|0.0||Normal neurological exam.|
|1.0||Patient is fully ambulatory.|
|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)|