Miran - Neurophysiotherapy and Pilates

The duration of physiotherapy for individuals with Parkinson's disease can vary widely based on individual needs and disease progression. Generally, ongoing physiotherapy is recommended to maintain mobility, flexibility, and strength. Research suggests continuing therapy for at least six months after diagnosis, but long-term engagement is often beneficial. Patients may initially attend sessions multiple times a week, gradually transitioning to less frequent visits as they progress. The focus may shift to maintaining gains achieved in therapy and adapting exercises to changing abilities and functional needs.We have a patient who started with 4 sessions a week and finally in the 2nd year came down to twice a week post achieveing functional goals (cooking and moving about on her own with no risk of fall) and now continuing physiotherapy for fitness (Pilates at Miran) and agility training.  Regular reassessment by a physiotherapist is crucial to tailor the program as symptoms evolve. U

As an intern, managing a spinal cord injury patient often required three physiotherapists for transfers and standing, which was uncomfortable and slowed progress. The lack of equipment delayed key milestones like unsupported sitting and weight-bearing, impeding the patient's recovery and their ability to experience and adapt to weight on their legs. When I began at Miran, I was committed to implementing body weight support (BWS) for weight-bearing exercises. The impact on patients was profound; the joy they experienced when they stood and felt their legs for the first time was truly unmatched. This breakthrough not only boosts their confidence but also plays a crucial role in their overall recovery. BWS systems significantly improve rehabilitation outcomes by providing a safer environment for patients to practice standing and walking. The support reduces the risk of falls, allowing patients to engage more fully in their exercises without the constant fear of losing balance. For the