Parkinson's Program

Integrated Neurorehabilitation Team for PD--prevention and restoring activity

Our program is individualized with a high focus on your specific goals, uncovering your strengths and resources, and building on those to build brain and body connection, restore your function and prevent decline

Our philosophy of treatment is to understand you as a whole person, including body and brain connections, your environmental influences, and underlying neurologic and musculoskeletal issues. We focus on a neuroplastic approach to improving and maintaining your movement and function and preventing decline so that you are empowered with the tools and resources for self-treatment.   

 

The re+active program is a unique evidence-based, integrated neurologic rehabilitation approach with neurologic physical therapy, occupational therapy, neuropsychology and Parkinson's fitness professionals.   Our team includes board-certified specialists and a unique integrated approach for the team to meet to set up a plan and goals together. 

 

The typical program includes: 

  • An 4-8-week integrated and intensive program. 

  • A bi-weekly team planning meeting to work in an integrated way toward your goals. 

  • Individualized frequency of each discipline, depending on your needs.  Most people need 2-3x/week of PT, OT and psychology services and 2-3x week PD specific exercise or classes. 

  • We create a transition plan to specialized wellness services, personal training, and/or group fitness at the end of the program for lifelong maintenance. 

  • We typically set up a tapered 1x/wk to 1x/month therapy plan after the initial  program to ensure maintenance of therapy gains. 

Caitlin-Alohilani-Photography-ReActive-2

Summary of the program

 

Physical therapy: 

  • Aerobic exercise and high intensity intervals: Graded exercise and training for brain health

  • Sensorimotor training: Integrating visual, vestibular, and proprioceptive information into movement and daily functioning.

  • Vestibular rehabilitation and vision training as indicated

  • Motor control training to restore automatic and fluid movements with increased speed and amplitude

  • Functional training to return to your life goals

  • Dual task training: To access automatic movement pathways in the brain. 

  • Strengthening: If there is deconditioning identified at evaluation.

  • Nervous system regulation & autonomic training: In the context of gross motor movement.

 

Occupational therapy

  • Lifestyle interventions, which include:

    • Sleep: sleep induction, stimulus control, and sleep compression.

    • Routine/time management: discussions on how to put systems in place to reduce overwhelm, or how to have a health-promoting daily rhythm.

    • Eating routine: For adequate hydration, nutrition, and blood glucose regulation.

    • Physical activity: To build a sustainable, realistic routine that you enjoy. 

  • Coping strategies: To build a personalized list of nervous system regulation strategies. 

  • Mindfulness training: To practice and record personalized audio for guided imagery, body scan, and other mindfulness strategies. 

  • Sensorimotor training for activities of daily living

  • Fine motor retraining: For activities of daily living (especially handwriting, typing, buttoning), chores, and other functional tasks.

 

Psychology or Neuropsychology

  • If you have cognitive or memory concerns: cognitive testing and rehabilitation for improving skills for return to your life. 

  • Psychotherapy is provided for additional emotional support, greater self-awareness, and emotional understanding of both past and present life experiences.  The goal is to shift in your ability to tolerate and grapple with painful emotions and life circumstances and create a sense of empowerment and self-acceptance. 

    • Individualized Psychotherapy approach is based on principles of cognitive behavioral therapy, mindfulness, and brain-body connection. Psychotherapy is collaborative, active, and goal-oriented. Specific goals may include:

      • Exploring the link between mind and body and how this relates to symptoms 

      • Acceptance of difficult circumstances and working to develop different methods of responding to symptoms

      • Shifting focus from symptoms to meaningful parts of your life

      • Noticing and changing catastrophic or unhelpful thinking contributing to feelings of fear, uncertainty, or unhappiness

      • Improving your sense of control

      • Overcoming reduced activity and avoidance

      • Increasing pleasurable activities, self-soothing, and self-compassion

      • Self-acceptance and bolstering the connection to your values and beliefs

Wellness services

  • Personal training: Parkinson’s specific exercise and fitness training with our experts to build and practice a fitness routine that is specific to you and your level. 

  • Parkinson’s Specific exercise classes: join our in person or online classes that are designed to challenge the brain and for PD-specific symptoms.  Join boxing, movement, or HIIT classes. 

 

Cost Estimate: The cost depends on your specific program needs and frequency. We highly value your individual needs and will meet with you to develop an individualized program.

  • Our therapy visits are billable to your insurance (we provide you a superbill or bill directly to Medicare)

  • Our wellness services and integrated team meetings are not reimbursable by insurance and we will provide you an estimate of costs for those services.