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ID
15112
Description
The Motor Exam portion of the United Parkinson’s Disease Rating Scale is a 27 item examiner-administered test that measures the severity of symptoms in resting tremor, resistance to movement and abnormal gait and posture. ODM derived from: https://cde.nlm.nih.gov Primary source: https://www.phenxtoolkit.org/ Recent publication: Hendershot, T., Pan, H., Haines, J., Harlan, W.R., Marazita, M.L., McCarty, C.A., Ramos, E.M., and Hamilton, C.M. (2015) Using the PhenX toolkit to add standard measures to a study. Curr. Protoc. Hum. Genet. 86:1.21.1-1.21.17. doi: 10.1002/0471142905.hg0121s86 Permission to publish granted by Carol M. Hamilton.
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Versions (1)
- 9/27/17 9/27/17 -
Uploaded on
September 27, 2017
DOI
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License
Creative Commons BY-NC 3.0
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Parkinsonism Symptoms Protocol PhenX Toolkit
Parkinsonism Symptoms Protocol PhenX Toolkit
- StudyEvent: SE
Similar models
Parkinsonism Symptoms Protocol PhenX Toolkit
- StudyEvent: SE
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
CL Item
Normal (Normal )
CL Item
Slight loss of expression, direction, and/or volume (Slight loss of expression, direction, and/or volume)
CL Item
Monotone, slurred but understandable; moderately impaired (Monotone, slurred but understandable; moderately impaired)
CL Item
Marked impairent, difficult to understand (Marked impairent, difficult to understand)
CL Item
Unintelligible (Unintelligible)
Item
Parkinson - facial expression
text
C0015457 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
Normal (Normal)
CL Item
Minimal hypomymia, could be normal 'Poker Face' (Minimal hypomymia, could be normal 'Poker Face')
CL Item
Slight but definitely abnormal diminution of facial expression (Slight but definitely abnormal diminution of facial expression)
CL Item
Moderate hypomimia; lips parted some of time (Moderate hypomimia; lips parted some of time)
CL Item
Masked or fixed faces with severe or complete loss of facial expression; lips parted one fourth inch or more (Masked or fixed faces with severe or complete loss of facial expression; lips parted one fourth inch or more)
Item
Parkinson - tremor at rest - face
text
C0040822 (UMLS CUI [1,1])
C0015450 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0015450 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight and infrequently present (Slight and infrequently present)
CL Item
Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present (Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present)
CL Item
Moderate in amplitude and present most of the time (Moderate in amplitude and present most of the time)
CL Item
Marked in amplitude and present most of the time (Marked in amplitude and present most of the time)
Item
Tremor at rest Upper extremity - right [UPDRS]
text
C0230329 (UMLS CUI [1,1])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight; present with action (Slight; present with action)
CL Item
Moderate in amplitude, present with action (Moderate in amplitude, present with action)
CL Item
Moderate in amplitude with posture holding as well as action (Moderate in amplitude with posture holding as well as action)
CL Item
Marked in amplitude; interferes with feeding (Marked in amplitude; interferes with feeding)
Item
Parkinson - tremor at rest - LUE
text
C0230330 (UMLS CUI [1,1])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight and infrequently present (Slight and infrequently present)
CL Item
Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present (Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present)
CL Item
Moderate in amplitude and present most of the time (Moderate in amplitude and present most of the time)
CL Item
Marked in amplitude and present most of the time (Marked in amplitude and present most of the time)
Item
Parkinson - tremor at rest - RLE
text
C0230415 (UMLS CUI [1,1])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight and infrequently present (Slight and infrequently present)
CL Item
Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present (Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present)
CL Item
Moderate in amplitude and present most of the time (Moderate in amplitude and present most of the time)
CL Item
Marked in amplitude and present most of the time (Marked in amplitude and present most of the time)
Item
Parkinson - tremor at rest - LLE
text
C0230416 (UMLS CUI [1,1])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight and infrequently present (Slight and infrequently present)
CL Item
Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present (Mild in amplitude and persistent. Or moderate in amplitude, but only intermittently present)
CL Item
Moderate in amplitude and present most of the time (Moderate in amplitude and present most of the time)
CL Item
Marked in amplitude and present most of the time (Marked in amplitude and present most of the time)
Item
Parkinson - postural tremor - RUE
text
C0230329 (UMLS CUI [1,1])
C0234378 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0234378 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight; present with action (Slight; present with action)
CL Item
Moderate in amplitude, present with action (Moderate in amplitude, present with action)
CL Item
Moderate in amplitude with posture holding as well as action (Moderate in amplitude with posture holding as well as action)
CL Item
Marked in amplitude; interferes with feeding (Marked in amplitude; interferes with feeding)
Item
Parkinson - postural tremor - LUE
text
C0230330 (UMLS CUI [1,1])
C0234378 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0234378 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight; present with action (Slight; present with action)
CL Item
Moderate in amplitude, present with action (Moderate in amplitude, present with action)
CL Item
Moderate in amplitude with posture holding as well as action (Moderate in amplitude with posture holding as well as action)
CL Item
Marked in amplitude; interferes with feeding (Marked in amplitude; interferes with feeding)
Item
Parkinson - rigidity - neck
text
C0151315 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
Absent (Absent)
CL Item
Slight or detectable only when activated by mirror or other movements (Slight or detectable only when activated by mirror or other movements)
CL Item
Mild to moderate (Mild to moderate)
CL Item
Marked, but full range of motion easily achieved (Marked, but full range of motion easily achieved)
CL Item
Severe, range of motion achieved with difficulty (Severe, range of motion achieved with difficulty)
Item
Parkinson - rigidity - RUE
text
C0230329 (UMLS CUI [1,1])
C0026837 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0026837 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight or detectable only when activated by mirror or other movements (Slight or detectable only when activated by mirror or other movements)
CL Item
Mild to moderate (Mild to moderate)
CL Item
Marked, but full range of motion easily achieved (Marked, but full range of motion easily achieved)
CL Item
Severe, range of motion achieved with difficulty (Severe, range of motion achieved with difficulty)
Item
Parkinson - rigidity - LUE
text
C0230330 (UMLS CUI [1,1])
C0026837 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0026837 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight or detectable only when activated by mirror or other movements (Slight or detectable only when activated by mirror or other movements)
CL Item
Mild to moderate (Mild to moderate)
CL Item
Marked, but full range of motion easily achieved (Marked, but full range of motion easily achieved)
CL Item
Severe, range of motion achieved with difficulty (Severe, range of motion achieved with difficulty)
Item
Parkinson - rigidity - RLE
text
C0230415 (UMLS CUI [1,1])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0040822 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight or detectable only when activated by mirror or other movements (Slight or detectable only when activated by mirror or other movements)
CL Item
Mild to moderate (Mild to moderate)
CL Item
Marked, but full range of motion easily achieved (Marked, but full range of motion easily achieved)
CL Item
Severe, range of motion achieved with difficulty (Severe, range of motion achieved with difficulty)
Item
Parkinson - rigidity - LLE
text
C0230416 (UMLS CUI [1,1])
C0026837 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
C0026837 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,3])
CL Item
Absent (Absent)
CL Item
Slight or detectable only when activated by mirror or other movements (Slight or detectable only when activated by mirror or other movements)
CL Item
Mild to moderate (Mild to moderate)
CL Item
Marked, but full range of motion easily achieved (Marked, but full range of motion easily achieved)
CL Item
Severe, range of motion achieved with difficulty (Severe, range of motion achieved with difficulty)
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
Item
Hand movements - right
text
C3176178 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
Item
Hand movements - left
text
C3176201 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
Item
Rapidly alternating movements - right
text
C3166248 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
Item
Rapidly alternating movements - left
text
C3166247 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
CL Item
Normal (Normal)
CL Item
Mild slowing and/or reduction in amplitude (Mild slowing and/or reduction in amplitude)
CL Item
Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement (Moderately impaired. Definite and early fatiguing. May have occasional arrests in movement)
CL Item
Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement (Severely impaired. Frequent hesitation in initiating movements or arrests in ongoing movement)
CL Item
Can barely perform task (Can barely perform task)
CL Item
Normal (Normal)
CL Item
Slow; or may need more than one attempt (Slow; or may need more than one attempt)
CL Item
Pushes self up from arms of seat (Pushes self up from arms of seat)
CL Item
Tends to fall back and may have to try more than one time, but can get up without help (Tends to fall back and may have to try more than one time, but can get up without help)
CL Item
Unable to arise without help (Unable to arise without help)
CL Item
Normal erect (Normal erect)
CL Item
Not quite erect, slightly stopped posture; could be normal for older person (Not quite erect, slightly stopped posture; could be normal for older person)
CL Item
Moderately stopped posture, definitely abnormal; can be slightly leaning to one side (Moderately stopped posture, definitely abnormal; can be slightly leaning to one side)
CL Item
Severely stopped posture with kyphosis; can be moderately leaning to one side (Severely stopped posture with kyphosis; can be moderately leaning to one side)
CL Item
Marked flexion with extreme abnormality of posture (Marked flexion with extreme abnormality of posture)
CL Item
Normal (Normal)
CL Item
Walks slowly, may shuffle with short steps, but no festination hastening steps or propulsion (Walks slowly, may shuffle with short steps, but no festination hastening steps or propulsion)
CL Item
Walks with difficulty, but requires little or no assistance; may have some festination, short steps, or propulsion (Walks with difficulty, but requires little or no assistance; may have some festination, short steps, or propulsion)
CL Item
Severe disturbance of gait, requiring assistance (Severe disturbance of gait, requiring assistance)
CL Item
Cannot walk at all, even with assistance (Cannot walk at all, even with assistance)
Item
Postural stability - retropulsion test
text
C3166208 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
Normal (Normal )
CL Item
Retropulsion, but recovers unaided (Retropulsion, but recovers unaided )
CL Item
Absence of postural response; would fall if not caught by examiner (Absence of postural response; would fall if not caught by examiner )
CL Item
Very unstable, tends to lose balance spontaneously (Very unstable, tends to lose balance spontaneously)
CL Item
Unable to stand without assistance (Unable to stand without assistance)
Item
Body bradykinesia - hypokinesia
text
C3176307 (UMLS CUI [1,1])
C3639721 (UMLS CUI [1,2])
C3639721 (UMLS CUI [1,2])
CL Item
None (None)
CL Item
Minimal slowness, giving movement a deliberate character; could be normal for some persons. Possibly reduced amplitude (Minimal slowness, giving movement a deliberate character; could be normal for some persons. Possibly reduced amplitude )
CL Item
Mild degree of slowness and poverty of movement which is definitely abnormal. Alternatively, some reduced amplitude (Mild degree of slowness and poverty of movement which is definitely abnormal. Alternatively, some reduced amplitude)
CL Item
Moderate slowness, poverty or small amplitude of movement (Moderate slowness, poverty or small amplitude of movement )
CL Item
Marked slowness, poverty or small amplitude of movement (Marked slowness, poverty or small amplitude of movement)