Abstract
We thank Bruno and Switzer for their comments on our manuscript describing the reliability and validity of prestroke modified Rankin Scale (mRS).1 We agree with all the points made in their letter, and it is reassuring that other centers are also giving some consideration to the clinimetric properties of mRS when used to describe functional ability prestroke. Bruno and Switzer make the valid point that the structure and wording of the various mRS grades are not suited to retrospective assessment of a subject’s function before the stroke event. This may be especially pertinent for mRS grades 0 to 2, where the descriptors place an emphasis on symptoms and …
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