Table 2 Scales used in diagnosis of PD symptoms

UPDRS Subscale Part-I

Includes mentation, mood and behavior

Range from 0 (normal) to 16 (each item graded from 0 to 4)

Intellectual impairment

Motivation/initiative

Thought disorder

Depression

UPDRS Subscale Part-II

Self-evaluation of activities of daily living

Range 0 to 52 (Each item scored from 0 to 4)

Using utensils and cutting food

Getting into bed and fixing the bedclothes

Drooling

Drop-down

Swallowing

Steady

Handwriting

Walking

Voice or speaking

Right arm tremor

Habiliment

Left arm tremor

Sanitation

Sensory difficulties

UPDRS Subscale Part-III

Evaluation of motor functions

Range 0 to 108

27 items ( each item grades from 0 to 4)

Items 1 to 5 (resting tremor)

Item 23 (arising from a chair)

Items 6 and 7 (action tremor)

Item 24 (posture)

Items 8 to 12 (Stiffness)

Item 25 (gait)

Items 13 and 20 (Bradykinesia)

Item 26 (postural stability)

Item 21 and 22 (speech and facial expressions)

Item 27 (body bradykinesia)

UPDRS Subscale Part-IV

Used for complications of therapy

Range items from 32 to 35 for dyskinesia

Items 36 to 39 for motor/ clinical fluctuations

Items 40 to 42 for intestinal, autonomic, and sleep problems

Item 32 (Duration of dyskinesia)

Item 38 (Undetermined-OFF)

Item 33 (Disability)

Item 39 (Time OFF)

Item 34 (Pain)

Item 40 (Gastrointestinal problems)

Item 35 (Early Morning)

Item 41 (Sleep Disturbances)

Item 36 (Predictability)

Item 42 (Orthostasis)

Item 37 (Unpredictable OFF)

HY Part-V [13]

Sub-Part of UPDRS Scale

Stage-0

No indication of disease

Stage-1

Side effects on one side just (one-sided)

Stage-1.5

Side effects one-sided and also including the neck and spine

Stage-2

Indications on the two sides but no disability of balance

Stage-2.5

Gentle side effects on the two sides, with when the ‘pull' test is performed (the specialist stands behind the individual and requests that they keep up their balance when pulled in reverse)

Stage-3

Impairment of balance, gentle to moderate disease, physically independent

Stage-4

Extreme inability, but still at the same time ready to move or balance without assistance

Stage- 5

Requiring a bed-rest or wheel-chair if assisted

SEADL Scale

Part-VI [30]

Range 0–100%

Demonstrates the ‘Schwab and England' method for determining independency on everyday living activities under ON/OFF states

Higher scores indicate to better useful independency

100%

Totally independent, efficient to do all activities without gradualness, trouble or disability

90%

Totally independent, efficient to do all exercises with some slowness, trouble or impairment, Activities may take double time as long to finish

80%

Many drills are self-contained, although certain tasks take double time, Aware of potential problems and a desire to slow down

70%

Not entirely self-sufficient, more problems with activities that can take three to multiple times as long, may take enormous part of day for tasks

60%

Can do most exercises, but very slowly and with much exertion, however a few tasks are unthinkable

50%

More reliant, Help needed with half of tasks, Trouble with everything

40%

Very needy, can help with all activities but can manage few alone

30%

With exertion, occasionally do a couple of tasks alone or starts alone, much assistance require

20%

No task can do alone; can help in some slight with some chores. Severe invalid

10%

Helpless and completely dependent on caretaker

0%

Vegetative controls like swallowing, bladder and bowel functions