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.

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

Slow or sloppy; all words are legible. Unable to perform any aspect of task.

In ALS the main type of onset is bulbar, followed by limb-onset; which describes the region of motor neurons first affected. Some difficulty sleeping at night due to shortness of breath.

ALS Functional Rating Scale – Revised – Wikipedia

Needs attendant for self-care. ALS Society of Canada. Speech combined with nonvocal communication.

NPO exclusively parenteral or enteral feeding. Can initiate, but not turn or adjust sheets alone. Non-ambulatory functional movement only. Needs extra pillow in order to sleep more than two. Amyotrophic Lateral Sclerosis ALSis a neurodegenerative disease that scord affects adults around [1] years of age, although anyone can be diagnosed with the disease. Can cut most foods, although clumsy and slow; some help needed. Invasive mechanical ventilation by intubation or tracheostomy.


Early eating problems-occasional choking. Able to grip pen but unable to write. Can turn alone or adjust sheets, but with great difficulty. Significant difficulty, considering using mechanical respiratory support. No purposeful leg movement. Cutting food with gastrostomy. Occurs with one or more of the following: A xlsfrs-r of 0 on a question would indicate no function while a score of 4 would indicate full function. Can only sleep sitting up.

Menu “left menu navigation” Begins – Skip Menu. Somewhat slow aldfrs-r clumsy, but no help needed. Some help needed with closures and fasteners. J Neurol Neurosurg Psychiatry.

ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression. Not all words are legible. Orthopnea None Some difficulty sleeping at night due to shortness of breath. Retrieved from ” https: This page was last edited on 3 Decemberat A Systematic Review of the Published Literature”.

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. 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.


Occurs at rest, difficulty breathing when either sitting or lying. Clumsy but able to perform all manipulations independently. Journal of the Neurological Sciences.

ALS Functional Rating Scale – Revised

Provides minimal assistance to caregiver. From Wikipedia, the free encyclopedia. Mild unsteadiness or fatigue. A longitudinal and survival analysis of functional dimension subscores in amyotrophic lateral sclerosis”.