ALSFRS-R评分量表.pdf

ALSFRS Instructions for completing the ALSFRS-R (ALS Functional Rating Scale) A. Comparisons are made with the patients status prior to the onset of the disease, not with status at the last visit. B. Patients response (on a 5 point scale) is recorded in relation to the question How are you doing at (...)? for each of the 12 functions listed in the ALSFRS-R SPEECH DRESSING AND HYGEINE 4. Normal speech processes 4. Normal 3. Detectable speech disturbance 3. independent self care with effort of decreased 2. intelligible with repearing effieicency 2. intermittent assitance or substitute methods 1. speech combined with non-vocal communication 1. needs attendant for self care 0. loss of useful speech 0. total dependence SALIVATION TURNING IN BED AND ADJUSTING BEDCLOTHES 4. Normal 4. Normal 3. slight but definite excess of saliva in mouth, may have nighttime drooling 3. somewhat slow or clumbsy, needs no help 2. moderately excessive saliva, may 2. can turn alone or adjust sheets with great have minimal drooling difficulty 1. marked excess of saliva with some 1. can initiate, cannot turn or adjust sheets drooling 0. helpless 0. marked drooling, requires constant tissue WALKING 4. Normal SWALLOWING 3. early ambulation difficulties 4. Normal eating habits 2. walks with assistance 3. early eating problems, occasional 1. non-ambulatory functional mov