Multidisciplinary intensive outpatient rehabilitation program for patients with moderate-to-advanced Parkinson's disease

Noa Cohen*, Yael Manor, Yitzhak Green, Gail Tahel, Inbal Badichi, Galit Ben-Or, Neta Shtainshlaifer, Asaf Shiffer, Maayan Gabso-Rajuan, Hadar Kurtzman, Liat Shtraifler, Tova Furst, Shlomi Shtein, Juli Shulman, Anat Hyute, Issachar Levin, Noit Inbar, Hilel Ariela, Roni Peled, Nurit GherianiAdi Ezra, Stav Messer, Noya Geva, Nir Giladi, Tanya Gurevich

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish
Pages (from-to)47-55
Number of pages9
Issue number1
StatePublished - 2021


  • Parkinson's disease
  • multidisciplinary
  • quality of life
  • rehabilitation


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