NCS Advantage Outcome Measures
5 time sit to stand cut off score - answer>13 seconds = balance dysfunction
6 minute walk test ICF domain - answerActivity limitation
5 time sit to stand ICF domain - answerActivity limitation
9 hole peg test ICF domain - answerBody structure/function; activity limitation
(measures finger dexterity)
10 meter walk ICF domain - answerActivity limitation
10 meter walk household ambulator - answer< 0.4 m/s
10 meter walk limited community ambulator - answer0.4-0.8 m/s
10 meter walk community ambulator - answer>0.8 m/s
12 item MS walking scale ICF domain - answeractivity limitation
12 item MS walking scale score range - answer12-60 points (20-100%) with higher
number indicating greater disability
Score 0 on Kurtzke Expanded Disability Status Scale (EDSS) - answerNormal
neurological exam. Grade 0 on all functional systems with a cerebral grade of one
acceptable
Score 1 on Kurtzke Expanded Disability Status Scale (EDSS) - answerNo disability.
Grade one in one functional system
Score 1.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerNo disability.
Grade 1 in more than one functional system
Score 2 on Kurtzke Expanded Disability Status Scale (EDSS) - answerMinimal
disability. One grade 2 and others zero or one grade
Score 2.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerMinimal
disability. Two grade twos and all other functional systems zeros or ones
Score 3 on Kurtzke Expanded Disability Status Scale (EDSS) - answerModerate
disability. One grade 3 and all other functional systems zero or one, or 3-4 grade twos
, Score 3.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerFully
ambulatory. Two grade threes or five grade twos
Score 4 on Kurtzke Expanded Disability Status Scale (EDSS) - answerFully ambulatory
without aid and up and about for 12 hours a day. One grade 4 or combinations of lesser
grades. Able to walk without aid or rest some 500 m
Score 4.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerFully
ambulatory without aid able to walk without rest about 300 m. May otherwise have some
limitation of fall activity or require minimal assistance.
Score 5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerAmbulatory
without aid or rest for about 200 m. Disability severe enough to impair full daily activities
Score 5.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerAmbulatory
without aid or rest for about 100 m. Disability severe enough to impair full daily activities
Score 6 on Kurtzke Expanded Disability Status Scale (EDSS) - answerIntermittent or
consistent use of cane, crutch, or brace required to walk about 100 m with or without
resting
Score 6.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerConstant
bilateral assist required to walk about 20 m
Score 7 on Kurtzke Expanded Disability Status Scale (EDSS) - answerUnable to walk
more than 5 m with aid. Restricted to wheelchair. Will self in standard wheelchair and
transfers alone. Up and about in wheelchair about 12 hours a day
Score 7.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerUnable to take
more than a few steps and restricted to wheelchair. May need aid in transfers. May
require motorized wheelchair
Score 8 on Kurtzke Expanded Disability Status Scale (EDSS) - answerRestricted to the
bed or chair but maybe out of bed much of the day. Retains mini self-care functions.
Generally has effective use of arms
Score 8.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerRestricted to
the bed much of the day. Has some effective use of arms. Retain some self-care
functions
Score 9 on Kurtzke Expanded Disability Status Scale (EDSS) - answerHelpless bed
patient. Can communicate and eat
Score 9.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerTotally helpless
bed patient. Unable to communicate affectively eat/swallow
5 time sit to stand cut off score - answer>13 seconds = balance dysfunction
6 minute walk test ICF domain - answerActivity limitation
5 time sit to stand ICF domain - answerActivity limitation
9 hole peg test ICF domain - answerBody structure/function; activity limitation
(measures finger dexterity)
10 meter walk ICF domain - answerActivity limitation
10 meter walk household ambulator - answer< 0.4 m/s
10 meter walk limited community ambulator - answer0.4-0.8 m/s
10 meter walk community ambulator - answer>0.8 m/s
12 item MS walking scale ICF domain - answeractivity limitation
12 item MS walking scale score range - answer12-60 points (20-100%) with higher
number indicating greater disability
Score 0 on Kurtzke Expanded Disability Status Scale (EDSS) - answerNormal
neurological exam. Grade 0 on all functional systems with a cerebral grade of one
acceptable
Score 1 on Kurtzke Expanded Disability Status Scale (EDSS) - answerNo disability.
Grade one in one functional system
Score 1.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerNo disability.
Grade 1 in more than one functional system
Score 2 on Kurtzke Expanded Disability Status Scale (EDSS) - answerMinimal
disability. One grade 2 and others zero or one grade
Score 2.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerMinimal
disability. Two grade twos and all other functional systems zeros or ones
Score 3 on Kurtzke Expanded Disability Status Scale (EDSS) - answerModerate
disability. One grade 3 and all other functional systems zero or one, or 3-4 grade twos
, Score 3.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerFully
ambulatory. Two grade threes or five grade twos
Score 4 on Kurtzke Expanded Disability Status Scale (EDSS) - answerFully ambulatory
without aid and up and about for 12 hours a day. One grade 4 or combinations of lesser
grades. Able to walk without aid or rest some 500 m
Score 4.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerFully
ambulatory without aid able to walk without rest about 300 m. May otherwise have some
limitation of fall activity or require minimal assistance.
Score 5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerAmbulatory
without aid or rest for about 200 m. Disability severe enough to impair full daily activities
Score 5.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerAmbulatory
without aid or rest for about 100 m. Disability severe enough to impair full daily activities
Score 6 on Kurtzke Expanded Disability Status Scale (EDSS) - answerIntermittent or
consistent use of cane, crutch, or brace required to walk about 100 m with or without
resting
Score 6.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerConstant
bilateral assist required to walk about 20 m
Score 7 on Kurtzke Expanded Disability Status Scale (EDSS) - answerUnable to walk
more than 5 m with aid. Restricted to wheelchair. Will self in standard wheelchair and
transfers alone. Up and about in wheelchair about 12 hours a day
Score 7.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerUnable to take
more than a few steps and restricted to wheelchair. May need aid in transfers. May
require motorized wheelchair
Score 8 on Kurtzke Expanded Disability Status Scale (EDSS) - answerRestricted to the
bed or chair but maybe out of bed much of the day. Retains mini self-care functions.
Generally has effective use of arms
Score 8.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerRestricted to
the bed much of the day. Has some effective use of arms. Retain some self-care
functions
Score 9 on Kurtzke Expanded Disability Status Scale (EDSS) - answerHelpless bed
patient. Can communicate and eat
Score 9.5 on Kurtzke Expanded Disability Status Scale (EDSS) - answerTotally helpless
bed patient. Unable to communicate affectively eat/swallow