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

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 xlsfrs 3. Dyspnea None Occurs when walking Occurs with one or more of the following: Moderately excessive saliva; may have minimal drooling.

Marked drooling; requires constant tissue or handkerchief.


ALS Functional Rating Scale – Revised – Wikipedia

Invasive mechanical ventilation by intubation or tracheostomy. Early eating problems-occasional choking.

Please introduce links to this page from related articles ; try the Alsffrs link tool for suggestions. Not all words are legible.

Can only sleep sitting up. Independent and complete self-care with effort or decreased efficiency. Speech combined with nonvocal communication.

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.

ALS Functional Rating Scale

Needs supplemental tube feeding. Able to grip pen but unable to write. How many years since onset of symptoms? By using this site, you agree to the Terms alfsrs Use and Privacy Policy.

J Neurol Neurosurg Psychiatry. Occurs with one or more of the following: Menu “left menu navigation” Begins – Skip Menu.

A Systematic Review of the Published Literature”. Can initiate, but not turn or adjust sheets alone. Since there are three main pathways of progression, the questions are also divided in relation to the types of onset.

ALS Functional Rating Scale – Revised

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. Provides minimal assistance to caregiver.


From Wikipedia, the free encyclopedia. Slow or sloppy; all words are legible. Swallowing Alefrs eating habits Early eating problems-occasional choking Dietary consistency changes Needs supplemental tube feeding NPO exclusively parenteral or enteral feeding 4.

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

ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression. No purposeful leg movement. Can turn alone or adjust sheets, but with great difficulty. Some help needed with closures and fasteners. Significant difficulty, considering using mechanical respiratory support.

Clumsy but able to perform all manipulations independently. In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected.

Orthopnea None Some difficulty sleeping at night due to shortness of breath.