ALS FUNCTIONAL RATING SCALE-REVISED ALSFRS-R PDF
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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Intermittent assistance or substitute methods. Journal of the Neurological Sciences. Independent and complete self-care with effort or decreased efficiency.
ALS Functional Rating Scale
How many years since onset of symptoms? Views Read Edit View history. NPO exclusively parenteral or enteral feeding. Marked drooling; requires constant tissue or handkerchief.
Can cut alsfes-r foods, although clumsy and slow; some help needed. This page was last edited on 3 Decemberat Non-ambulatory functional movement only.
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From Wikipedia, the free encyclopedia. Needs supplemental tube feeding. Questions 1 to 3 are related functuonal bulbar onset, questions 4 to 9 are related to limb onset and questions are related to respiratory onset. In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected.
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. Some help needed with closures and fasteners. Moderately excessive saliva; may have minimal drooling.
Does not routinely use more than two pillows Needs extra pillow in order to sleep more than two Can fumctional sleep sitting up Unable to sleep Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral or enteral feeding 4.
People diagnosed with ALS live on average 2—4 years after diagnosis due to the quick progression of the disease. Continuous use of BiPAP during the night and day.
ALS Functional Rating Scale – Revised
Dyspnea None Occurs when walking Occurs with one or more of the following: Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2. A Systematic Review of the Published Literature”.
Orphaned articles from December All orphaned articles Neurology articles needing expert attention. A Journal of Neurology. A score of 0 on a question would indicate no function while a score of 4 would indicate full function.
Significant functionl, considering using mechanical respiratory support. 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 Funnctional 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.
ALS Functional Rating Scale – Revised – Wikipedia
Can turn alone or adjust sheets, but with great difficulty. 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. Slight but definite excess of saliva in mouth; may have nighttime drooling. Occurs with one or more of the following: Walking Normal Early ambulation difficulties Walks with assistance Non-ambulatory functional movement only No purposeful leg movement 9.
Provides minimal assistance to caregiver. Amyotrophic Lateral Sclerosis ALSis a neurodegenerative disease that typically affects adults around  years of age, although anyone can be diagnosed with the disease.
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Clumsy but able to perform all manipulations independently. Journal of Neurology, Neurosurgery, and Psychiatry. Invasive mechanical ventilation by intubation or tracheostomy.