EDSS Flashcards

1
Q

EDSS 0

A

Normal Neurological Exam

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2
Q

EDSS 1

A

No disability, minimal signs in one FS (functional system

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3
Q

EDSS 1.5

A

No disability, minimal signs in more than one FS

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4
Q

EDSS 2

A

Minimal disability in one FS

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5
Q

EDSS 2.5

A

Minimal disability in 2 FS

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6
Q

EDSS 3

A

Fully ambulatory, moderate disability in one FS
OR
mild disability in 3-4 FS

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7
Q

EDSS 3.5

A

Fully ambulatory but with mod disability in one FS and min or more disability in several other FS

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8
Q

EDSS 4

A
  1. Fully ambulatory without aid, self-sufficient, up and about some 12 hrs/day
  2. able to walk w/o aid or rest at least 500m w/o aid/rest
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9
Q

EDSS 4.5

A
  1. Fully ambulatory w/o aid
  2. able to work a full day, may require MinA for full activity
  3. able to walk w/o aid or rest at least 300 meters
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10
Q

EDSS 5

A

Ambulatory w/o aid/rest for about 200 meters.

Disability sig enough to impair full daily activities.

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11
Q

EDSS 5.5

A

ambulatory w/o aid 100m

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12
Q

EDSS 6

A

Intermittent or constant unilateral assistance required to walk about 100m (regardless of rest)

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13
Q

EDSS 6.5

A

Constant bilateral assistance required for 20 m w/o rest

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14
Q

EDSS 7

A

Unable to walk 5m with aid
independent with WC

active in WC 12 hrs/day

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15
Q

EDSS 7.5

A
  1. Unable to take more than a few steps
  2. needs aid with transfers
  3. wheels self but can’t be active in WC full day
  4. May require motorized WC
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16
Q

EDSS 8

A

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

17
Q

EDSS 8.5

A

Essentially restricted to bed much of the day

some effective use of arms

some self care function

18
Q

EDSS 9

A

Helpless bed patient

Can still communicate to eat

19
Q

EDSS 9.5

A

Totally helpless in bed

unable to communicate effectively, eat, or swallow

20
Q

EDSS 10

A

Dead

21
Q

Normal-mild disability

A

0-3.5

22
Q

Mild-Mod disability

A

4.5-5

23
Q

Mod-severe disability

A

6-7.5

24
Q

Severe disability. Restricted to bed or WC

A

8-9.5

25
Q

8 Functional systems measured on the EDSS

A
  1. Pyramidal
  2. Cerebellar
  3. Brainstem
  4. Sensory
  5. Bowel/bladder
  6. Visual
  7. Cerebral
  8. Other
26
Q

Pyramidal

A
Mild-to-marked:
paraplegia/paresis
hemiplegia/paresis
monoplegia/paresis
quadriplegia/paresis
27
Q

Cerebellar

A

Mild-to-severe truncal or limb ataxia

28
Q

Brainstem

A
  1. Nystagmus, EOM weakness, CN disability

2. Dysarthria, dysphagia

29
Q

Sensory

A

Vibration
writing impairment
mild-to-severe loss of touch/p!/proprioception

30
Q

Bowl / Bladder

A

Mild urinary/bowel hesitancy

Loss of bowel/bladder function

31
Q

Visual

A

Scotomas, visual acuity, visual field cuts

32
Q

Cerebral

A

Mood alterations

Mild-to-marked decrease in mentation, mentation, dementia, or chronic brain syndrome