我讲义上的内容引自课本,但我仔细看了一下, Stage 4应指病人是有严重的症状,ADL无法自理或严重受限 至於行走能力,可能还是有机会自己走个一小段距离, 但functional ambulation是一定要assistance 以下是整理好的简表,请大家参考 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 --

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