View history.

Please introduce links to this page from related articles ; try the Find link tool for suggestions. Unable to perform any aspect of task. Ratihg purposeful leg movement.

Needs attendant for self-care. Needs extra pillow in order to sleep more than two. Moderately excessive saliva; may have minimal drooling.


Speech combined with nonvocal communication. Does not routinely use more than two pillows. Clumsy but able to perform all manipulations independently. A Journal of Alsfre-r.

Walking Normal Early ambulation difficulties Walks with assistance Non-ambulatory functional movement only No purposeful leg movement 9.

ALS Society of Canada. Mild unsteadiness or fatigue. Some help needed with closures and fasteners. In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected. Continuous use of BiPAP during the night and day. 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.

Can only sleep sitting up. Slow or sloppy; all words are legible.

By using this site, you agree to the Terms of Use and Privacy Policy. Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral or enteral feeding 4.

Menu “left menu navigation” Begins – Skip Menu. Marked excess of saliva with some drooling. ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression. A longitudinal and survival analysis of functional dimension subscores in amyotrophic lateral sclerosis”. 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.


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.

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

ALS Functional Rating Scale – Revised – Wikipedia

Significant difficulty, considering using mechanical respiratory support. J Neurol Neurosurg Psychiatry. Menu “left menu navigation” Ends.

How many years since onset of symptoms? Does not routinely use more than two pillows Needs extra alsfgs-r in order to sleep more than two Can only sleep sitting up Unable to sleep Can initiate, but not turn or adjust sheets alone. Can turn alone or adjust sheets, but with great difficulty.