The Schwab and England ADL (Activities of Daily Living) scale is a method of assessing the capabilities of people with impaired mobility. The scale uses percentages to represent how much effort and dependence on others people need to complete daily chores. The rating may be given by a professional or by the person being tested.
| Schwab and England ADL scale | |
|---|---|
| Purpose | assessing the capabilities of people with impaired mobility |
The scale was first presented in 1968 at Third Symposium on Parkinson's Disease, Royal College of Surgeons in Edinburgh, by co-authors R.S. Schwab and A.C. England.[1]
The scale
edit| Percentage of independence[2] | Description[2] | Awareness of difficulties[2] |
|---|---|---|
| 100%;
Completely independent |
Able to do all chores without slowness, difficulty or impairment. | Unaware |
| 90%;
Completely independent |
Able to do all chores, but with some degree of slowness, difficulty and/or impairment. One might take two times longer than normal to complete chores. | Somewhat aware |
| 80%;
Usually completely independent |
Takes two times longer than normal to complete chores. | Aware |
| 70%;
Mostly independent |
Faces more difficulty with some chores. One spends a large part of the day with chores and might take three to four times longer than normal. | Aware |
| 60%;
Somewhat independent |
Can do most chores, but exceedingly slowly and with much effort. Errors are possible during the chores. | Aware |
| 50%;
Mostly dependent |
Needs help with half of every chore. Everything is difficult to one. | Aware |
| 40%;
Very dependent |
Can assist with chores, and can complete some alone. | Aware |
| 30%;
Very dependent |
With help, can start chores. One can also complete few chores with effort and help. | Aware |
| 20%;
Very dependent |
Can slightly help with chores, but cannot complete any alone. | Aware |
| 10%;
Fully dependent |
Is helpless and somewhat comatose. | Aware |
| 0%;
Fully dependent |
Is bedridden and helpless. One is almost completely comatose. | Aware |
See also
edit- Parkinson's disease — a disease with an intensity that varies that can be measured using the scale
- Unified Parkinson's disease rating scale (UPDRS)
References
edit- ^ Schwab, R.S.; England, A.C. (1968-05-20). Projection techniques for evaluating surgery in Parkinson's Disease. Third Symposium on Parkinson's Disease, Royal College of Surgeons in Edinburgh. E. & S. Livingstone Ltd. (1969).
- ^ a b c "SCHWAB AND ENGLAND ACTIVITIES OF DAILY LIVING SCALE". www.parkinsons.va.gov. Retrieved 2019-05-16.