The EDMUS Grading Scale (EGS/DSS)
Confavreux C, Compston DAS, Hommes OR, McDonald WI, Thompson AJ. EDMUS, a European database for multiple sclerosis. Journal of Neurology, Neurosurgery and Psychiatry 1992; 55: 671-676
Amato MP, Grimaud J, Achiti I, Bartolozzi ML, Adeleine P, Hartung H-P, Kappos L, Thompson A, Trojano M, Vukusic S, Confavreux C for the Evaluation of the EDMUS system (EVALUED) Study Group: European validation of a standardized clinical description of multiple sclerosis. J. Neurol. 2004; 251: 1472-1480
Download the "EGS/DSS scale" document (PDF format)
| Score | Criteria |
|---|---|
| 0 | Normal findings on neurological examination. |
| 1 | No disability. Minimal signs on neurological examination. |
| 2 | Minimal and not ambulation-related disability. Able to run. |
| 3 | Unlimited walking distance (WD) without rest but unable to run; or a significant not ambulation-related disability. |
| 4 | Walks without aid. Limited WD, but > 500 meters without rest. |
| 5 | Walks without aid. WD < 500 meters without rest. |
| 6 | Walks with permanent support. WD < 100 meters without rest. |
| 6A | Walks with permanent unilateral support. WD < 100 meters without rest. [Not available in EDMUS] |
| 6B | Walks with permanent bilateral support. WD < 100 meters without rest. [Not available in EDMUS] |
| 7 | Home restricted. A few steps with wall or furniture assistance. WD < 20 meters without rest. |
| 8 | Chair restricted. Unable to take a step. Some effective use of arms. |
| 9 | Bedridden and totally helpless. |
| 10 | Death due to MS. |