{"id":173,"date":"2013-09-07T14:59:14","date_gmt":"2013-09-07T14:59:14","guid":{"rendered":"https:\/\/docneuro.jz7sunfr-liquidwebsites.com\/edss\/"},"modified":"2020-01-11T14:23:57","modified_gmt":"2020-01-11T20:23:57","slug":"edss","status":"publish","type":"post","link":"https:\/\/docneuro.com\/edss\/","title":{"rendered":"Expanded disability status score for MS"},"content":{"rendered":"<p>Disability progression is assessed by the Expanded Disability Status Score (EDSS). To make sense of the scale from 0 (normal neuro exam) to 10 (death due to MS), a few pointers:<\/p>\n<p>  <!--more-->  <\/p>\n<ul style=\"margin-top: 0in;\" type=\"disc\">\n<li>1-1.5 is no disability that the patient notes, e.g. decreased vibration sense or red desaturation<\/li>\n<li>3-3.5, billed as \u201cdisability is mild to moderate,\u201d but clinically this is already significant disease<\/li>\n<li>5-5.5, \u201cincreasing limition in ability to walk\u201d is a rarely used class in clinic because outside of trials, it may not be practical to measure precise walking ability and distance<\/li>\n<li>6-6.5 in practice means needs a walker<\/li>\n<li class=\"MsoNormal\">7-7.5 means confined to wheelchair and is the cut-off for most clinical trials<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\" size-full wp-image-468\" src=\"https:\/\/docneuro.com\/wp-content\/uploads\/2013\/09\/EDSS-summary.png\" border=\"0\" title=\"EDSS summary figure\" width=\"500\" style=\"border: 0px; display: block; margin-left: auto; margin-right: auto;\" srcset=\"https:\/\/docneuro.com\/wp-content\/uploads\/2013\/09\/EDSS-summary.png 905w, https:\/\/docneuro.com\/wp-content\/uploads\/2013\/09\/EDSS-summary-300x198.png 300w, https:\/\/docneuro.com\/wp-content\/uploads\/2013\/09\/EDSS-summary-768x507.png 768w\" sizes=\"(max-width: 905px) 100vw, 905px\" \/><\/p>\n<p>Download the <a href=\"https:\/\/www.nationalmssociety.org\/For-Professionals\/Researchers\/Resources-for-Researchers\/Clinical-Study-Measures\/Functional-Systems-Scores-(FSS)-and-Expanded-Disab\" class=\"broken_link\">EDSS assessment form<\/a>.<\/p>\n<h2>EDSS<\/h2>\n<p>The language used here is modified from the\u00a0full EDSS form linked above.<\/p>\n<p><span style=\"line-height: 1.3em;\">0.0 &#8211; Normal neurological exam.<\/span><\/p>\n<p>1.0 &#8211; No disability, minimal signs in one functional system (i.e., grade 1).\u00a0<\/p>\n<p>1.5 &#8211; No disability, minimal signs in more than one functional system*.<\/p>\n<p>2.0 &#8211; Minimal disability in one functional system.<\/p>\n<p>2.5 &#8211; Minimal disability in two functional systems.<\/p>\n<p>3.0 &#8211; Moderate disability in one functional system or mild disability in three or four functional systems though fully ambulatory.\u00a0<\/p>\n<p>3.5 &#8211; Fully ambulatory but with moderate disability in one functional system and one or two functional systems grade 2; or two functional systems grade 3 or five grade 2.<\/p>\n<p>4.0 &#8211; Fully ambulatory without aid, self-sufficient, up and about some 12 hours a day despite relatively severe disability consisting of one functional system grade 4, or combination of lesser grades exceeding limits of previous steps; able to walk without aid or rest some 500 meters.\u00a0<\/p>\n<p>4.5 &#8211; Fully ambulatory without aid, up and about much of the day, able to work a full day, may otherwise have some limitation of full activity or require minimal assistance; characterized by relatively severe disability usually consisting of one functional system grade 4 or combinations of lesser grades exceeding limits of previous steps; able to walk without aid or rest some 300 meters.\u00a0<\/p>\n<p>5.0 &#8211; Ambulatory without aid or rest for about 200 meters; disability severe enough to impair full daily activities (e.g., to work a full day without special provisions).<\/p>\n<p>5.5 &#8211; Ambulatory without aid for about 100 meters; disability severe enough to preclude full daily activities.<\/p>\n<p>6.0 &#8211; Intermittent or unilateral constant assistance (cane, crutch, brace) required to walk about 100 meters with or without resting.<\/p>\n<p>6.5 &#8211; Constant bilateral assistance (canes, crutches, braces) required to walk about 20 meters without resting.<\/p>\n<p>7.0 &#8211; Unable to walk beyond approximately 5 meters even with aid, essentially restricted to wheelchair; wheels self in standard wheelchair and transfers alone; up and about in wheelchair some 12 hours a day.<\/p>\n<p>7.5 &#8211; Unable to take more than a few steps; restricted to wheelchair; may need aid in transfer; wheels self but cannot carry on in standard wheelchair a full day; May require motorized wheelchair.<\/p>\n<p>8.0 &#8211; Essentially restricted to bed or chair or perambulated in wheelchair, but may be out of bed itself much of the day; retains many self-care functions; generally has effective use of arms.<\/p>\n<p>8.5 &#8211; Essentially restricted to bed much of day; has some effective use of arm(s); retains some self-care functions<\/p>\n<p>9.0 &#8211; Helpless bed patient; can communicate and eat.<\/p>\n<p>9.5 &#8211; Totally helpless bed patient; unable to communicate effectively or eat\/swallow.<\/p>\n<p class=\"MsoNormal\">10.0 &#8211; Death due to MS.\u00a0\u00a0<\/p>\n<h2>Reference<\/h2>\n<p>Kurtzke JF. \u00a0Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS).\u00a0<span style=\"line-height: 1.3em;\">Neurology. 1983 Nov;33(11):1444-52.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Disability progression is assessed by the Expanded Disability Status Score (EDSS). To make sense of the scale from 0 (normal neuro exam) to 10 (death due to MS), a few pointers:<\/p>\n","protected":false},"author":6,"featured_media":468,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[9],"tags":[426,72,427,73],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Expanded disability status score for MS - DocNeuro<\/title>\n<meta name=\"description\" content=\"Clinical pearls about the Expanded Disability Status Score.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/docneuro.com\/edss\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Expanded disability status score for MS - 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