Simpson-Angus Scale (Drug-Induced Parkinsonism)

The Simpson-Angus Scale for drug-induced parkinsonism.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

1. Gait
1
2. Arm dropping
1
3. Shoulder shaking
0
4. Elbow rigidity
2
5. Fixation of position (wrist rigidity)
1
6. Leg pendulousness
0
7. Head dropping
1
8. Glabella tap
1
9. Tremor
1
10. Salivation
0

Result: Simpson-Angus mean 0.80 (total 8 of 40), above the mean of 0.3 in common use.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Each item
0 normal, 1 slight, 2 mild, 3 moderate, 4 severe, across ten examination items.
Mean
Total divided by 10. The scale is conventionally reported as the mean, not the total.
Above 0.3
The mean in common use as the threshold for drug-induced parkinsonism.

What you enter

  • 1. Gait (0 normal to 4 severe)
  • 2. Arm dropping (0 normal to 4 severe)
  • 3. Shoulder shaking (0 normal to 4 severe)
  • 4. Elbow rigidity (0 normal to 4 severe)
  • 5. Fixation of position (wrist rigidity) (0 normal to 4 severe)
  • 6. Leg pendulousness (0 normal to 4 severe)
  • 7. Head dropping (0 normal to 4 severe)
  • 8. Glabella tap (0 normal to 4 severe)
  • 9. Tremor (0 normal to 4 severe)
  • 10. Salivation (0 normal to 4 severe)
How this is calculated

Simpson GM, Angus JW. A rating scale for extrapyramidal side effects. Acta Psychiatr Scand Suppl. 1970;212:11-19. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.