From the Research
I would assign this patient an EDSS (Expanded Disability Status Scale) score of 6.0, as the patient's ability to walk with assistance aligns with the characteristics of this score. The fact that the patient can only walk 10 meters without aid but can manage 50 meters with one crutch and 150 meters with personal assistance supports this classification, as EDSS 6.0 represents the transition point where patients require intermittent or unilateral constant assistance to walk about 100 meters with or without resting 1.
Key Considerations
- The patient's walking ability with and without assistance is critical in determining the EDSS score, with EDSS 6.0 indicating moderate disability but preserved ambulatory function with significant limitations 2.
- The variability in walking ability within EDSS categories, as shown in studies, highlights the importance of considering individual patient factors when assigning an EDSS score 1.
- The relationship between EDSS scores and walking performance, including the use of measures such as the 2-Minute Walking Test and the 6-Minute Walking Test, supports the assignment of an EDSS score based on walking ability 3.
EDSS Score Characteristics
- EDSS 6.0 is characterized by the need for intermittent or unilateral constant assistance (canes, crutches, or braces) to walk about 100 meters with or without resting 4.
- This score indicates a transition point in disability, where patients still have some ambulatory function but with significant limitations 5.
- The patient's ability to walk 50 meters with one crutch and 150 meters with personal assistance aligns with the characteristics of EDSS 6.0, supporting the assignment of this score.