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ALS motor phenotypes: a revised 'OPM' classification - PubMed

7 hours ago
  • #motor phenotypes
  • #classification
  • #ALS
  • The 'ALS-OPM' classification is revised to define motor phenotypes in ALS for individualized care and therapeutic trial design.
  • Onset (O1-4) categorizes first motor symptoms by region: head (O1), arm (O2d/p), trunk (O3r/a), or leg (O4d/p).
  • Propagation (P1(n)) or absence (P0(n)) of motor symptoms is noted, with 'n' indicating months from onset to propagation/assessment.
  • Motor dysfunction is classified by UMN and/or LMN involvement: balanced (M0), dominant/pure UMN (M1d/p), dominant/pure LMN (M2d/p), or dissociated (M3).
  • The revised classification aims to standardize phenotype capture in clinical practice and trials.