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Modified Rankin Scale (mRS)

Assessment of the degree of functional disability post-stroke

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.

neurology

Modified Rankin Scale (mRS)

mRS 0 - No symptoms - 1mRS 0 - No symptoms - 2
0

mRS 0 - No symptoms

No symptoms or disability. Full return to usual activities.

mRS 1 - Symptoms without significant disability - 1mRS 1 - Symptoms without significant disability - 2
1

mRS 1 - Symptoms without significant disability

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

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

mRS 2 - Slight disability

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

mRS 3 - Moderate disability - 1mRS 3 - Moderate disability - 2
3

mRS 3 - Moderate disability

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

mRS 4 - Moderately severe disability - 1mRS 4 - Moderately severe disability - 2
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 - 1mRS 5 - Severe disability - 2
5

mRS 5 - Severe disability

Bedridden, incontinent and requires constant nursing care and attention.

mRS 6 - Death - 1mRS 6 - Death - 2
6

mRS 6 - Death

Death related to stroke or its complications.

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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

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