| 0 |
Normal neurological exam (all
grade 0 in Functional Systems (FS); cerebral grade 1 acceptable). |
| 1 |
No disability, minimal signs in
one FS (i.e., one grade 1 excluding cerebral grade 1). |
| 1.5 |
No disability, minimal signs in
more than one FS (more than one grade 1 excluding cerebral grade 1). |
| 2.0 |
Minimal disability in one FS
(one FS grade 2, others 0 or 1). |
| 2.5 |
Minimal disability in two FS
(two FS grade 2, others 0 or 1). |
| 3.0 |
Moderate disability in one FS
(one FS grade 3, others 0 or 1), or mild disability in three or four FS
(three-four FS grade 2, others 0 or 1). |
| 3.5 |
Fully ambulatory but with
moderate disability in one FS (one grade 3 and one or two FS grade 2)
or two FS grade 3, others 0 or 1, or five FS grade 2, others 0 or 1. |
| 4.0 |
Fully ambulatory without aid,
self-sufficient, up and about some 12 hours a day despite relatively
severe disability consisting of one FS grade 4 (others 0 or 1), or
combinations of lesser grades exceeding limits of previous steps. Able
to walk without aid or rest some 500 meters. (0.3 miles) |
| 4.5 |
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 FS grade 4 (others 0 or 1) or combinations of lesser grades
exceeding limits of previous steps. Able to walk without aid or rest
for some 300 meters. (975 ft) |
| 5.0 |
Ambulatory without aid or rest
for about 200 meters (650 feet); disability severe enough to impaire
full daily activities (e.g., to work full day without special
provisions). (Usual FS equivalents are one grade 5 alone, others 0 or
1; or combinations of lesser grades usually exceeding specifications
for step 4.0) |
| 5.5 |
Ambulatory without aid or rest
for about 100 meters (325 ft); disability severe enough to impair full
daily activities. (Usual FS equivalents are one grade 5 alone, others 0
or 1; or combinations of lesser grades usually exceeding specifications
for step 4.0) |
| 6.0 |
Intermittent or constant
unilateral assistance (cane, crutch, brace)required to walk about 100
meters (325 ft) with or without resting. (Usual FS equivalents are
combinations with more than two FS grade 3+) |
| 6.5 |
Constant bilateral assistance
(canes, crutches, braces) required to walk about 20 meters (65 ft).
(Usual FS equivalents are combinations with more than two FS grade 3+) |
| 7.0 |
Unable to walk beyond about 5
meters (16 ft) even with aid, essentially restricted to wheelchair;
wheels self in standard wheelchair a full day and transfers alone; up
and about in wheelchair some 12 hours a day. Usual FS equivalents are
combinations with more than one FS grade 4+; very rarely pyramidal
grade 5 alone. |
| 7.5 |
Unable to take more than a few
steps; restricted to wheelchair; may need aid in transfers, wheels self
but cannot carry on in standard wheelchair a full day; may require
motorized wheelchair; usual FS equivalents are combinations with more
than one FS grade 4+ |
| 8.0 |
Essentially restricted to bed
or chair or perambulated in wheelchair; but may be out of bed much of
the day; retains many self-care functions; generally has effective use
of arms. Usual FS equivalents are combinations, generally grade 4+ in
several systems. |
| 8.5 |
Essentially restricted to bed
for much of the day; has some effective use of arm(s); retains some
self-care functions. Usual FS equivalents are combinations, generally
grade 4+ in several systems. |
| 9.0 |
Helpless bed patient; can
communicate and eat. Usual FS equivalents are combinations, mostly
grade 4. |
| 9.5 |
Totally helpless bed patient;
unable to communicate effectively or eat/swallow. Usual FS equivalents
are combinations, almost all grade 4+ |
| 10 |
Death due to MS. |
