Objective: To describe as a proof of concept our experience with a multidisciplinary, intensive out-patient rehabilitation program (MIOR) for advanced PD patients.

Background: Intensive, multi-dimensional rehabilitation programs for patients with Parkinson’s disease (PD) have been shown to be effective. However, most programs are based on in-patient service which is extremely expensive and can be provided for a relatively short period of time. The need for an out-patient rehabilitative service is clear, yet challenging to launch and implement.

Methods:  The MIOR is an 8 week (3 days a week, 5 hours per day), free of charge program, which takes places in a single community-based rehabilitation center. A wide range of multidisciplinary treatments are offered, including physical occupational and speech therapy and consultation from a social worker and rehabilitation psychologist who meet all patients and spouses. The healthcare team provides individualized treatment, alongside treatment for the entire group or sub-groups, according to gender, disease severity or specific disabilities. Additional physical and social activities include hydrotherapy, boxing, dancing, singing and Bridge (card game), as well as relaxation sessions.

Results: Since June 2016, three groups (20 participants in each group) have attended the intense rehabilitative program: 53 participants with advanced PD (H&Y ≥3) completed the full program (120 hours); 7 patients were unable to complete the program due to health-related issues. Over all, patients and spouses have expressed great satisfaction from the program and most participants reported significant improvements in their daily function which could be attributed to the program. Objective measures will be presented.

Conclusions: Based on 6 months of experience with 3 groups, we can conclude that MIOR is an achievable health-promoting multidisciplinary rehabilitative model for people with PD. Most patients have shown motivation, active participation and adherence throughout the program. Therefore, it could be feasible and significant for patients with PD, especially if covered by health insurances. Long-term outcomes should be reported periodically using objective measures, in order to persuade the health authorities to cover such an expensive yet beneficial program.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/multidisciplinary-intensive-outpatient-rehabilitation-program-for-patients-with-advanced-parkinsons-disease-feasibility-and-primary-proof-of-concept/