Re: Hoehn and Yahr Staging

[Margaret Tuchman <mtuchman@xxxxxxxxxxxxx>]

At 05:53 AM 2/23/97 -0500, you wrote:
>Can someone explain what is meant by the following "he suffers from
>parkinsonism, of Hoehn and Yahr stage II severity."
>
>Thanks,
>
>Jim Ryan
>57/8

Hello Jim:

Hoehn and Yahr Staging of Parkinson's Disease, and Unified Parkinson Disease
Rating Scale (UPDRS)
and Schwab and England Activities of Daily Living can be found on
Comprehensive links to online information about Parkinson's disease from
MGH/Harvard at the URL:


Hoehn and Yahr Staging of Parkinson's Disease

  1.Stage One
      1.Signs and symptoms on one side only
      2.Symptoms mild
      3.Symptoms inconvenient but not disabling
      4.Usually presents with tremor of one limb
      5.Friends have noticed changes in posture, locomotion and facial
expression
  2.Stage Two
      1.Symptoms are bilateral
      2.Minimal disability
      3.Posture and gait affected
  3.Stage Three
      1.Significant slowing of body movements
      2.Early impairment of equilibrium on walking or standing
      3.Generalized dysfunction that is moderately severe
  4.Stage Four
      1.Severe symptoms
      2.Can still walk to a limited extent
      3.Rigidity and bradykinesia
      4.No longer able to live alone
      5.Tremor may be less than earlier stages
  5.Stage Five
      1.Cachectic stage
      2.Invalidism complete
      3.Cannot stand or walk
      4.Requires constant nursing care

This rating system has been largely supplanted by the Unified Parkinson's
Disease Rating Scale, which is much more complicated.





Margaret Tuchman (55yrs, Dx 1980)- NJ-08540
mtuchman@xxxxxxxxxxxxx