Sharrack and Hughes reported the Guy's Neurological Disability Scale (GNDS) for evaluating disability in patients with multiple sclerosis. The authors are from Guy's. King's and St Thomas' School of Medicine in London.
Patient selection: multiple sclerosis
Domains:
(1) cognition
(2) mood
(3) vision
(4) speech
(5) swallowing
(6) upper limb function
(7) lower limb function
(8) bladder function
(9) bowel function
(10) sexual function
(11) fatigue
(12) other
The interviewer has multiple yes/no answers for each domain (range from 4 to 10). Each domain is scored generically as follows (with each domain having specific wording):
Symptoms
Disability
Points
none (normal)
none (normal)
0
present
none
1
present
mild, needs no assistance
2
present
moderate, needs some help
3
present
severe with almost total loss of function
4
present
total loss of function with maximum need for help
5
total disability score =
= SUM(points for all 12 domains)
Interpretation:
• minimum score: 0
• maximum score: 60
• The higher the score the greater the disability.
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