Escalas en Neurología - Sociedade Galega de Neuroloxia

11-ESCALAS (183-224) 3/6/08 11:40 Página 214
J.A. MOLINA, J. GONZÁLEZ DE LA ALEJA, F. BERMEJO PAREJA, P. MARTÍNEZ-MARTÍN
Escala 66. SHORT PARKINSON'S EVALUATION SCALE (Cont.)
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Valoración
F. Handwriting
Normal 0
Slightly slow and/or small letters; all words are legible 1
Severely affected; not all the words are legible; may need to use block letters 2
The majority of words are illegible 3
Score . . . . . . .
G. Walking
Normal 0
Walks slowly; does not require help or support 1
May have difficulty with walking and/or turning; may require assistance
or support in certain situations 2
Unable to walk, or walks only with assistance and great effort 3
Score . . . . . . .
I. Turning and getting out of bed
Normal 0
Difficulty turning in bed and/or getting out of bed; does not need help 1
Difficulties in turning in bed and/or in getting out of bed; may need help 2
Unable to turn in bed and/or to get out of bed unaided 3
Score . . . . . . .
Total score . . . . . . .
V. Hoehn and Yahr staging
Stage 0 = No signs of disease.
Stage 1 = Unilateral disease.
Stage 2 = Bilateral disease.
Stage 3 = Mild to moderate bilateral disease; some postural instability; physically indepedent.
Stage 4 = Severe dissability; still able to walk or stand unassisted.
Stage 5 = Wheelchair bound or bedridden unless aided.
VI. Scoring of motor fluctuations
A. No motor fluctuations or dyskinesias.
B. Dyskinesias and/or akinetic episodes (early morning, end-of-dose, or other)
and/or freezing gait that do not affect daily activities.
C. Dyskinesias and/or akinetic episodes and/or freezing episodes that affect daily activities;
may require assistance with activities of daily life.
D. Dyskinesias and/or akinetic episodes and/or freezing gait that significantly affect activities of
daily life; required considerable assistance for activities of daily live.
LLE: left lower extremity; LUE: left upper extremity; RLE: right lower extremity; RUE: right upper extremity.