Schwab and England Activities of Daily Living (ADL) Scale
Grades functional status in patients with Parkinson’s disease.
When to Use
Completely independent: able to do all chores without difficulty; essentially normal; unaware of any difficulty
Completely independent: able to do all chores with some difficulty (may take twice as long); beginning to be aware of difficulty
Mostly independent: chores takes twice as long; conscious of difficulty
Not completely independent: more difficulty with some chores; takes 3-4x longer for some
Some dependency: can do most chores but exceedingly slowly and with much effort; makes errors; some chores impossible
More dependent: needs help with half of chores; is slower and has difficulty with everything
Heavily dependent: can assist with all chores but does few alone
Mostly dependent: with effort, can sometimes do a few chores alone or begin alone; much help needed
Severely dependent: can help slighly with some chores but nothing alone
Completely dependent: helpless; complete invalid
Bedridden: vegetative functions such as swallowing, bladder and bowel functions impaired
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