Research Article
Volume 10 Issue 8 - 2018
Reverse Nutech Functional Score: A Novel Scoring System to Assess Patients with Amyotrophic Lateral Sclerosis
Geeta Shroff*
Director, Nutech Mediworld, New Delhi, India
*Corresponding Author: Geeta Shroff, Director, Nutech Mediworld, New Delhi, India.
Received: April 04, 2018; Published: July 10, 2018
Citation: Geeta Shroff. “Reverse Nutech Functional Score: A Novel Scoring System to Assess Patients with Amyotrophic Lateral Sclerosis”. EC Neurology 10.8 (2018): 681-688.
Abstract
Background: Amyotrophic lateral sclerosis (ALS), a progressive and fatal neuromuscular disease, is characterized by a progressive loss of the corticospinal tract, brainstem and spinal neurons that further results in muscle atrophy, weakness and respiratory failure. The Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS), a questionnaire based scale has been used to evaluate the condition of the patients. However, several essential parameters go unnoticed with this scale.
Objective: This study aimed at developing a novel scoring system that is numeric and assesses all the possible symptoms of ALS that were not being assessed in ALSFRS.
Materials and Methods: We initiated assessing the lists of recorded symptoms and prepared a single list that included all the possible symptoms associated with ALS. Reverse Nutech Functional Score (RNFS) for ALS is a 27- point positional and directional scoring system that assesses the patient’s condition both before and after therapy. To facilitate the conduct of probability based studies, we have converted the scores into numeric values.
Result: Each symptom is scored as (1, 2, 3, 4, 5) that runs in GOOD →BAD direction. These five scores that are equidistant to each other and are continuous lie in a range of (0.5, 5.5).
Conclusion: RNFS appears to be a distinctive scoring system that can be adopted worldwide to assess the patients with ALS.
Keywords: Amyotrophic Lateral Sclerosis (ALS); Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS); Neuromuscular Dis-ease; Reverse Nutech Functional Score (RNFS); Scoring System; Positional Scoring System
Copyright: © 2018 Geeta Shroff. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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