Modified Hoehn and Yahr Scale for Parkinson’s Disease
Grades severity of symptoms in Parkinson disease.
Advice
- In the original study, stages 1–3 were considered minimally disabling, while stages 4 and 5 were classified as severe disability.
- Higher stages strongly correlate with motor impairment, increased fall risk, and reduced quality of life.
- While no specific management recommendations exist based on staging alone, it may guide clinical decision-making, including:
- Evaluating fall risk and initiating physical and/or occupational therapy.
- Assessing caregiver burden and the need for support services.
- Adjusting medications as needed.
- Discussing the potential for deep brain stimulation (DBS).
- Initiating advanced care planning, including palliative care, home health services, or long-term care.