TeleEDSS: the MS Neuro Exam over Televideo
TeleEDSS Examination and Instructions
What is the TeleEDSS?
Although it cannot fully duplicate the subtleties of the in-person evaluation, a neurological examination via televideo can provide sufficient information on which to base many clinical decisions, including a tele-EDSS score.
The following examination was developed by UCSF MS clinicians and validated against an in-clinic Neurostatus EDSS examination in 41 adults with MS (Bove et al, Multiple Sclerosis Journal, 2019 Oct; 25(11):1526-1534).
It was further refined by Drs. Riley Bove, Richard Cuneo, Sasha Gupta, Joseph Sabatino based on cumulative experience with 60+ additional teleEDSS visits in June 2020.
Televideo platform:
- Recommend a platform that can be accessed via smartphone, tablet or desktop (e.g. Zoom)
- Helpful preparation slides for patients can be found in resources section below
Resources for Patients
Items you will need for your video visit:
- Rosenbaum near card, can mail or download and print from file in resources section below
- Red color paper or card for red desaturation vision testing
- 1 wooden cotton swab (Q tip) OR 1 safety pin and 1 plastic Q-tip (or tissue) for sensory testing
- 5 pound weight or equivalent (food cans, books in a bag with handles)
- A cell phone that vibrates
- A pen light, flashlight, smartphone/tablet light, or small movable table lamp
