IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i5p3806-d1075544.html
   My bibliography  Save this article

Multidisciplinary Intensive Rehabilitation Program for People with Parkinson’s Disease: Gaps between the Clinic and Real-World Mobility

Author

Listed:
  • Moriya Cohen

    (Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv 6492416, Israel
    Ezra Lemarpeh Center, Bnei Brak 5111501, Israel)

  • Talia Herman

    (Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv 6492416, Israel)

  • Natalie Ganz

    (Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv 6492416, Israel)

  • Inbal Badichi

    (Ezra Lemarpeh Center, Bnei Brak 5111501, Israel)

  • Tanya Gurevich

    (Movement Disorders Unit, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv 6492416, Israel
    Sagol School of Neuroscience, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    Department of Neurology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel)

  • Jeffrey M. Hausdorff

    (Center for the Study of Movement, Cognition and Mobility, Neurological Institute, Tel Aviv Sourasky Medical Center, Tel Aviv 6492416, Israel
    Sagol School of Neuroscience, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    Department of Physical Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel
    Rush Alzheimer’s Disease Center and Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL 60612, USA)

Abstract

Intensive rehabilitation programs improve motor and non-motor symptoms in people with Parkinson’s disease (PD), however, it is not known whether transfer to daily-living walking occurs. The effects of multidisciplinary-intensive-outpatient rehabilitation (MIOR) on gait and balance in the clinic and on everyday walking were examined. Forty-six (46) people with PD were evaluated before and after the intensive program. A 3D accelerometer placed on the lower back measured daily-living walking during the week before and after the intervention. Participants were also stratified into “responders” and “non-responders” based on daily-living-step-counts. After the intervention, gait and balance significantly improved, e.g., MiniBest scores ( p < 0.001), dual-task gait speed increased ( p = 0.016) and 6-minute walk distance increased ( p < 0.001). Many improvements persisted after 3 months. In contrast, daily-living number of steps and gait quality features did not change in response to the intervention ( p > 0.1). Only among the “responders”, a significant increase in daily-living number of steps was found ( p < 0.001). These findings demonstrate that in people with PD improvements in the clinic do not necessarily carry over to daily-living walking. In a select group of people with PD, it is possible to ameliorate daily-living walking quality, potentially also reducing fall risk. Nevertheless, we speculate that self-management in people with PD is relatively poor; therefore, to maintain health and everyday walking abilities, actions such as long-term engaging in physical activity and preserving mobility may be needed.

Suggested Citation

  • Moriya Cohen & Talia Herman & Natalie Ganz & Inbal Badichi & Tanya Gurevich & Jeffrey M. Hausdorff, 2023. "Multidisciplinary Intensive Rehabilitation Program for People with Parkinson’s Disease: Gaps between the Clinic and Real-World Mobility," IJERPH, MDPI, vol. 20(5), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3806-:d:1075544
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/5/3806/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/5/3806/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Timothée Cuignet & Camille Perchoux & Geoffrey Caruso & Olivier Klein & Sylvain Klein & Basile Chaix & Yan Kestens & Philippe Gerber, 2020. "Mobility among older adults: Deconstructing the effects of motility and movement on wellbeing," Urban Studies, Urban Studies Journal Limited, vol. 57(2), pages 383-401, February.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Abdul Rais Abdul Latiff & Saidatulakmal Mohd, 2023. "Transport, Mobility and the Wellbeing of Older Adults: An Exploration of Private Chauffeuring and Companionship Services in Malaysia," IJERPH, MDPI, vol. 20(3), pages 1-17, February.
    2. Mitra, Suman & Yao, Mingqi & Ritchie, Stephen G., 2021. "Gender differences in elderly mobility in the United States," Transportation Research Part A: Policy and Practice, Elsevier, vol. 154(C), pages 203-226.
    3. Tzuyuan Stessa Chao & Xiaoqin Jiang & Yi Sun & Jheng-Ze Yu, 2021. "A Space-Time Analysis of Rural Older People’s Outdoor Mobility and Its Impact on Self-Rated Health: Evidence from a Taiwanese Rural Village," IJERPH, MDPI, vol. 18(11), pages 1-18, May.
    4. Sonja Pedell & Ann Borda & Alen Keirnan & Nicole Aimers, 2021. "Combining the Digital, Social and Physical Layer to Create Age-Friendly Cities and Communities," IJERPH, MDPI, vol. 18(1), pages 1-14, January.
    5. Zahra Zarabi & Philippe Gerber & Sébastien Lord, 2019. "Travel Satisfaction vs. Life Satisfaction: A Weighted Decision-Making Approach," Sustainability, MDPI, vol. 11(19), pages 1-28, September.
    6. Julia Seinsche & Wiebren Zijlstra & Eleftheria Giannouli, 2020. "Motility in Frail Older Adults: Operationalization of a New Framework and First Insights into Its Relationship with Physical Activity and Life-Space Mobility: An Exploratory Study," IJERPH, MDPI, vol. 17(23), pages 1-20, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3806-:d:1075544. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.