Amato M P, Ponziani G
Department of Neurology, University of Florence, Viale Morgagni 85, 50134 Florence, Italy.
Mult Scler. 1999 Aug;5(4):216-9. doi: 10.1177/135245859900500404.
Accurate, efficient measurement of disease status has become a key issue in MS clinical practice and research. Despite some perceived problems, the Expanded Disability Status Scale (EDSS) remains the most widely used comprehensive measure of impairment. There is also a place for more restricted scales of impairment which focus on some aspects of neurological function in more detail than the EDSS e.g. measures of ambulation, arm function and cognitive function. Improvements in scales of impairment in the future is likely to result from the use of more quantitative tests of selected components of the neurological examination.
准确、高效地测量疾病状态已成为多发性硬化症临床实践和研究中的关键问题。尽管存在一些公认的问题，但扩展残疾状态量表（EDSS）仍然是最广泛使用的综合损伤测量方法。对于更具局限性的损伤量表也有需求，这些量表比EDSS更详细地关注神经功能的某些方面，例如步行、手臂功能和认知功能的测量。未来损伤量表的改进可能源于对神经检查选定组成部分使用更多定量测试。
