The overall disability sum score (ODSS)
| Arm disability scale – function checklist | Not affected | Affected but not prevented | Prevented | |
|---|---|---|---|---|
| Dressing upper part of body (excluding buttons/zips) | O | O | O | |
| Washing and brushing hair | O | O | O | |
| Turning a key in a lock | O | O | O | |
| Using knife and fork (/spoon—applicable if the patient never uses knife and fork) | O | O | O | |
| Doing/undoing buttons and zips | O | O | O | |
| Arm grade | ||||
| 0 = | Normal | |||
| 1 = | Minor symptoms or signs in one or both arms but not affecting any of the functions listed | |||
| 2 = | Moderate symptoms or signs in one or both arms affecting but not preventing any of the functions listed | |||
| 3 = | Severe symptoms or signs in one or both arms preventing at least one but not all functions listed | |||
| 4 = | Severe symptoms or signs in both arms preventing all functions listed but some purposeful movements still possible | |||
| 5 = | Severe symptoms and signs in both arms preventing all purposeful movements | |||
| Leg disability scale – function checklist | No | Yes | Not applicable | |
|---|---|---|---|---|
| Overall disability sum score = arm disability scale (range 0–5) + leg disability scale (range 0–7); overall range: 0 (no signs of disability) to 12 (maximum disability). | ||||
| For the arm disability scale: allocate one arm grade only by completing the function checklist. Indicate whether each function is “affected,” “affected but not prevented,” or “prevented.” | ||||
| For the leg disability scale: Allocate one leg grade only by completing the functional questions. | ||||
| Do you have any problem with your walking? | O | O | O | |
| Do you use a walking aid? | O | O | O | |
| How do you usually get around for about 10 metres? | ||||
| Without aid | O | O | O | |
| With one stick or crutch or holding to someone's arm | O | O | O | |
| With two sticks or crutches or one stick or crutch and holding to someone's arm | O | O | O | |
| With a wheelchair | O | O | O | |
| If you use a wheelchair, can you stand and walk a few steps with help? | O | O | O | |
| If you are restricted to bed most of the time, are you able to make some purposeful movements? | O | O | O | |
| Leg grade | ||||
| 0 = | Walking is not affected | |||
| 1 = | Walking is affected but does not look abnormal | |||
| 2 = | Walks independently but gait looks abnormal | |||
| 3 = | Usually uses unilateral support to walk 10 metres (25 feet) (stick, single crutch, one arm) | |||
| 4 = | Usually uses bilateral support to walk 10 metres (25 feet) (sticks, crutches, two arms) | |||
| 5 = | Usually uses wheelchair to travel 10 metres (25 feet) | |||
| 6 = | Restricted to wheelchair, unable to stand and walk few steps with help but able to make some purposeful leg movements | |||
| 7 = | Restricted to wheelchair or bed most of the day, preventing all purposeful movements of the legs (eg, unable to reposition legs in bed) | |||