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Table 3 Characteristics of validated fatigue scales

From: Prevalence and burden of multiple sclerosis-related fatigue: a systematic literature review

Validated fatigue scales

Domains/Components

Range of possible scores

Cut-offs for defining clinically relevant fatigue

Fatigue Severity Scale (FSS)

9 items: activities of daily living, life participation, and sleep

Total: 9–63

Mean of all scores: 1–7

Total: >  36 [53]

Mean of all scores: ≥ 4 [53] or ≥ 5 [54]

Fatigue Impact Scale (FIS)

40 items: physical, cognitive, and social

Total: 0–160

 Physical: 0–40

 Cognitive: 0–40

 Social: 0–80

Cut-off not reported [9]

Modified Fatigue Impact Scale (MFIS)

21 items (full-length) or 5 items (abbreviated): physical, cognitive, and psychosocial functioning

21-item version: 0–84 (total)

 Physical: 0–36

 Cognitive: 0–40

 Psychosocial: 0–8

5-item version: 0–20

21-item (total): ≥ 38 [55] or ≥ 45 [56] a

Daily Fatigue Impact Scale (D-FIS)

8 items: physical, cognitive, and psychosocial

Total: 0–32

Cut-off not reported [57]

Fatigue Scale for Motor and Cognitive Functions (FSMC)

20 items: Cognition and gait

Total: 20-100

 Cognitive: 10-50

 Physical: 10-50

Total [58]

 Mild fatigue: > 42

 Moderate fatigue: > 52

 Severe fatigue: > 62

Cognitive

 Mild fatigue: > 21

 Moderate fatigue: > 27

 Severe fatigue: > 33

Physical

 Mild fatigue: > 21

 Moderate fatigue: > 26

 Severe fatigue: > 31

  1. aCut-offs for components and 5-item version unknown
  2. Higher values indicate greater fatigue