The Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS) is an instrument for evaluating the functional status of patients with Amyotrophic Lateral. J Neurol Sci. Dec 15;() doi: / Epub Aug ALSFRS-R score and its ratio: a useful predictor for. 1. Amyotroph Lateral Scler Frontotemporal Degener. Apr;14(3) doi: / Epub Mar 1.
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Menu “left menu navigation” Ends. Marked excess of saliva with some drooling. Unable to perform any aspect of task. 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.
This page was last edited on 3 Decemberat This article is an orphanas no other articles link to it. Moderately excessive saliva; may have minimal drooling. How many years since onset of symptoms? In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected.
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. 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. Slight but definite excess of saliva in mouth; may have nighttime drooling.
A Journal of Neurology. Needs extra pillow in order to sleep more than two. Neurology Amyotrophic lateral sclerosis Rating systems. Can cut most foods, although clumsy and slow; some help needed. Some help needed with closures and fasteners.
Needs attendant for self-care. Speech combined with nonvocal communication. Salivation Normal Slight but definite excess of saliva in mouth; may have nighttime drooling Moderately excessive saliva; may scofe minimal drooling Marked excess of saliva with some drooling Marked drooling; requires constant tissue or handkerchief 3. Views Read Edit View history. Can turn alone or adjust sheets, but with great difficulty.
Marked drooling; requires constant tissue or handkerchief. People diagnosed with ALS live on average 2—4 years after diagnosis due to the quick progression of the disease.
Mild unsteadiness or fatigue. Walking Normal Early ambulation difficulties Walks with alsvrs-r Non-ambulatory functional movement only No purposeful leg movement 9. A Systematic Review of the Published Literature”.
NPO exclusively parenteral or enteral feeding. Some difficulty sleeping at night due to shortness of breath. Able to grip pen but unable to write. Somewhat slow and clumsy, but no help needed. 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. Invasive mechanical ventilation by intubation or tracheostomy. J Neurol Neurosurg Psychiatry. Does not routinely use more than two pillows Needs extra pillow in order to sleep more than two Can only sleep sitting up Unable to sleep Needs supplemental tube feeding.
Food must be cut by someone, but can still feed slowly. No purposeful leg movement. Non-ambulatory functional movement only. ALS Society of Canada. Significant difficulty, considering using mechanical respiratory support.
ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression. Please introduce links to this page from related articles ; try the Find link tool for suggestions.
ALS Functional Rating Scale
Since there are three main pathways of progression, the questions are also divided in relation to the types of onset.
Scoe None Some difficulty sleeping at night due to shortness of breath. Menu “left menu navigation” Begins – Skip Menu. Independent and complete self-care with effort or decreased efficiency.