Rubric Guide
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TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
Unified Parkinson’s
Disease Rating Scale
PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD RATING SCALE | ©WE MOVE 2006 23
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
I. Mentation, Behavior and Mood
1. Intellectual Impairment
0 = None.
1 = Mild. Consistent forgetfulness with partial recollection
of events and no other difficulties.
2 = Moderate memory loss, with disorientation and
moderate difficulty handling complex problems. Mild
but definite impairment of function at home with need
of occasional prompting.
3 = Severe memory loss with disorientation for time and
often to place. Severe impairment in handling problems.
4 = Severe memory loss with orientation preserved to person
only. Unable to make judgements or solve problems.
Requires much help with personal care. Cannot be left
alone at all.
2. Thought Disorder (Due to dementia or drug
intoxication)
0 = None.
1 = Vivid dreaming.
2 = “Benign” hallucinations with insight retained.
3 = Occasional to frequent hallucinations or delusions;
without insight; could interfere with daily activities.
4 = Persistent hallucinations, delusions, or florrid psychosis.
Not able to care for self.
3. Depression
1 = P eriods of sadness or guilt greater than normal, never
sustained for days or weeks.
2 = Sustained depression (1 week or more).
3 = Sustained depression with vegetative symptoms
(insomnia, anorexia, weight loss, loss of interest).
4 = Sustained depression with vegetative symptoms and
suicidal thoughts or intent.
4. Motivation/Initiative
0 = Normal.
1 = Less assertive than usual; more passive.
2 = Loss of initiative or disinterest in elective (nonroutine)
activities.
3 = Loss of initiative or disinterest in day to day (routine)
activities.
4 = Withdrawn, complete loss of motivation.
II. Activities of Daily Living
(for both “on” and “off”)
5. Speech
0 = Normal.
1 = Mildly affected. No difficulty being understood.
2 = Moderately affected. Sometimes asked to repeat
statements.
3 = Severely affected. Frequently asked to repeat statements.
4 = Unintelligible most of the time.
6. Salivation
0 = Normal.
1 = Slight but definite excess of saliva in mouth; may have
nighttime drooling.
2 = Moderately excessive saliva; may have minimal drooling.
3 = Marked excess of saliva with some drooling.
4 = Marked drooling, requires constant tissue or
handkerchief.
7. Swallowing
0 = Normal.
1 = Rare choking.
2 = Occasional choking.
3 = Requires soft food.
4 = Requires ng tube or gastrotomy feeding.
Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. Florham
Park, NJ. Macmillan Health Care Information 1987, 153-163, 293-304.
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
8. Handwriting
0 = Normal.
1 = Slightly slow or small.
2 = Moderately slow or small; all words are legible.
3 = Severely affected; not all words are legible.
4 = The majority of words are not legible.
9. Cutting Food and Handling Utensils
0 = Normal.
1 = Somewhat slow and clumsy, but no help needed.
2 = Can cut most foods, although clumsy and slow; some
help needed.
3 = Food must be cut by someone, but can still feed slowly.
4 = Needs to be fed.
10. Dressing
0 = Normal.
1 = Somewhat slow, but no help needed.
2 = Occasional assistance with buttoning, getting arms in sleeves.
3 = Considerable help required, but can do some things
alone.
4 = Helpless.
11. Hygiene
0 = Normal.
1 = Somewhat slow, but no help needed.
2 = Needs help to shower or bathe; or very slow in hygienic
care.
3 = Requires assistance for washing, brushing teeth,
combing hair, going to bathroom.
4 = Foley catheter or other mechanical aids.
12. Turning in Bed and Adjusting Bed Clothes
0 = Normal.
1 = Somewhat slow and clumsy, but no help needed.
2 = Can turn alone or adjust sheets, but with great difficulty.
3 = Can initiate, but not turn or adjust sheets alone.
4 = Helpless.
13. Falling (Unrelated to Freezing)
0 = None.
1 = Rare falling.
2 = Occasionally falls, less than once per day.
3 = Falls an average of once daily.
4 = Falls more than once daily.
14. Freezing when Walking
0 = None.
1 = Rare freezing when walking; may have start hesitation.
2 = Occasional freezing when walking.
3 = Frequent freezing. Occasionally falls from freezing.
4 = Frequent falls from freezing.
15. Walking
0 = Normal.
1 = Mild difficulty. May not swing arms or may tend to drag
leg.
2 = Moderate difficulty, but requires little or no assistance.
3 = Severe disturbance of walking, requiring assistance.
4 = Cannot walk at all, even with assistance.
16. Tremor (Symptomatic complaint of tremor in any part
of body.)
0 = Absent.
1 = Slight and infrequently present.
2 = Moderate; bothersome to patient.
3 = Severe; interferes with many activities.
4 = Marked; interferes with most activities.
17. Sensory Complaints Related to Parkinsonism
0 = None.
1 = Occasionally has numbness, tingling, or mild aching.
2 = Frequently has numbness, tingling, or aching; not
distressing.
3 = Frequent painful sensations.
4 = Excruciating pain.
Unified Parkinson’s Disease Rating Scale
24 PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD RATING SCALE | ©WE MOVE 2006
Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. Florham
Park, NJ. Macmillan Health Care Information 1987, 153-163, 293-304.
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
III. Motor Examination
18. Speech
0 = Normal.
1 = Slight loss of expression, diction and/or volume.
2 = Monotone, slurred but understandable; moderately
impaired.
3 = Marked impairment, difficult to understand.
4 = Unintelligible.
19. Facial Expression
0 = Normal.
1 = Minimal hypomimia, could be normal “Poker Face.”
2 = Slight but definitely abnormal diminution of facial
expression
3 = Moderate hypomimia; lips parted some of the time.
4 = Masked or fixed facies with severe or complete loss of
facial expression; lips parted 1/4 inch or more.
20. Tremor at Rest (head, upper and lower extremities)
0 = Absent.
1 = Slight and infrequently present.
2 = Mild in amplitude and persistent. Or moderate in
amplitude, but only intermittently present.
3 = Moderate in amplitude and present most of the time.
4 = Marked in amplitude and present most of the time.
21. Action or Postural Tremor of Hands
0 = Absent.
1 = Slight; present with action.
2 = Moderate in amplitude, present with action.
3 = Moderate in amplitude with posture holding as well
as action.
4 = Marked in amplitude; interferes with feeding.
22. Rigidity (Judged on passive movement of major joints
with patient relaxed in sitting position. Cogwheeling to
be ignored.)
0 = Absent.
1 = Slight or detectable only when activated by mirror or
other movements.
2 = Mild to moderate.
3 = Marked, but full range of motion easily achieved.
4 = Severe, range of motion achieved with difficulty.
23. Finger Taps (Patient taps thumb with index finger in
rapid succession.)
0 = Normal.
1 = Mild slowing and/or reduction in amplitude.
2 = Moderately impaired. Definite and early fatiguing.
May have occasional arrests in movement.
3 = Severely impaired. Frequent hesitation in initiating
movements or arrests in ongoing movement.
4 = Can barely perform the task.
24. Hand Movements (Patient opens and closes hands
in rapid succesion.)
0 = Normal.
1 = Mild slowing and/or reduction in amplitude.
2 = Moderately impaired. Definite and early fatiguing.
May have occasional arrests in movement.
3 = Severely impaired. Frequent hesitation in initiating
movements or arrests in ongoing movement.
4 = Can barely perform the task.
25. Rapid Alternating Movements of Hands
(Pronation-supination movements of hands, vertically
and horizontally, with as large an amplitude as possible,
both hands simultaneously.)
0 = Normal.
1 = Mild slowing and/or reduction in amplitude.
2 = Moderately impaired. Definite and early fatiguing.
May have occasional arrests in movement.
3 = Severely impaired. Frequent hesitation in initiating
movements or arrests in ongoing movement.
4 = Can barely perform the task.
PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD RATING SCALE | ©WE MOVE 2006 25
Unified Parkinson’s Disease Rating Scale
Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. Florham
Park, NJ. Macmillan Health Care Information 1987, 153-163, 293-304.
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
26. Leg Agility (Patient taps heel on the ground in rapid
succession picking up entire leg. Amplitude should be
at least 3 inches.)
0 = Normal.
1 = Mild slowing and/or reduction in amplitude.
2 = Moderately impaired. Definite and early fatiguing.
May have occasional arrests in movement.
3 = Severely impaired. Frequent hesitation in initiating
movements or arrests in ongoing movement.
4 = Can barely perform the task.
27. Arising from Chair (Patient attempts to rise from a
straightbacked chair, with arms folded across chest.)
0 = Normal.
1 = Slow; or may need more than one attempt.
2 = Pushes self up from arms of seat.
3 = Tends to fall back and may have to try more than one
time, but can get up without help.
4 = Unable to arise without help.
28. Posture
0 = Normal erect.
1 = Not quite erect, slightly stooped posture; could be
normal for older person.
2 = Moderately stooped posture, definitely abnormal;
can be slightly leaning to one side.
3 = Severely stooped posture with kyphosis; can be
moderately leaning to one side.
4 = Marked flexion with extreme abnormality of posture.
29. Gait
0 = Normal.
1 = Walks slowly, may shuffle with short steps, but no
festination (hastening steps) or propulsion.
2 = Walks with difficulty, but requires little or no assistance;
may have some festination, short steps, or propulsion.
3 = Severe disturbance of gait, requiring assistance.
4 = Cannot walk at all, even with assistance.
30. Postural Stability (Response to sudden, strong
posterior displacement produced by pull on shoulders
while patient erect with eyes open and feet slightly apart.
Patient is prepared.)
0 = Normal.
1 = Retropulsion, but recovers unaided.
2 = Absence of postural response; would fall if not caught
by examiner.
3 = Very unstable, tends to lose balance spontaneously.
4 = Unable to stand without assistance.
31. Body Bradykinesia and Hypokinesia (Combining
slowness, hesitancy, decreased arm swing, small
amplitude, and poverty of movement in general.)
0 = None.
1 = Minimal slowness, giving movement a deliberate
character; could be normal for some persons. Possibly
reduced amplitude.
2 = Mild degree of slowness and poverty of movement
which is definitely abnormal. Alternatively, some reduced
amplitude.
3 = Moderate slowness, poverty or small amplitude of
movement.
4 = Marked slowness, poverty or small amplitude of
movement.
26 PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD RATING SCALE | ©WE MOVE 2006
Unified Parkinson’s Disease Rating Scale
Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. Florham
Park, NJ. Macmillan Health Care Information 1987, 153-163, 293-304.
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD RATING SCALE | ©WE MOVE 2006 27
Unified Parkinson’s Disease Rating Scale
Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. Florham
Park, NJ. Macmillan Health Care Information 1987, 153-163, 293-304.
IV. Complications of Therapy
(In the past week)
A. Dyskinesias
32. Duration: What proportion of the waking day are
dyskinesias present? (Historical information.)
0 = None
1 = 1–25% of day.
2 = 26–50% of day.
3 = 51–75% of day.
4 = 76–100% of day.
33. Disability: How disabling are the dyskinesias?
(Historical information; may be modified by office
examination.)
0 = Not disabling.
1 = Mildly disabling.
2 = Moderately disabling.
3 = Severely disabling.
4 = Completely disabled.
34. Painful Dyskinesias: How painful are the
dyskinesias?
0 = No painful dyskinesias.
1 = Slight.
2 = Moderate.
3 = Severe.
4 = Marked.
35. Presence of Early Morning Dystonia
(Historical information.)
0 = No
1 = Yes
B. Clinical Fluctuations
36. Are “off” periods predictable?
0 = No
1 = Yes
37. Are “off” periods unpredictable?
0 = No
1 = Yes
38. Do “off ” periods come on suddenly, within a
few seconds?
0 = No
1 = Yes
39. What proportion of the waking day is the patient
“off” on average?
0 = None
1 = 1–25% of day.
2 = 26–50% of day.
3 = 51–75% of day.
4 = 76–100% of day.
C. Other Complications
40. Does the patient have anorexia, nausea, or vomiting?
0 = No
1 = Yes
41. Any sleep disturbances, such as insomnia or
hypersomnolence?
0 = No
1 = Yes
42. Does the patient have symptomatic orthostasis?
(Record the patient’s blood pressure, height and weight
on the scoring form)
0 = No
1 = Yes
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
28 PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD RATING SCALE | ©WE MOVE 2006
V. Modified Hoehn and Yahr Staging
STAGE 0 = No signs of disease.
STAGE 1 = Unilateral disease.
STAGE 1.5 = Unilateral plus axial involvement.
STAGE 2 = Bilateral disease, without impairment of balance.
STAGE 2.5 = Mild bilateral disease, with recovery on pull test.
STAGE 3 = Mild to moderate bilateral disease; some postural instability; physically independent.
STAGE 4 = Severe disability; still able to walk or stand unassisted.
STAGE 5 = Wheelchair bound or bedridden unless aided.
VI. Schwab and England Activities of Daily Living Scale
100% = Completely independent. Able to do all chores without slowness, difficulty or impairment. Essentially normal.
Unaware of any difficulty.
90% = Completely independent. Able to do all chores with some degree of slowness, difficulty and impairment.
Might take twice as long. Beginning to be aware of difficulty.
80% = Completely independent in most chores. Takes twice as long. Conscious of difficulty and slowness.
70% = Not completely independent. More difficulty with some chores. Three to four times as long in some.
Must spend a large part of the day with chores.
60% = Some dependency. Can do most chores, but exceedingly slowly and with much effort. Errors; some impossible.
50% = More dependent. Help with half, slower, etc. Difficulty with everything.
40% = Very dependent. Can assist with all chores, but few alone.
30% = With effort, now and then does a few chores alone or begins alone. Much help needed.
20% = Nothing alone. Can be a slight help with some chores. Severe invalid.
10% = Totally dependent, helpless. Complete invalid.
0% = Vegetative functions such as swallowing, bladder and bowel functions are not functioning. Bedridden.
Unified Parkinson’s Disease Rating Scale
Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. Florham
Park, NJ. Macmillan Health Care Information 1987, 153-163, 293-304.
Name __________________________________________________________________________________ Unit Number ______________________________________________________
Unified Parkinson’s
Disease Data Form
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
Thank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
The Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
Date
dopa mg/day hrs dopa lasts
|
1. Mentation
2. Thought Disorder
3. Depression
4. Motivation/Initiative
Subtotal 1 – 4 (maximum = 16)
5. Speech
6. Salivation
7. Swallowing
8. Handwriting
9. Cutting food
10. Dressing
11. Hygiene
12. Turning in bed
13. Falling
14. Freezing
15. Walking
16. Tremor
17. Sensory symptoms
Subtotal 5 – 17 (maximum = 52)
18 Speech
19. Facial expression
20. Tremor at rest: face,lips,chin
Hands: right
left
Feet: right
left
21. Action tremor: right
left
22. Rigidity: neck
Upper extremity: right
left
Lower extremity: right
left
on off on off on off on off on off on off on off on off
PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD DATA FORM | ©WE MOVE 2006 29
TO POST-STROKE SPASTICITY MANAGEMENT
TO RESTLESS LEG SYNDROME
pssm
TO DYSKINESIA MANAGEMENT
dyskinesia
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
TO RESTLESS LEG SYNDROME
TO DYSKINESIA MANAGEMENT IN PD
dyskinesia
dyskinesia
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO POST-STROKE SPASTICITY MANAGEMENT
pss
m
TO DYSKINESIA IN PARKINSON’S DISEASE
dpd
T
hank you very much.
Feel free to bill your time under a spasticity code #8302.
Also, the billing code for the entire PSS project is 8305.
We need to get a graphic going for the online
version of the Dyskinesia monograph.
Let’s try two versions. One that says “Dyskinesia” and one that says “Dyskinesia Workbook,”
both ala the
PD Workbook. The tag line should read
T
he Clinicians’ Guide to Management of Dyskinesia in PD
Billing code for Dyskinesia is #8304.
Unified Parkinson’s Disease Data Form
Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. Florham Park, NJ.
Macmillan Health Care Information 1987, pp 153-163, 293-304
Date
23. Finger taps: right
left
24. Hand grips: right
left
25. Hand pronate/supinate: right
left
26. Leg agility: right
left
27. Arise from chair
28. Posture
29. Gait
30. Postural stability
31. Body bradykinesia
Sub-total:18 –31 (maximum = 108)
Total points: 1 –31 (max = 176)
32. Dyskinesia (duration)
33. Dyskinesia (disability)
34. Dyskinesia (pain)
35. Early morning dystonia
36. “Offs” (predictable)
37. “Offs” (unpredictable)
38. “Offs” (sudden)
39. “Offs” (duration)
40. Anorexia, nausea, vomiting
41. Sleep disturbance
42. Symptomatic orthostasis
Blood Pressure: seated
supine
standing
Weight
Pulse: seated
standing
Name of Examiner
Hoehn & Yahr Stage
% ADL Score (PD)
% ADL (with dyskinesia)
best worst best worst best worst best worst best worst best worst best worst best worst
on off on off on off on off on off on off on off on off
30 PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD DATA FORM | ©WE MOVE 2006
