Modified Rankin Scale
Modified Rankin Scale (mRS) is used to measure the degree of disability or functional outcome in patients who have had a stroke 1:
- 0: No symptoms at all
- 1: No significant disability despite symptoms; able to carry out all usual duties and activities
- 2: Slight disability; unable to carry out all previous activities, but able to look after own affairs without assistance
- 3: Moderate disability; requiring some help, but able to walk without assistance
- 4: Moderately severe disability; unable to walk without assistance and unable to attend to own bodily needs without assistance
- 5: Severe disability; bedridden, incontinent and requiring constant nursing care and attention
- 6: Dead
A score of ≤2 indicates functional independence 2.
The modified Rankin Scale (mRS) has been widely used as an outcome measure in stroke trials 3 and in more than 30 other neurologic conditions including Parkinson disease and autoimmune encephalitis 4.
- Quinn TJ, Lees KR, Hardemark HG, Dawson J, Walters MR. Initial experience of a digital training resource for modified Rankin scale assessment in clinical trials. Stroke. 2007 Aug. 38(8):2257-61.[↩]
- Interobserver agreement for the assessment of handicap in stroke patients. van Swieten JC, Koudstaal PJ, Visser MC, Schouten HJ, van Gijn J. Stroke. 1988 May; 19(5):604-7.[↩]
- Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis. Saver JL, Goyal M, van der Lugt A, Menon BK, Majoie CB, Dippel DW, Campbell BC, Nogueira RG, Demchuk AM, Tomasello A, Cardona P, Devlin TG, Frei DF, du Mesnil de Rochemont R, Berkhemer OA, Jovin TG, Siddiqui AH, van Zwam WH, Davis SM, Castaño C, Sapkota BL, Fransen PS, Molina C, van Oostenbrugge RJ, Chamorro Á, Lingsma H, Silver FL, Donnan GA, Shuaib A, Brown S, Stouch B, Mitchell PJ, Davalos A, Roos YB, Hill MD, HERMES Collaborators. JAMA. 2016 Sep 27; 316(12):1279-88.[↩]
- Ganesh, Aravind; Luengo-Fernandez, Ramon; Wharton, Rose M.; Rothwell, Peter M. (2019), Data from: Ordinal vs dichotomous analyses of modified Rankin Scale and 5-year outcome and cost of stroke, Dryad, Dataset, https://doi.org/10.5061/dryad.609bp7m[↩]
