Escalas en Neurología - Sociedade Galega de Neuroloxia

11-ESCALAS (183-224) 3/6/08 11:40 Página 211
TRASTORNOS DEL MOVIMIENTO. I. ENFERMEDAD DE PARKINSON Y PARKINSONISMOS
Escala 66. SHORT PARKINSON'S EVALUATION SCALE (Cont.)
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Valoración
D. Finger tapping. Check each upper limb separately, asking the patient to tap thumb and
index finger of each hand, trying to achieve the maximum amplitude at ~3Hz (normal
velocity and ample movement, not fast) within 5-10 s
Normal 0
Starts normal then slows down or reduces amplitude 1
Starts with small amplitude or may have occasional arrest 2
Severely impaired initiation problem and/or frequent arrests during motion 3
RUE . . . . . . .
LUE . . . . . . .
E. Arising from chair. Use a straight-back chair; patient's arms to be folded across the chest
Normal 0
Slow, may need several attempts; does not need to use arms 1
Needs use of arms, but can get up without help 2
Unable to rise without help 3
Score . . . . . . .
F. Gait
Normal 0
Mild slowing and/or reduction of amplitude of steps 1
Walks with difficulty or may shuffle or have festination; may require assistance 2
Severe disturbance of gait, requiring assistance most or all of the time 3
Score . . . . . . .
G. Postural stability. Stand behind the patient and pull the patient backward toward you while
the patient is erect with eyes open and feet spaced slightly apart; patient is prepared
Normal/may take two steps to recover 0
Retropulsion, but recovers unaided 1
Retropulsion, but will fall if unaided 2
Unable to stand unaided 3
Score . . . . . . .
Total motor score . . . . . . .
II. Complications of therapy (by history)
A. Dyskinesias (peak or biphasic)
1. General (consider frequency and intensity)
Absent 0
Mild 1
Moderate 2
Severe 3
Score . . . . . . .
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