肌萎缩侧索硬化
医学
吞咽
物理疗法
物理医学与康复
顺序量表
可靠性(半导体)
疾病严重程度
比例(比率)
疾病
内科学
外科
统计
地图学
功率(物理)
物理
数学
量子力学
地理
作者
Allen D. Hıllel,Robert M. Miller,Kathryn M. Yorkston,Evelyn McDonald,Forbes H. Norris,Nancy Schuman Konikow
出处
期刊:Neuroepidemiology
[S. Karger AG]
日期:1989-01-01
卷期号:8 (3): 142-150
被引量:190
摘要
The amyotrophic lateral sclerosis (ALS) severity scale has been developed to provide an ordinal staging system and a means of rapid functional assessment for patients with ALS. The scale allows an examiner to evaluate the symptoms of ALS numerically in four categories that describe speech, swallowing, lower extremity, and upper extremity abilities. These scores, combined with a vital capacity measured on a hand-held respirometer, provide a rapid, accurate assessment of a patient's disease status and can be used for treatment planning. The ALS severity scale has been shown to have an average estimated reliability coefficient of 0.95 between examiners. Speech ratings were correlated greater than 0.80 for objective speech measures. Rates of progression of the total score in a small group of patients ranged from -3.4 to -24.0 points/year with a mean of -11.3 points/year.
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