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*** Scripps Neurologic Rating Scale (NRS) & Kurtzke EDSS?!?!? *

NeuroWayne neurowayne at aol.com
Thu Dec 1 23:45:10 EST 1994

In article <3aulmg$t58 at muss.cis.McMaster.CA>,
u9317302 at muss.cis.McMaster.CA (R. Wong) writes:

<Can anyone tell me EXACTLY what these tests actually measure, and how
they <are performed?>

Kurtzke, JF; Rating neurologic impairment in multiple sclerosis: an
expanded disability status scale.  Neurology 33:1444-52, 1983 Nov.

The KDSS is used to describe the functional capacity as influenced by
neurologic impairment in MS (i.e. "How disabled") and is heavily weighted
with regard to ambulation.  The rating is determined by "fitting" the
patient in between points on a scale based on their capacity to perform a
certain activity (e.g. ambulate without assistance for 25 feet).

Sipe, JC et. al.; A neurologic rating scale for use in MS. Neurology
34:1368-72, 1984 Oct.

The NRS (developed at Scripps Clinic) assigns "points" for defecits in
major neurologic systems arriving at a "score" that reflects the severity
and scope of neurologic involvement (which may or may not result in

See refs for full information.  Good luck.

Wayne Rubinstein (neurowayne at aol.com)

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