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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Since there are three main pathways of progression, the questions are also divided in relation to the types of onset. People diagnosed with ALS live on average 2—4 years after diagnosis due to the quick progression of the disease. Mild unsteadiness or fatigue.

Speech combined with nonvocal communication. Needs attendant for self-care. Journal of Neurology, Neurosurgery, and Psychiatry. Moderately excessive saliva; may have minimal drooling.

ALSFRS-R score and its ratio: a useful predictor for ALS-progression.

Some help needed with closures and fasteners. Journal of the Neurological Sciences. Occurs with one or more of the following: Neurology Amyotrophic lateral sclerosis Rating systems.

Continuous use of BiPAP during the night and day. This page alsfrsr last edited on 3 Decemberat Marked excess of saliva with some drooling. Non-ambulatory functional movement only. Questions 1 to 3 are related to bulbar onset, questions 4 alsfs-r 9 are related to limb onset and questions are related to respiratory onset.


Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2.

ALS Functional Rating Scale – Revised

Needs supplemental tube feeding. Does not routinely use more than two pillows. Can only sleep sitting up. Swallowing Normal eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral or enteral feeding 4. 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 Can turn alone or adjust sheets, but with great difficulty. Independent and complete self-care with effort or decreased efficiency.

Can cut most foods, although clumsy and slow; some help needed. 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.

ALSFRS-R score and its ratio: a useful predictor for ALS-progression.

Significant difficulty, considering using mechanical wlsfrs-r support. Slight but definite excess of saliva in mouth; may have nighttime drooling. Amyotrophic Lateral Sclerosis ALSis a neurodegenerative disease that typically affects adults around [1] years of age, although anyone can be diagnosed with the disease.

Occurs at rest, difficulty breathing when either sitting or lying. Not all words are legible. Orthopnea None Some difficulty sleeping at night due to shortness of breath. Provides minimal assistance to caregiver.


Body mass index (BMI) as predictor of ALSFRS-R score decline in ALS patients.

A Journal of Neurology. A Systematic Review of the Published Literature”. Orphaned articles from December All orphaned articles Neurology articles needing expert attention. Clumsy but able to perform all manipulations independently. Retrieved from ” https: Intermittent assistance or substitute methods.

How many years since onset of symptoms? Able to grip pen but unable to write.

A score scoge 0 on a question would indicate no function while a score of 4 would indicate full function. By using this site, you agree to the Terms of Use and Privacy Policy. Menu “left menu navigation” Ends.

Unable to perform any aspect of task. A longitudinal and survival analysis of functional dimension subscores in amyotrophic lateral sclerosis”. ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression.

Dyspnea None Occurs when walking Occurs with one or more of the following: