Appendix: Assessment Scales
Published online by Cambridge University Press: 05 October 2010
Summary
NEUROLOGICAL ASSESSMENT KURTZKE FUNCTIONAL SYSTEMS (FS)
1. Pyramidal functions
0 Normal
1 Abnormal signs without disability
2 Minimal disability
3 Mild to moderate paraparesis or hemiparesis (detectable weakness but most function sustained for short periods, fatigue a problem); severe monoparesis (almost no function)
4 Marked paraparesis or hemiparesis (function is difficult); moderate quadriparesis (function is decreased but can be sustained for short periods); or monoplegia
5 Paraplegia, hemiplegia, or marked quadriparesis
6 Quadriplegia
9 Unknown
2. Cerebellar functions
0 Normal
1 Abnormal signs without disability
2 Mild ataxia (tremor or clumsy movements easily seen, minor interference with function)
3 Moderate truncal or limb ataxia (tremor or clumsy movements interfere with function in all spheres)
4 Severe ataxia in all limbs (most function is very difficult)
5 Unable to perform coordinated movements due to ataxia
9 Unknown
3. Brainstem functions
0 Normal
1 Signs only
2 Moderate nystagmus or other mild disability
3 Severe nystagmus, marked extraocular weakness, or moderate disability of other cranial nerves
4 Marked dysarthria or other marked disability
5 Inability to swallow or speak
9 Unknown
4. Sensory functions
0 Normal
1 Vibration or figure-writing decrease only in one or two limbs
2 Mild decrease in touch, or pain, or position sense, and/or moderate decrease in vibration in one or two limbs; or vibratory (c/s figure writing) decrease alone in three or four limbs
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- Information
- Multiple Sclerosis , pp. 169 - 178Publisher: Cambridge University PressPrint publication year: 1996