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Neurorehabilitation

Parkinson’s Disease Intensive Rehabilitation Program

Intensive rehabilitation for gait, balance, speech, swallowing, cognition, and daily function, planned with the patient and family.

Parkinson’s Intensive Rehabilitation Program

built around your goals, your stage, and your life.

At PYONG, our Parkinson’s program combines a permanent daily care team, high-intensity rehabilitation, and clinician-directed brain stimulation and advanced rehabilitation technology to help slow functional decline, restore lost abilities, and support independence at every stage of disease.

The program is built to address gait, balance, speech, swallowing, cognition, daily function, and emotional wellbeing — not as separate problems, but as one coordinated clinical plan.

Speak with our nurse — share your concerns and get personalised guidance.

Limited consultations available each week

Medication Alone Is Not Enough

Why Intensive Rehabilitation Matters

Medication can help manage symptoms. But gait, balance, speech, dual-task performance, daily function, and confidence are rebuilt through structured rehabilitation.

Research and clinical experience consistently show that intensive, expert-led Parkinson’s rehabilitation can help:

  • slow functional decline
  • reduce fall risk
  • improve walking, balance, and speech
  • support quality of life across disease stages

The earlier rehabilitation begins, the more opportunity the brain has to adapt. But it is never too late to make meaningful gains.

High-Intensity, High-Frequency Practice

Repeated, focused practice is one of the strongest drivers of neuroplastic change in Parkinson’s rehabilitation.

Large-Amplitude Movement Training

LSVT BIG-based movement retraining helps address slowness, reduced stride length, and movement under-scaling.

Cueing & Anti-Freezing Strategies

Auditory and visual cueing, step initiation work, and turning strategies help reduce freezing and improve gait flow.

Brain Stimulation Within the Program

TPS, TMS, tDCS, are integrated when clinically indicated to support motor learning, activation, and function.

Objective Outcome Tracking

Progress is measured through structured assessments, not guesswork.

Caregiver Integration

Family training helps extend gains beyond the clinic and supports safer daily living at home.

Comprehensive Program

Intensive Parkinson’s Rehabilitation

Our program is designed as a coordinated clinical pathway rather than a collection of separate therapies. Each session is built around your core team — physiatrist, physiotherapist, and occupational therapist — with specialist support added when the clinical picture requires it.

Movement, Gait & Balance Retraining

Large-amplitude movement training, gait retraining, high-intensity aerobic exercise, external cueing, anti-freezing strategies, and fall prevention are integrated into a structured daily program.

Speech, Swallowing & Daily Function

Speech and swallowing support, fine motor retraining, handwriting, dressing, eating, and day-to-day independence are addressed as part of one functional recovery plan.

Cognition, Mood & Medication Optimization

The program also supports attention, dual-task performance, emotional wellbeing, and medication timing — with neurologists, dietitians, speech-language pathologists, and psychotherapists involved when indicated.

Inside the Program

Techniques and Technologies

Every session is clinician-directed. Your physiatrist selects what is most appropriate that day — brain stimulation, robotics, suspension-based training, aquatic therapy, or hands-on physiotherapy and occupational therapy. No two sessions are identical, because no two patients are identical.

TMS — Transcranial Magnetic Stimulation

Targets motor circuits and the supplementary motor area to support motor function, gait, and freezing of gait.

tDCS — Transcranial Direct Current Stimulation

Used during active therapy to deepen motor learning and support cognitive function.

PMS — Peripheral Magnetic Stimulation

Helps reduce rigidity, activate weakened muscle groups, and support motor retraining.

NMES — Neuromuscular Electrical Stimulation

Used for swallowing rehabilitation, limb motor activation, and adjunct strengthening where voluntary activation is limited.

Overground Wearable Exoskeleton

High-repetition, correctly patterned gait training in real walking conditions.

Dynamic Balance Training

A fall-safe 360° balance system for postural control, reactive balance, and weight shifting.

Motion Coordination Training

Guided, high-repetition motor coordination with real-time feedback for neuroplastic adaptation.

Ultrasound-Guided Botox Injection

Immediately reduces severe muscle spasticity and abnormal tone. This creates a critical "window of opportunity" for physical therapy.

TPS Clinical Insights

Evidence from Clinical Trials Shows Significant Improvements

  • Significant improvement in MMSE, MoCA, and ADAS-Cog scores vs sham stimulation
  • Reduction in CSF biomarkers of neurodegeneration (p-tau, neurofilament light chain)
  • Improvements sustained at follow-up; more courses produce more benefit
  • Well tolerated across MCI through moderate Alzheimer’s — no sedation, non-invasive Clinical trial evidence (Benussi et al., 2021, 2022)

Patient Results

What Our Patients Have Achieved

Male, 64. Significant gait slowness, reduced step length, and early freezing. After 20 sessions: walking speed improved by 34%, freezing episodes reduced by more than half, and independent community walking was restored.
Case 1 — Stage 2 Parkinson’s, 1-Month Program
Female, 71. Severe speech volume reduction, swallowing difficulties, and moderate balance impairment. After 60 sessions: voice loudness approached normal, swallowing safety was restored, and falls reduced from multiple times per week to zero in the final month.
Case 2 — Stage 3 Parkinson’s, 3-Month Program
Male, 58. Dual-task difficulty, mild memory concerns, and significant anxiety about progression. After 20 sessions: dual-task walking improved markedly, MoCA score improved by 4 points, and anxiety reduced substantially.
Case 3 — Stage 2.5 with Mild Cognitive Impairment, 1-Month Program

Medical Specialists

Clinical Care Team and Consultants

Your care is built around a core team that stays with you every session: a physiatrist, physiotherapist, and occupational therapist. When clinically indicated, neurologists, speech-language pathologists, dietitians, and psychotherapists are integrated into the same care plan — not as disconnected referrals, but as one coordinated team.

Our Programs

Explore Your Care Options​

Our Parkinson’s rehabilitation pathways are designed to provide the right level of support at different stages of recovery, from early activation to intensive retraining and longer-term functional independence.

1-Week Program​

Tone Reduction & Initiation
​

For patients needing early activation and a shorter phase to reduce abnormal tone and prepare for movement retraining.

  • Neuro-Integrated Sessions / Robotics
  • Designed to open a stronger window for rehabilitation
  • Ultrasound-guided Botox assessed when clinically indicated

From 13,200 THB

1-Month Program

Intensive Repatterning

For patients who need intensive, structured rehabilitation to improve gait, balance, movement quality, and daily function.

  • Neuro-Integrated Sessions / Physio
  • TMS included within the program
  • Ultrasound-guided Botox assessed when clinically indicated

From 97,000 THB

3-Month Program

Functional Independence

For patients who need longer-term rehabilitation for deeper recovery and more sustainable functional independence.

  • Ongoing Neuro-Integrated Sessions / Physio
  • Reassessment and maintenance planning
  • Long-term support for daily function and independence

From 79,200 THB

Download Our Program Guide

Get your free guide on Parkinson's rehabilitation. This brochure offers insights into effective therapies and tips to improve mobility and quality of life for those living with Parkinson’s. Fill out the form to receive your copy.

Step by Step Guide to Start Your Care​

From First Consultation to In-clinic Care.​

1. Start With a Nurse Consultation

Share your symptoms, concerns, and goals with our team to understand the most appropriate next step.

2. Complete a Clinical Assessment

A full clinical assessment helps our team understand cognitive status, functional needs, and suitability for treatment. Assessment fee: 6,800 THB.

3. Define the Right Treatment Path

Your physiatrist, physiotherapist, and occupational therapist assess you together and design the program properly.

4. Begin Your Program

Start your intensive rehabilitation plan with a coordinated team and clinician-directed technology

Frequently Asked Questions

Is this program suitable for all stages of Parkinson’s disease

The program accepts patients at any Hoehn & Yahr stage. The exact structure, intensity, and technologies used are adjusted to the patient’s current presentation, goals, and ability to participate safely.

What does each session usually include

Each session is built around a core team that includes a physiatrist, physiotherapist, and occupational therapist. Depending on clinical need, the session may also incorporate brain stimulation, robotics, suspension-based training, aquatic therapy, or conventional hands-on rehabilitation. Not every patient uses every modality, and not every session looks the same.

What kinds of improvements can patients realistically expect

The goal is not to reverse Parkinson’s disease, but to meaningfully slow functional decline and improve daily function. Patients may see gains in walking speed, step length, balance, speech clarity, swallowing safety, daily independence, cognition, and confidence, depending on disease stage and program intensity.

How do I know which program length is right for me

The right starting point depends on your stage, symptoms, goals, and how much time you can commit. Short-stay or block sessions are suited to patients visiting Bangkok or trying the program first, while the 1-month and 3-month immersions are designed for patients seeking more measurable or deeper long-term improvement.

How do I get started

The first step is a free nurse consultation, where your questions are answered and the most appropriate program is discussed. After that, a full clinical assessment is completed by the physiatrist, physiotherapist, and occupational therapist together. The assessment fee is 6,800 THB and is applied toward the program cost if you proceed within 30 days.

Questions About Symptoms or Suitability for Care

If you would like to discuss Parkinson’s symptoms, functional changes, or whether this rehabilitation pathway may be clinically appropriate, our team will be happy to guide you.

Talk with the PYONG team

Ask a question or plan your care with our team.

Connect with our care team

Talk to us about symptoms, or schedule a visit.

Our branches

  • 11th Floor, Gaysorn Tower

    PYONG Rehabilitation Center Ratchaprasong

    11th Floor, Gaysorn Tower, 127 Ratchadamri Rd, Lumphini, Pathum Wan, Bangkok 10330

    Everyday 10.00 AM – 8.00 PM

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  • L Floor, Gaysorn Village

    PYONG Rehabilitation Primary Care Unit

    L floor, Gaysorn Village, 999 Phloen Chit Rd, Lumphini, Pathum Wan, Bangkok 10330

    Everyday 10.00 AM – 8.00 PM

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  • 2nd Floor, Gaysorn Amarin

    PYONG MEN

    Gaysorn Amarin (2nd Floor), Phloen Chit Road, Lumphini, Pathum Wan, Bangkok 10330

    Everyday 10.00 AM – 8.00 PM

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