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Tuesday, November 24, 2009
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Stages of Parkinson's disease

Developing an objective tool that would allow doctors to judge the severity of a patient's Parkinson's disease has been difficult. The classification most widely used to stage disease severity is the Hoehn and Yahr Scale. This system puts symptoms into five stages:

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  • Stage 1: The symptoms are mild and on one side of the body only; one limb may show a tremor.
  • Stage 2: Symptoms are still fairly mild but appear on both sides of the body.
  • Stage 3: By this time, the patient is moving quite slowly and with difficulty; has trouble keeping his balance.
  • Stage 4: Symptoms are severe enough that the patient can't live alone. He can still walk, but muscles are rigid, and movements are very slow.
  • Stage 5: The patient can no longer stand and requires nursing care.

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