我講義上的內容引自課本,但我仔細看了一下, Stage 4應指病人是有嚴重的症狀,ADL無法自理或嚴重受限 至於行走能力,可能還是有機會自己走個一小段距離, 但functional ambulation是一定要assistance 以下是整理好的簡表,請大家參考 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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