Parkinson’s Disease stages
Parkinson’s is a neurological disorder which progresses over time. This means that symptoms will usually get worse. Majority of doctors use the Hoehn-Yahr scale for describing and classifying the stages of Parkinson’s disease. The Hoehn-Yahr scale is used to divide the symptoms of Parkinson’s disease into five different stages. It also allows healthcare providers and patients to track the progress of the disease. [6]
Parkinson’s disease has five distinct stages:
- Stage 2
The first stage of Parkinson’s is the mildest form of the disease. This stage is so mild that you may not feel the more noticeable symptoms. Stage 1 Parkinson’s may not affect a person’s life or daily activities at this stage. Some people may only experience symptoms on one side of their body.
- Stage 3
In some cases, it can take months or years to progress from Parkinson’s stage 1 to 2. Every individual has a different experience. The second stage is a more moderate one for the patient and they may start to experience some symptoms such as:
- Tremors
- Faces changing their expressions
- Trembling
- Muscle stiffness
The symptoms of tremors, muscle stiffness and difficulty completing daily tasks can make them more difficult and take longer to complete. At stage 2, a person’s balance is less likely. The symptoms may appear on both the left and right sides of the body. At stage 2, changes in facial expressions and gait may be more apparent.
- Stage 4
Symptoms may reach a tipping point at this stage. You are unlikely to feel the symptoms as they progress, but you may notice them more. Certain symptoms of Parkinson’s at stage three may also begin to interfere with daily activities. The movement also becomes slower, which can be noticed and slows down several activities. As well, balance problems are more prevalent. At stage 3, falls are common. Even though symptoms are more severe, Parkinson’s patients in stage 3 can still carry out their daily activities and remain independent.
- Stage 4
The progression from stage 3 into stage 4 is usually accompanied by noticeable changes. In the fourth stage of Parkinson’s, patients will have a difficult time standing up without a walker or an assistive device. The muscle movements and reactions slow down as well. At stage 4, living alone is dangerous and potentially unsafe for Parkinson’s patients.
- Stage 5
The most advanced stage of Parkinson’s is Stage 5. It has severe symptoms and requires 24-hour care. Patients may find it difficult to stand on their own. It will be necessary to have a wheelchair or other assistive device. At stage 5, Parkinson’s patients may experience confusion, hallucinations, or delusions.
