J Neurol Sci. Oct 31;() The ALSFRS-R: a revised ALS functional rating scale that incorporates assessments of respiratory function. The Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS) is an instrument for evaluating the functional status of patients with Amyotrophic Lateral. ABSTRACT. Introduction ALS functional rating scale (revised). (ALSFRS-R) is the most widely used functional rating system in patients with.

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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 Early eating problems-occasional choking. From Wikipedia, the free encyclopedia. A Systematic Review of the Published Literature”.

Occurs at rest, difficulty breathing when either sitting or lying. Unable to perform any aspect of task.

People diagnosed with ALS live on average 2—4 years after diagnosis due to the quick progression of the disease. Journal of Neurology, Neurosurgery, and Psychiatry. Speech combined with nonvocal communication. Food alsfes be cut by someone, but can still feed slowly. Intermittent assistance or substitute methods. J Neurol Neurosurg Alsffrs. Needs supplemental tube feeding. Significant difficulty, considering using mechanical respiratory support.

Retrieved from ” https: Provides minimal assistance to caregiver. A score of 0 on a question would indicate no function while a score of 4 would indicate full function. This article is an orphanas no other articles link to it. Menu “left menu navigation” Ends. Independent and complete self-care with effort or decreased efficiency.


Cutting food with gastrostomy. Can turn alone or adjust sheets, but with great difficulty. Journal of the Neurological Sciences. Does not routinely use more than two pillows. Since there are three main pathways of progression, the questions are also divided in relation to the types of onset.

Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2. Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively allsfrs or enteral feeding 4.

ALS Functional Rating Scale – Revised

Non-ambulatory functional movement only. Views Read Edit View history. A longitudinal and survival analysis of functional dimension subscores in amyotrophic lateral sclerosis”. NPO exclusively parenteral or enteral feeding. Able to grip pen but unable to write.

Some difficulty sleeping at night due to shortness of breath. 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.

Orthopnea None Some difficulty sleeping at night due to shortness of breath. ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression. Slight but definite excess of saliva in mouth; may have nighttime drooling. 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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Dyspnea None Occurs when walking Occurs with one or more of the following: Orphaned articles from December All orphaned articles Neurology articles needing expert attention.

ALS Functional Rating Scale

Needs attendant for self-care. 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.

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Mild unsteadiness or fatigue. Can initiate, but not turn or adjust sheets alone. 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. Marked excess of saliva with some drooling.

ALS Functional Rating Scale – Revised – Wikipedia

This page was last edited on 3 Decemberat Can cut most foods, although clumsy and slow; some help needed. Can only sleep sitting up.

Amyotrophic Lateral Sclerosis ALSis a neurodegenerative disease that typically affects adults around [1] years of age, although anyone can be diagnosed with the disease.

Needs extra pillow in order to sleep more t two.