0.0 | Normal neurological exam. |
1.0 | Patient is fully ambulatory. |
1.5 | No disability. |
2.0 | Minimal disability of 1 of 7 Functional Systems (FS). |
2.5 | Minimal disability in 2 FS. |
3.0 | Fully ambulatory. Moderate disability in 1 FS or mild disability
in 3 or 4 FS. |
3.5 | Fully ambulatory. Moderate disability in 1 FS and mild disability in 1 or 2 FS or moderate disability in 2 FS or mild disability in 5 FS. |
4.0 | Fully ambulatory without aid, self-sufficient, active 12 hours a day despite relatively severe disability. Able to walk without aid or rest for about 500 meters. |
4.5 | Fully ambulatory without aid, active 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. Able to walk without aid or rest for about 300 meters. |
5.0 | Ambulatory without aid or rest for about 200 meters. Disability severe enough to impair full daily activities. |
5.5 | Ambulatory without aid or rest for about 100 meters. Disability severe enough to limit full daily activities. |
6.0 | Intermittent or unilateral constant assistance (cane, crutch or brace) required to walk about 100 meters with or without resting. |
6.5 | Constant bilateral assistance (canes, crutches or braces) required to walk about 20 meters without resting. |
7.0 | Unable to walk beyond about 5 meters even with aid. Essentially restricted to a wheelchair. Wheels self in standard wheelchair
and transfers alone. Active in wheelchair about 12 hours a day. |
7.5 | Unable to take more than a few steps. Restricted to wheelchair. May need aid to transfer. Wheels self but cannot carry on in standard
wheelchair a full day. May require a motorized wheelchair. |
8.0 | Unable to walk at all, essentially restricted to bed, chair or wheelchair but may be out of bed much of the day. Retains many self-care
functions. Generally has effective use of the arms. |
8.5 | Essentially restricted to bed much of the day. Has some effective use of arm(s). Retains some self-care functions. |
9.0 | Helpless bed patient. Can communicate and eat. |
9.5 | Totally helpless bed patient. Unable to communicate effectively or eat/swallow. |
10.0 | Death due to Multiple Sclerosis.(generally uncontrolled infection, kidney failure, respiratory failure, pneumonia or uncontrolled seizures) |