MDCalc

Webster Rating Scale for Parkinson’s Disease

Quantifies degree of disability in Parkinson’s disease.

Bradykinesia of hands
Rigidity
Posture
Upper extremity swing
Gait

Tremor

Facies

Seborrhea

Speech

Self-care

Result:

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Advice
  • Higher scores indicate worsening motor impairment and reduced quality of life.

  • Scores can be monitored over time to guide treatment decisions, including medication adjustments or escalation, eligibility for advanced interventions (e.g., deep brain stimulation), and advanced care planning.

  • Significant or rapid deterioration warrants further evaluation for potential medication side effects, comorbidities, or referral to specialized care (e.g., physical or occupational therapy, movement disorder specialists).