Slavomíra Kováčová
Several methods can be used to assess disability progression, but the Expanded Disability Status Scale (EDSS) is the most widely used in clinical practice. EDSS has limited possibilities to reliably capture changes in multiple domain functions, such as walking speed and upper limb functions . Ultimately, disturbances in gait and function of the upper limbs, or cognitive disorders, account for the largest share of the total disability. The current assessment of disability progression in clinical practice is burdened with lower linearity and sensitivity of the EDSS scale. By adding two tests to assess gait and upper limb functions, or possibly to monitor cognitive deficits, we can significantly increase the sensitivity of disability assessment in an individual patient. These examinations are not time consuming and can be easily performed under the conditions of normal clinical practice.