| 0.0 |
0.0 |
|
|
Normal neurological exam (all grade 0 in all Functional System (FS) scores*) |
| 1.0 |
1.0 |
|
|
No disability, minimal signs in one FS* (i.e., grade 1) |
| 1.5 |
1.5 |
|
|
No disability, minimal signs in more than one FS* (more than 1 FS grade 1) |
| 2.0 |
2.0 |
|
|
Minimal disability in one FS (one FS grade 2, others 0 or 1) |
| 2.5 |
2.5 |
|
|
Minimal disability in two FS (two FS grade 2, others 0 or 1) |
| 3.0 |
3.0 |
|
|
Moderate disability in one FS (one FS grade 3, others 0 or 1) or mild disability in three or four FS (three or four FS grade 2, others 0 or 1) though fully ambulatory |
| 3.5 |
3.5 |
|
|
Fully ambulatory but with moderate disability in one FS (one grade 3) and one or two FS grade 2 |
| 4.0 |
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 combination of lesser grades exceeding limits of previous steps, able to walk without aid or rest some 500 meters |
| 4.5 |
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 or 1) or combinations of lesser grades exceeding limits of previous steps, able to walk without aid or rest some 300 meters |
| 5.0 |
5.0 |
|
|
Ambulatory without aid or rest for about 200 meters, disability severe enough to impair full daily activities (e.g., to work a 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 |
5.5 |
|
|
Ambulatory without aid for about 100 meters, disability severe enough to preclude full daily activities, (Usual FS equivalents are one grade 5 alone, others 0 or 1, or combination of lesser grades usually exceeding those for step 4.0) |
| 6.0 |
6.0 |
|
|
Intermittent or unilateral constant assistance (cane, crutch, brace) required to walk about 100 meters with or without resting, (Usual FS equivalents are combinations with more than two FS grade 3+) |
| 6.5 |
6.5 |
|
|
Constant bilateral assistance (canes, crutches, braces) required to walk about 20 meters without resting, (Usual FS equivalents are combinations with more than two FS grade 3+) |
| 7.0 |
7.0 |
|
|
Unable to walk beyond approximately 5 meters even with aid, essentially restricted to wheelchair, wheels self in standard wheelchair 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 |
7.5 |
|
|
Unable to take more than a few steps, restricted to wheelchair, may need aid in transfer, 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 |
8.0 |
|
|
Essentially restricted to bed or chair or perambulated in wheelchair, but may be out of bed itself 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 |
8.5 |
|
|
Essentially restricted to bed much of day, has some effective use of arm(s), retains some self-care functions, (Usual FS equivalents are combinations, generally 4+ in several systems) |
| 9.0 |
9.0 |
|
|
Helpless bed patient, can communicate and eat, (Usual FS equivalents are combinations, mostly grade 4+) |
| 9.5 |
9.5 |
|
|
Totally helpless bed patient, unable to communicate effectively or eat/swallow, (Usual FS equivalents are combinations, almost all grade 4+) |
| 10.0 |
10.0 |
|
|
Death due to MS |