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How to Do the EDSS - c.ymcdn.com

How to Do the EDSSS tephen S. Kamin, MDNew Jersey Medical SchoolJohn F. Kurtzke, MD1926-2015 EDSS expanded disability status scale Devised by John Kurtzke in the 1960s and modified in the 1980sEDSS Advantages Widely used Provides a single number measure of disability Disadvantages Non-linear Bi-modal distribution Overemphasizes ambulation Minimizes cognition Limited inter-rater reliability Some ambiguitiesEDSSMS Impairment ScaleEDSS vs. MSISMS Severity ScoreEDSSN euroStatus A modification of the original Kurtzke scale by Kappos Eliminates some ambiguities In general use in clinical trials On-line training & certification Basis for this sessionNeuroStatusNeuroStatusEDSS Components Functional Systems Scores (FS) disability status Scores (DSS)Functional Systems Scores Visual Pyramidal Cerebellar Sensory Bowel and Bladder Cerebral OtherVisual 0- Normal 1- Disc pallor OR small scotoma OR better than 20/30 2- Worse eye 20/30 to 20/59 3- Large scotoma or moderate field defect ORWorse eye 20/60 to 20/99 4- Marked field defect ORWorse eye 20/100 to 20/200 ORWorse eye 20/60 to 20/99 and better eye < 20/60 Visual 5- Wors

EDSS • Expanded Disability Status Scale – Devised by John Kurtzke in the 1960s and modified in the 1980s EDSS • Advantages – Widely used – Provides a single number measure of disability

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  Scale, Status, Disability, Expanded, Ymcdn, Expanded disability status scale

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