Parkinson's Elevated: improving healthspan
As Parkinson's disease (PD) progresses, relatively mild symptoms advance to a major disorder that affects every organ system in the body. Current care for people with PD (PwP) reacts to rising disability. There is a missed opportunity to keep PwP as healthy as possible. In this perspective, we...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-06-01
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| Series: | Frontiers in Sports and Active Living |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2025.1529075/full |
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| author | Kathleen E. McKee Miriam R. Rafferty Miriam R. Rafferty Theadora W. Sakata Theadora W. Sakata Theadora W. Sakata David M. Hedges Garett J. Griffith Maddison M. K. Bingham Stephanie A. Obradovich M. Nicholas Francis Daniel M. Corcos |
| author_facet | Kathleen E. McKee Miriam R. Rafferty Miriam R. Rafferty Theadora W. Sakata Theadora W. Sakata Theadora W. Sakata David M. Hedges Garett J. Griffith Maddison M. K. Bingham Stephanie A. Obradovich M. Nicholas Francis Daniel M. Corcos |
| author_sort | Kathleen E. McKee |
| collection | DOAJ |
| description | As Parkinson's disease (PD) progresses, relatively mild symptoms advance to a major disorder that affects every organ system in the body. Current care for people with PD (PwP) reacts to rising disability. There is a missed opportunity to keep PwP as healthy as possible. In this perspective, we spell out our vision for a proactive, value-based health care model built around a patient-centered integrated practice unit (IPU) for PD. The IPU will provide integrated interdisciplinary care overseen by a specialized Parkinson's primary care physician working closely with a movement disorders neurologist. The IPU will implement an evidence-based exercise program for people early in the disease. The focus of this intervention is a heart rate driven high-intensity aerobic exercise program, which is the only treatment with evidence that it can slow disease progression. It will also include resistance exercises, flexibility exercise and balance exercise. For people whose disease is moderate or severe, the IPU will provide care curated through a network of rehabilitation providers with expertise in PD all of whom understand the exercise prescription. By integrating care, slowing disease progression, and incorporating specialized rehabilitation we anticipate improving healthspan. In creating the IPU as a fully capitated (shared-risk) model in which the IPU and the insurance company assume joint accountability for quality and cost of care we anticipate demonstrating financial sustainability of implementing the exercise prescription and providing integrated care. |
| format | Article |
| id | doaj-art-ec50957d5640498dbbed74db1d5d034d |
| institution | OA Journals |
| issn | 2624-9367 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sports and Active Living |
| spelling | doaj-art-ec50957d5640498dbbed74db1d5d034d2025-08-20T02:01:47ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672025-06-01710.3389/fspor.2025.15290751529075Parkinson's Elevated: improving healthspanKathleen E. McKee0Miriam R. Rafferty1Miriam R. Rafferty2Theadora W. Sakata3Theadora W. Sakata4Theadora W. Sakata5David M. Hedges6Garett J. Griffith7Maddison M. K. Bingham8Stephanie A. Obradovich9M. Nicholas Francis10Daniel M. Corcos11Department of Neurology, Intermountain Medical Center Neurosciences Institute, Intermountain Health, Salt Lake City, UT, United StatesShirley Ryan AbilityLab, Chicago, IL, United StatesDepartment Physical Medicine & Rehabilitation, Northwestern University, Chicago, IL, United StatesDepartment of Neurology, Intermountain Medical Center Neurosciences Institute, Intermountain Health, Salt Lake City, UT, United StatesDepartment of Family Medicine, Intermountain Health, Salt Lake City, UT, United StatesHealthcare Delivery Institute, Intermountain Health, Salt Lake City, UT, United StatesDepartment of Analytics, Select Health, Salt Lake City, UT, United StatesDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, United StatesDepartment of Neurology, Intermountain Medical Center Neurosciences Institute, Intermountain Health, Salt Lake City, UT, United StatesNeurologic Physical Therapy, Intermountain Park City Hospital, Park City, UT, United StatesLifestyle Medicine and Wellness Center, Intermountain Park City Hospital, Park City, UT, United StatesDepartment of Physical Therapy and Human Movement Sciences, Northwestern University, Chicago, IL, United StatesAs Parkinson's disease (PD) progresses, relatively mild symptoms advance to a major disorder that affects every organ system in the body. Current care for people with PD (PwP) reacts to rising disability. There is a missed opportunity to keep PwP as healthy as possible. In this perspective, we spell out our vision for a proactive, value-based health care model built around a patient-centered integrated practice unit (IPU) for PD. The IPU will provide integrated interdisciplinary care overseen by a specialized Parkinson's primary care physician working closely with a movement disorders neurologist. The IPU will implement an evidence-based exercise program for people early in the disease. The focus of this intervention is a heart rate driven high-intensity aerobic exercise program, which is the only treatment with evidence that it can slow disease progression. It will also include resistance exercises, flexibility exercise and balance exercise. For people whose disease is moderate or severe, the IPU will provide care curated through a network of rehabilitation providers with expertise in PD all of whom understand the exercise prescription. By integrating care, slowing disease progression, and incorporating specialized rehabilitation we anticipate improving healthspan. In creating the IPU as a fully capitated (shared-risk) model in which the IPU and the insurance company assume joint accountability for quality and cost of care we anticipate demonstrating financial sustainability of implementing the exercise prescription and providing integrated care.https://www.frontiersin.org/articles/10.3389/fspor.2025.1529075/fullParkinson's diseasehealthspanintegrated practice unitproactive carehigh-intensity aerobic exercise |
| spellingShingle | Kathleen E. McKee Miriam R. Rafferty Miriam R. Rafferty Theadora W. Sakata Theadora W. Sakata Theadora W. Sakata David M. Hedges Garett J. Griffith Maddison M. K. Bingham Stephanie A. Obradovich M. Nicholas Francis Daniel M. Corcos Parkinson's Elevated: improving healthspan Frontiers in Sports and Active Living Parkinson's disease healthspan integrated practice unit proactive care high-intensity aerobic exercise |
| title | Parkinson's Elevated: improving healthspan |
| title_full | Parkinson's Elevated: improving healthspan |
| title_fullStr | Parkinson's Elevated: improving healthspan |
| title_full_unstemmed | Parkinson's Elevated: improving healthspan |
| title_short | Parkinson's Elevated: improving healthspan |
| title_sort | parkinson s elevated improving healthspan |
| topic | Parkinson's disease healthspan integrated practice unit proactive care high-intensity aerobic exercise |
| url | https://www.frontiersin.org/articles/10.3389/fspor.2025.1529075/full |
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