{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:06:42Z","timestamp":1791558402741,"version":"4.3.4"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2008,7,1]]},"abstract":"<jats:sec><jats:title>Background and Purpose<\/jats:title><jats:p>In the outpatient setting, it can be difficult to effectively manage the complex medical and rehabilitation needs of people with Parkinson disease (PD). A multidisciplinary approach in the inpatient rehabilitation environment may be a viable alternative. The purposes of this study were: (1) to investigate the effectiveness of an inpatient rehabilitation program for people with a primary diagnosis of PD, (2) to determine whether gains made were clinically meaningful, and (3) to identify predictors of rehabilitation outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects<\/jats:title><jats:p>Sixty-eight subjects with a diagnosis of PD were admitted to an inpatient rehabilitation hospital with a multidisciplinary movement disorders program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Subjects participated in a rehabilitation program consisting of a combination of physical therapy, occupational therapy, and speech therapy for a total of 3 hours per day, 5 to 7 days per week, in addition to pharmacological adjustments based on data collected daily. A pretest-posttest design was implemented. The differences between admission and discharge scores on the Functional Independence Measure (FIM) (total, motor, and cognitive scores), Timed \u201cUp &amp; Go\u201d Test, 2-Minute Walk Test, and Finger Tapping Test were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>An analysis of data obtained for the 68 subjects admitted with a diagnosis of PD revealed significant improvements across all outcome measures from admission to discharge. Subjects with PD whose medications were not adjusted during their admission (rehabilitation only) (n=10) showed significant improvements in FIM total, motor, and cognitive scores. Improvements exceeded the minimal clinically important difference in 71% of the subjects. Prior level of function at admission accounted for 20% of the variance in the FIM total change score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>The results suggest that subjects with a diagnosis of PD as a primary condition benefited from an inpatient rehabilitation program designed to improve functional status.<\/jats:p><\/jats:sec>","DOI":"10.2522\/ptj.20070265","type":"journal-article","created":{"date-parts":[[2008,4,25]],"date-time":"2008-04-25T00:45:43Z","timestamp":1209084343000},"page":"812-819","source":"Crossref","is-referenced-by-count":75,"title":["Effectiveness of an Inpatient Multidisciplinary Rehabilitation Program for People With Parkinson Disease"],"prefix":"10.1093","volume":"88","author":[{"given":"Terry","family":"Ellis","sequence":"first","affiliation":[{"name":"T Ellis, PT, PhD, NCS, is Clinical Associate Professor, Department of Physical Therapy and Athletic Training, Sargent College of Health and Rehabilitation Sciences, Boston University, 635 Commonwealth Ave, Boston, MA 02215; Associate Director of Clinical Care, Center for Neurorehabilitation, Boston, Mass; and Physical Therapist and Clinical Research Scientist, Braintree Rehabilitation Hospital, B"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas I","family":"Katz","sequence":"additional","affiliation":[{"name":"DI Katz, MD, is Associate Professor, Department of Neurology, School of Medicine, Boston University, and Director, Brain Injury Program, Department of Neurology, Braintree Rehabilitation Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel K","family":"White","sequence":"additional","affiliation":[{"name":"DK White, PT, ScD, NCS, is Postdoctoral Research Fellow, Clinical Epidemiology Research Training Unit, School of Medicine, Boston University."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T Joy","family":"DePiero","sequence":"additional","affiliation":[{"name":"TJ DePiero, MD, is Assistant Professor, Department of Neurology, School of Medicine, Boston University, and Medical Director, Stroke Program, Department of Neurology, Braintree Rehabilitation Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna D","family":"Hohler","sequence":"additional","affiliation":[{"name":"AD Hohler, MD, is Assistant Professor, Department of Neurology, School of Medicine, Boston University, and Staff Neurologist, Department of Neurology, Braintree Rehabilitation Hospital."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Saint-Hilaire","sequence":"additional","affiliation":[{"name":"M Saint-Hilaire, MD, FRCPC, is Assistant Professor, Department of Neurology, School of Medicine, Boston University, and Medical Director of the Parkinson Disease Program, Department of Neurology, Braintree Rehabilitation 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