Table 2.
Stages of familial amyloid polyneuropathy for locomotion.
Coutinho et al. [1980] | Duration of stage | Yamamoto et al. [2007] | ||
---|---|---|---|---|
Stage 1 | The disease is limited to the lower limbs Walking without any help. Slight weakness of the extensors of the big toes. | 5.6 ± 2.8 years | PND I | Sensory disturbances in extremities Preserved walking capacity |
Stage 2 | Motor signs progress in lower limbs with steppage and distal amyotrophies, the muscles of the hands begin to be wasted and weak. The patient is by then obviously handicapped but can still move around, although needing help. | 4.8 ± 3.6 years | PND II PND IIIa PND IIIb | Difficulties walking but without the need for a walking stick One stick or one crutch required for walking. Two sticks or two crutches required for walking |
Stage 3 | The patient is bedridden or confined to a wheelchair, generalized weakness and areflexia. | 2.3 ± 3.1 years | PND IV | Patient confined to a wheelchair or a bed |
PND, a modified polyneuropathy disability score.