ALS FUNCTIONAL RATING SCALE-REVISED ALSFRS-R PDF

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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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Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral or enteral feeding 4. Cutting food dunctional gastrostomy.

ALS Functional Rating Scale – Revised – Wikipedia

J Neurol Neurosurg Psychiatry. 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.

People diagnosed with ALS live on average 2—4 years after diagnosis due to the quick progression of the disease. Mild unsteadiness or fatigue.

Some difficulty sleeping at night due to shortness of breath. Since there are three main pathways of progression, the questions are also divided in relation to the types of onset. Orphaned articles from December All orphaned articles Neurology articles needing expert attention.

In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected. Significant difficulty, considering using mechanical respiratory support. Ala using this site, you agree to the Terms of Use and Privacy Policy.

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Not all words are legible. NPO exclusively parenteral or enteral feeding. Needs attendant for self-care.

ALS Functional Rating Scale – Revised

Somewhat slow and clumsy, but no help needed. Journal of Neurology, Neurosurgery, and Psychiatry. Needs supplemental tube feeding. From Wikipedia, the free encyclopedia.

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. Neurology Amyotrophic lateral sclerosis Rating systems.

How many years since onset of symptoms? Slight but definite excess of saliva in mouth; may have nighttime drooling. 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.

ALS Functional Rating Scale

Can only sleep sitting up. A Systematic Review of the Published Literature”. Intermittent assistance or substitute methods. Needs extra pillow in order to sleep more than two. Can alsfrss-r alone or adjust sheets, but with great difficulty.

Independent and complete self-care with effort or decreased efficiency. Occurs with one or more of the following: Journal of the Neurological Sciences. A Journal of Neurology. This page was last edited on 3 Decemberat Clumsy but able to perform all manipulations independently. 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 Alsrrs-r of useful speech 2.

Dressing and hygiene Normal function Independent and complete self-care with effort or decreased efficiency Intermittent assistance or substitute methods Needs attendant for ratung Total dependence 7. No purposeful leg movement. Marked excess of saliva with some drooling. Does not routinely use more than two pillows Needs qlsfrs-r pillow in order to sleep more than two Can only sleep sitting up Unable to sleep ALS Society of Canada.

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Marked drooling; requires constant tissue or handkerchief. 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 Ufnctional help needed with closures and fasteners Provides minimal assistance to caregiver Unable to perform any aspect of task 6.

Some help needed with closures and fasteners. Amyotrophic Lateral Sclerosis ALSalsfrz-r a neurodegenerative disease that typically affects adults around [1] years of age, although anyone can be diagnosed with the disease. 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.

Continuous use of BiPAP during the night and day.