They were written for an audience of physicians. They are in no way intended to constitute medical advise. For medical advise a physician must, of course, be consulted. This rating system has been largely supplanted by the Unified Parkinson's Disease Rating Scale, which is much more complicated. These are evaluated by interview.
Some sections require multiple grades assigned to each extremity.
A total of 199 points are possible. Definite and early fatiguing, may have occasional arrests 3-severely impaired. Frequent hesitations and arrests. Definite and early fatiguing, may have occasional arrests 3-severely impaired. Frequent hesitations and arrests.