TY - JOUR T1 - Intensive inpatient rehabilitation for persons with Parkinson’s disease: last resort or pre-emptive strike? JF - Journal of Neurology, Neurosurgery & Psychiatry JO - J Neurol Neurosurg Psychiatry SP - 795 LP - 796 DO - 10.1136/jnnp-2017-317812 VL - 89 IS - 8 AU - Danique L M Radder AU - Jorik Nonnekes AU - Bastiaan R Bloem Y1 - 2018/08/01 UR - http://jnnp.bmj.com/content/89/8/795.abstract N2 - Parkinson’s disease (PD) is a complex neurodegenerative disorder with a wide variety of motor and non-motor symptoms. Optimal management involves a multidisciplinary approach, combining pharmacotherapy and non-pharmacological interventions. Evidence for several non-pharmacological interventions, such as physiotherapy, is growing fast.1 However, it is unclear whether combining these monodisciplinary interventions into a bundled multidisciplinary team approach offers additional benefits and at what costs. Even less is known about how such multidisciplinary care should be organised, for example, on an outpatient basis (perhaps in the community) or using intensive inpatient rehabilitation. In their JNNP paper, Ferrazzoli and colleagues2 describe their experience with the latter approach.Specifically, using a single-blind randomised controlled trial, they evaluated whether an intensive 4-week multidisciplinary and inpatient rehabilitation programme improved quality of life (QoL, measured with the PDQ-39) in persons with PD. Using a somewhat odd (pragmatically dictated) 4:1 ratio, patients were allocated to this rehabilitation programme (n=186) or a waiting list without rehabilitation (n=48). Treatment included daily sessions of physiotherapy, occupational therapy, speech-language therapy and balance/gait training. Each patient received a personalised approach, tailored to their specific … ER -