EDSS Flashcards
EDSS 0
Normal Neurological Exam
EDSS 1
No disability, minimal signs in one FS (functional system
EDSS 1.5
No disability, minimal signs in more than one FS
EDSS 2
Minimal disability in one FS
EDSS 2.5
Minimal disability in 2 FS
EDSS 3
Fully ambulatory, moderate disability in one FS
OR
mild disability in 3-4 FS
EDSS 3.5
Fully ambulatory but with mod disability in one FS and min or more disability in several other FS
EDSS 4
- Fully ambulatory without aid, self-sufficient, up and about some 12 hrs/day
- able to walk w/o aid or rest at least 500m w/o aid/rest
EDSS 4.5
- Fully ambulatory w/o aid
- able to work a full day, may require MinA for full activity
- able to walk w/o aid or rest at least 300 meters
EDSS 5
Ambulatory w/o aid/rest for about 200 meters.
Disability sig enough to impair full daily activities.
EDSS 5.5
ambulatory w/o aid 100m
EDSS 6
Intermittent or constant unilateral assistance required to walk about 100m (regardless of rest)
EDSS 6.5
Constant bilateral assistance required for 20 m w/o rest
EDSS 7
Unable to walk 5m with aid
independent with WC
active in WC 12 hrs/day
EDSS 7.5
- Unable to take more than a few steps
- needs aid with transfers
- wheels self but can’t be active in WC full day
- May require motorized WC
EDSS 8
restricted to bed/WC
may be out of bed much of day as long as in WC
retains self-care functions
effective use of arms
EDSS 8.5
Essentially restricted to bed much of the day
some effective use of arms
some self care function
EDSS 9
Helpless bed patient
Can still communicate to eat
EDSS 9.5
Totally helpless in bed
unable to communicate effectively, eat, or swallow
EDSS 10
Dead
Normal-mild disability
0-3.5
Mild-Mod disability
4.5-5
Mod-severe disability
6-7.5
Severe disability. Restricted to bed or WC
8-9.5
8 Functional systems measured on the EDSS
- Pyramidal
- Cerebellar
- Brainstem
- Sensory
- Bowel/bladder
- Visual
- Cerebral
- Other
Pyramidal
Mild-to-marked: paraplegia/paresis hemiplegia/paresis monoplegia/paresis quadriplegia/paresis
Cerebellar
Mild-to-severe truncal or limb ataxia
Brainstem
- Nystagmus, EOM weakness, CN disability
2. Dysarthria, dysphagia
Sensory
Vibration
writing impairment
mild-to-severe loss of touch/p!/proprioception
Bowl / Bladder
Mild urinary/bowel hesitancy
Loss of bowel/bladder function
Visual
Scotomas, visual acuity, visual field cuts
Cerebral
Mood alterations
Mild-to-marked decrease in mentation, mentation, dementia, or chronic brain syndrome
