TY - JOUR
T1 - Multidisciplinary intensive outpatient rehabilitation program for patients with moderate-to-advanced Parkinson's disease
AU - Cohen, Noa
AU - Manor, Yael
AU - Green, Yitzhak
AU - Tahel, Gail
AU - Badichi, Inbal
AU - Ben-Or, Galit
AU - Shtainshlaifer, Neta
AU - Shiffer, Asaf
AU - Gabso-Rajuan, Maayan
AU - Kurtzman, Hadar
AU - Shtraifler, Liat
AU - Furst, Tova
AU - Shtein, Shlomi
AU - Shulman, Juli
AU - Hyute, Anat
AU - Levin, Issachar
AU - Inbar, Noit
AU - Ariela, Hilel
AU - Peled, Roni
AU - Gheriani, Nurit
AU - Ezra, Adi
AU - Messer, Stav
AU - Geva, Noya
AU - Giladi, Nir
AU - Gurevich, Tanya
N1 - Publisher Copyright:
© 2021 - IOS Press. All rights reserved.
PY - 2021
Y1 - 2021
N2 - BACKGROUND: Intensive, multi-disciplinary, rehabilitation programs for patients with Parkinson's disease (PWPs) have shown to be effective. However, most programs are based on in-patient service, which is expensive. OBJECTIVE: To demonstrate the feasibility of a multidisciplinary, intensive, outpatient rehabilitation program (MIOR) for moderate to advanced Parkinson's Disease (HY≥2). METHOD: The MIOR program takes place at a community rehabilitation center ('Ezra Le'Marpe'), 3 times a week, 5 hours, 8 weeks, and includes 20 PWPs in each cycle. The multi-disciplinary team includes physical, occupational, speech and hydro therapists. Additional activities include, social work groups, boxing, dancing and bridge. RESULTS: Data was collected retroactively for the first two years. Data analysis includes 158 patient files who completed the program (mean disease duration 10.1±6 and mean HY stage 2.8±0.67). Assessments were performed at the beginning and end of the intervention. Positive results were collected: improvement in number of falls (p < 0.0001), Functional Independence Measure (p < 0.0001), quality of life (p < 0.01), balance (p < 0.0001), upper limb function (p < 0.0001) and paragraph reading vocal intensity (p < 0.01). CONCLUSIONS: MIOR is a feasible program, showing positive results in moderate to advanced PWP's, improving quality of life, daily function, and motor performance. The current outcomes demonstrate feasibility of MIOR in addition to medical treatment.
AB - BACKGROUND: Intensive, multi-disciplinary, rehabilitation programs for patients with Parkinson's disease (PWPs) have shown to be effective. However, most programs are based on in-patient service, which is expensive. OBJECTIVE: To demonstrate the feasibility of a multidisciplinary, intensive, outpatient rehabilitation program (MIOR) for moderate to advanced Parkinson's Disease (HY≥2). METHOD: The MIOR program takes place at a community rehabilitation center ('Ezra Le'Marpe'), 3 times a week, 5 hours, 8 weeks, and includes 20 PWPs in each cycle. The multi-disciplinary team includes physical, occupational, speech and hydro therapists. Additional activities include, social work groups, boxing, dancing and bridge. RESULTS: Data was collected retroactively for the first two years. Data analysis includes 158 patient files who completed the program (mean disease duration 10.1±6 and mean HY stage 2.8±0.67). Assessments were performed at the beginning and end of the intervention. Positive results were collected: improvement in number of falls (p < 0.0001), Functional Independence Measure (p < 0.0001), quality of life (p < 0.01), balance (p < 0.0001), upper limb function (p < 0.0001) and paragraph reading vocal intensity (p < 0.01). CONCLUSIONS: MIOR is a feasible program, showing positive results in moderate to advanced PWP's, improving quality of life, daily function, and motor performance. The current outcomes demonstrate feasibility of MIOR in addition to medical treatment.
KW - multidisciplinary
KW - Parkinson's disease
KW - quality of life
KW - rehabilitation
UR - http://www.scopus.com/inward/record.url?scp=85113343256&partnerID=8YFLogxK
M3 - Article
C2 - 33998554
AN - SCOPUS:85113343256
SN - 1053-8135
VL - 49
SP - 47
EP - 55
JO - NeuroRehabilitation
JF - NeuroRehabilitation
IS - 1
ER -