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1、UnifiedParkinsonDiseaseRatingScale(UPDRS)TheUPDRSisaratingtooltofollowthelongitudinalcourseofParkinson'sDisease.Itismadeupofthe1)Mentation,Behavior,andMood,2)ADLand3)Motorsections.Theseareevaluatedbyinterview.Somesectionsrequiremultiplegradesassignedtoeachextremity.Atotalof199pointsarepossible.199r
2、epresentstheworst(total)disability),0--nodisability.I.Mentation,Behavior,MoodoIntellectualImpairment0-none1-mild(consistentforgetfulnesswithpartialrecollectionofeventswithnootherdifficulties)2-moderatememorylosswithdisorientationandmoderatedifficultyhandlingcomplexproblems3-severememorylosswithdiso
3、rientationtotimeandoftenplace,severeimpairmentwithproblems4-severememorylosswithorientationonlytoperson,unabletomakejudgmentsorsolveproblemsoThoughtDisorder0-none1-vividdreaming2-"benign"hallucinationwithinsightretained3-occasionaltofrequenthallucinationordelusionswithoutinsight,couldinterferewithd
4、ailyactivities4-persistenthallucination,delusions,orfloridpsychosis.oDepression0-notpresent1-periodsofsadnessorguiltgreaterthannormal,neversustainedformorethanafewdaysoraweek2-sustaineddepressionfor>1week3-vegetativesymptoms(insomnia,anorexia,abulia,weightloss)4-vegetativesymptomswithsuicidalityoMo
5、tivation/Initiative0-normal1-lessofassertive,morepassive2-lossofinitiativeordisinterestinelectiveactivities3-lossofinitiativeordisinterestindaytosay(routine)activities4-withdrawn,completelossofmotivationI.ActivitiesofDailyLivingoSpeech0-normal1-mildlyaffected,nodifficultybeingunderstood2-moderately
6、affected,maybeaskedtorepeat3-severelyaffected,frequentlyaskedtorepeat4-unintelligiblemostoftimeoSalivation0-normal1-slightbutnoticeableincrease,mayhavenighttimedrooling2-moderatelyexcessivesaliva,hayminimaldrooling3-markeddroolingoSwallowing0-normal1-rarechoking2-occasionalchoking3-requiressoftfood
7、4-requiresNGtubeorG-tubeoHandwriting0-normal1-slightlysmallorslow2-allwordssmallbutlegible3-severelyaffected,notallwordslegible4-majorityillegibleoCuttingFood/HandingUtensils0-normal1-somewhatslowandclumsyb
