Modified Rankin Scale (mRS)

Assessment of the degree of functional disability post-stroke

Medical Specialty:
neurology

FOR PROFESSIONAL USE ONLY

This calculator is a support tool intended exclusively for health professionals. It does not replace clinical judgment. The final decision regarding diagnosis and treatment is the sole responsibility of the professional.

mRS 0 - No symptoms - 0
mRS 0 - No symptoms - 1
0

mRS 0 - No symptoms

No symptoms or disability. Full return to usual activities.

mRS 1 - Symptoms without significant disability - 0
mRS 1 - Symptoms without significant disability - 1
1

mRS 1 - Symptoms without significant disability

Able to perform all usual activities and tasks, despite some symptoms.

mRS 2 - Slight disability - 0
mRS 2 - Slight disability - 1
2

mRS 2 - Slight disability

Unable to perform all previous activities, but able to look after own affairs without assistance.

mRS 3 - Moderate disability - 0
mRS 3 - Moderate disability - 1
3

mRS 3 - Moderate disability

Requires some help, but is able to walk without assistance.

mRS 4 - Moderately severe disability - 0
mRS 4 - Moderately severe disability - 1
4

mRS 4 - Moderately severe disability

Unable to walk without assistance and unable to attend to own bodily needs without assistance.

mRS 5 - Severe disability - 0
mRS 5 - Severe disability - 1
5

mRS 5 - Severe disability

Bedridden, incontinent and requires constant nursing care and attention.

mRS 6 - Death - 0
mRS 6 - Death - 1
6

mRS 6 - Death

Death related to stroke or its complications.

About this Calculator 💡

The modified Rankin Scale (mRS) is a widely used clinical instrument to measure the degree of disability or functional dependence in the daily activities of patients who have suffered a neurological event, being particularly central in assessing outcomes after a stroke (cerebrovascular accident). It is a simple-to-apply ordinal scale that focuses on the patient's overall functional capacity rather than specific neurological deficits. The scale consists of 7 levels, ranging from 0 to 6, where each score represents a distinct level of functional outcome: 0 indicates no symptoms; 1 indicates no significant disability, despite the presence of symptoms, with the patient able to perform all usual duties and activities; 2 indicates slight disability, with the patient unable to perform all previous activities but able to look after their own affairs without assistance; 3 indicates moderate disability, where the patient requires some help but is able to walk unassisted; 4 indicates moderately severe disability, with the patient unable to walk without assistance and unable to attend to their own bodily needs without help; 5 indicates severe disability, with the patient being bedridden, often incontinent, and requiring constant nursing care and attention. Finally, the score 6 represents death. The mRS is a fundamental outcome measure in stroke clinical trials and is crucial for prognosis and therapeutic follow-up.

Formula

Calculation Methodology Clinical assessment of functional capacity on 7 levels (0-6)

Reference

  • Rankin J. Cerebral vascular accidents in patients over the age of 60. Scott Med J. 1957;2(5):200-15.
  • Brazilian Stroke Society (2023). Source: https://avc.org.br/wp-content/uploads/2023/09/image-3-1024x610.png