Description

Hauser et al used an ambulation index for evaluating patients with multiple sclerosis. The authors are from Bringham & Women's and Massachusetts General Hospitals in Boston.


 

Ambulation

Index

asymptomatic, fully active

0

walks normally but reports fatigue that interferes with athletic or other demanding activities

1

abnormal gait or episodic imbalance; gait disorder is noticed by family and friends; able to walk 25 feet (8 meters) in 10 seconds or less

2

walks independently; able to walk 25 feet in 20 in 11-20 seconds

3

requires unilateral support to walk; walks 25 feet in 20 seconds or less

4

requires bilateral support; walks 25 feet in 20 seconds or less

5

requires unilateral support; walks 25 feet in more than 20 seconds

5

requires bilateral support; walking 25 feet takes more than 20 seconds; may use a wheelchair occasionally

6

walking limited to several steps with bilateral support; unable to walk 25 feet; may use a wheelchair for most activities

7

restricted to wheelchair; able to transfer self independently

8

restricted to wheelchair; unable to transfer self independently

9

 

where:

• Unilateral support (cane or single crutch)

• Bilateral support includes canes, crutches or a walker.

 

This can be divided into the following features:

(1) ambulation

(2) time taken to walk 25 feet

(3) additional findings

 

Ambulation

Time to Walk 25 Feet

Additional Findings

Index

asymptomatic and fully active

<= 10 seconds

can participate fully in demanding activities

0

walks normally

<= 10 seconds

fatigue interferes with sports or demanding activities

1

abnormal gait or episodic imbalance

<= 10 seconds

gait disorder noticed by others

2

abnormal gait or episodic imbalance

11 – 20 seconds

 

3

walk with unilateral support

<= 20 seconds

 

4

walk with bilateral support

<= 20 seconds

 

5

walk with unilateral support

> 20 seconds

 

5

walk with bilateral support; may use wheelchair occasionally

> 20 seconds

 

6

wheelchair for many activities

unable

 

7

wheelchair bound

unable

able to transfer self independently

8

wheelchair bound

unable

unable to transfer self independently

9

 


To read more or access our algorithms and calculators, please log in or register.