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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ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression. Menu “left menu navigation” Begins – Skip Menu.

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 turn alone or adjust sheets, but with great difficulty. 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. Can initiate, but not turn or adjust sheets alone. Needs attendant for self-care. Some help needed with closures and fasteners. Independent and complete self-care with effort or decreased efficiency. Occurs with one or more of the following: Some difficulty sleeping at night due to shortness of breath.

ALS Functional Rating Scale – Revised – Wikipedia

Somewhat slow and clumsy, but no help needed. Provides minimal assistance to caregiver. Clumsy but able to perform all manipulations independently.


Needs supplemental tube feeding. Early eating problems-occasional choking. Journal of Neurology, Neurosurgery, and Psychiatry. Handwriting Normal Slow or sloppy; all words are legible Not all words are legible Able to grip pen alsfrw unable to write Unable to grip pen 5. NPO exclusively parenteral or enteral feeding.

This page was last edited on 3 Decemberat 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 No purposeful leg movement. Mild unsteadiness or fatigue. Views Read Edit View history. Walking Normal Early ambulation difficulties Walks with assistance Non-ambulatory functional movement only No purposeful leg movement 9.

In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected. People diagnosed with ALS live on average 2—4 years after diagnosis due to the quick progression of the disease.

ALS Functional Rating Scale

Journal of the Neurological Sciences. 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.

A score of 0 on a question would indicate no function while a score of 4 would indicate full function.


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

Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2. How many years since onset of symptoms? From Wikipedia, the free encyclopedia.

Can only sleep sitting up. Invasive mechanical ventilation by intubation or aalsfrs. Marked drooling; requires constant tissue or handkerchief.

Neurology Amyotrophic lateral sclerosis Rating systems. Food must be cut by someone, but can still feed slowly. Needs extra pillow in order to sleep more than two.

ALS Functional Rating Scale – Revised

Continuous alssfrs of BiPAP during the night and day. Please introduce links to this page from related articles ; try the Find link tool for suggestions. Cutting food with gastrostomy. Retrieved from ” https: ALS Society of Canada. Slight but definite excess of saliva in mouth; may have nighttime drooling. Orphaned articles from December All orphaned articles Neurology articles needing expert attention. Non-ambulatory functional movement only.

Dyspnea None Occurs when walking Occurs with one or more of the following: Significant difficulty, considering using mechanical respiratory support.