肌萎缩侧索硬化自评量表介绍

目的 介绍一套新的肌萎缩侧索硬化(amyotrophic lateral sclerosis,ALS)自评量表.方法 综合目前各种常用ALS功能量表及自评量表,结合实际工作经验及数字疼痛分级法,制定了ALS自评量表.结果 ALS自评量表共分3大项18小项.采用10分制,正常为10分,极差为0分,总分180分.自评量表包括:①延髓功能:语言、吞咽、口水、伸舌:②肢体功能:左上肢运动、左手运动、右上肢运动、右手运动、左下肢运动、右下肢运动、躯干运动、抬头、行走、爬楼;③其他:呼吸、肌张力、疼痛、肌肉不适感.结论 ALS自评量表专门用于ALS患者,能够客观、灵敏评定患者功能,简便实用、费时短.

INTRODUCTION OF AMYOTROPHIC LATERAL SCLEROSIS SELF-ASSESSMENT SCALE

OBJECTIVE: To introduce a new functional self-assessment scale of amyotrophic lateral sclerosis (ALS). METHODS: By comparing current different ALS functional scales and combining relative clinical experience and numeric pain intensity scale, ALS self-assessment scale was set down by International Association of Neural Restoration. RESULTS: ALS self-assessment scale included 3 categories with 18 items, adopting 10 points grading system, namely 10 was defined as the normal, 0 as the worst, and the total scores was 180. This scale included: (1) Bulbus medullae function: speech, swallowing, salivation, and tongue extension. (2) Limbs function: left arm movement, left hand movement, right arm movement, right hand movement, left leg movement, right leg movement, trunk movement, head-up, walking, and climbing stairs. (3) Others: breathing, muscular tone, pain, and muscle discomfort. CONCLUSION: ALS self-assessment scale is specifically designed for ASL patients. It can evaluate patient's function comprehensively and is simple and convenient, consuming less time.