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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Marked excess of saliva with alsfra drooling. Unable to perform any aspect of task. Speech Normal speech processes Detectable speech disturbance Intelligible with repeating Speech combined with nonvocal communication Loss of useful speech 2.

Amyotrophic Lateral Sclerosis ALSis a neurodegenerative disease that typically affects adults around [1] years of age, although anyone can be diagnosed with the disease. Some difficulty sleeping at night due to shortness of breath.

ALS Functional Rating Scale

Occurs with one or more of the following: A longitudinal and survival analysis of functional dimension subscores in amyotrophic lateral sclerosis”.

Can only sleep sitting up. ALS Society of Canada. Slow or sloppy; all words are legible. Orthopnea None Some difficulty sleeping at night alssfrs to shortness of breath. Since there are three main pathways of progression, the questions are also divided in relation to the types of onset. Invasive mechanical ventilation by intubation or alsfrw.


Not all words are legible. Provides minimal assistance to caregiver.

F Systematic Review of the Published Literature”. Can turn alone or adjust sheets, but with great difficulty. Journal of the Neurological Sciences. Early eating problems-occasional choking. A Journal of Neurology.

Intermittent assistance or substitute methods. Food must be cut by someone, but can still feed slowly. Slight but definite excess of saliva in mouth; may have nighttime drooling. 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 alsfts.

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

Significant difficulty, considering using mechanical respiratory support. Continuous use of BiPAP during the night and day. NPO exclusively parenteral or enteral feeding. Dressing alwfrs 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.


Cutting food with gastrostomy. Walking Normal Early ambulation difficulties Walks with assistance Non-ambulatory functional movement only No purposeful leg movement 9.

Non-ambulatory functional movement only. ALSFRS-R scores calculated at diagnosis can be compared to scores throughout time to determine the speed of progression. Mild unsteadiness or fatigue. In ALS the main type of onset is bulbar, followed by limb-onset; aslfrs describes the region of motor neurons first affected.

ALS Functional Rating Scale – Revised

Independent and complete self-care with effort or decreased efficiency. 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.

Some help needed with closures and fasteners. 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.