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[Scales for functional assessment in multiple sclerosis].

J M Prieto-González1

  • 1Servicio de Neurología, Complejo Hospitalario Universitario de Santiago de Compostela, España.

Revista De Neurologia
|August 10, 2000
PubMed
Summary
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No single scale adequately assesses multiple sclerosis functional status. A combination of scales, including the Hauser Index, Cambridge Scale, and London Handicap Scale, is necessary for comprehensive evaluation of disability, incapacity, and handicap.

Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Health Outcomes Research

Context:

  • Multiple sclerosis (MS) significantly impacts patient function, necessitating accurate assessment tools.
  • Existing functional assessment scales vary in their scope and applicability to MS patients.
  • Quantifying invalidity, incapacity, and handicap is crucial for effective MS management.

Purpose:

  • To review and characterize functional assessment scales suitable for patients with multiple sclerosis.
  • To identify scales that effectively measure the degree of invalidity, incapacity, and handicap in MS.
  • To determine the optimal combination of scales for comprehensive functional assessment in MS.

Summary:

  • This review examined various functional scales for neurological patients, including Barthel Index, PULSES Scale, Katz Index, Rankin Scale, Kenny Scale, Donaldson Scale, Garno Scale, Incapacity Status Scale (ISS), Functional Assessment Measure (FAM), Hauser Index, Cambridge Scale (CAMBS), and London Handicap Scale (LHS).

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  • No single scale comprehensively assesses all functional aspects in multiple sclerosis patients.
  • A combination of scales is required for precise evaluation of invalidity, incapacity, and handicap. The Hauser Index, Cambridge Scale, and London Handicap Scale are recommended alongside standard scales like NRS and EDSS.
  • Impact:

    • Provides guidance for clinicians and researchers in selecting appropriate tools for MS functional assessment.
    • Highlights the need for multi-dimensional assessment strategies in multiple sclerosis care.
    • Facilitates more accurate tracking of disease progression and treatment effectiveness in multiple sclerosis.