68-year-old retired executive: Parkinson's disease — early to mid-stage (Hoehn & Yahr 2.5)
Travelled from Singapore — 4.5 h direct to Chennai (MAA) for a 4-week neuro-rehab focused block. Reduced falls frequency, improved gait cadence and turning strategy.
At a glance
- Patient
- 68-year-old retired executive
- Condition
- Parkinson's disease — early to mid-stage (Hoehn & Yahr 2.5)
- Programme
- 4-week neuro-rehab focused block
- Outcome
- Reduced falls frequency, improved gait cadence and turning strategy
How the programme progressed
Rehab week-by-week — Singaporean patient story
- 1
Week 1
Baseline UPDRS-motor 32/108, TUG 14 s. LSVT-BIG protocol introduction, dual-task training.
- 2
Week 2–3
Amplitude-based movement drills, freezing-of-gait cueing strategies, boxing-based coordination work.
- 3
Week 4
Community-ambulation practice, home-programme handover, letter to Singapore neurologist.
Outcome measures and milestones
Outcome
UPDRS-motor: 32 → 24
Outcome
Timed Up-and-Go: 14 s → 9 s
Outcome
Falls in prior month: 3 → 0
Composite patient profile assembled from typical caseloads for Singaporean patients. Individual outcomes vary — this story is illustrative, not a guarantee.
What the patient said
"The intensity of LSVT-BIG protocol was hard to source in Singapore at this cost. Four weeks changed my confidence completely."
Follow-up and continuity of care
Quarterly online reviews for 12 months; annual visit recommended.
- Home-exercise video
- Weekly progress report to home doctor
- WhatsApp follow-ups: 2 wk / 6 wk / 3 mo
- Online video review sessions
- Discharge report with ICD-10 codes
Similar composite stories from other countries
Questions Singaporean patients ask about a story like this
How composite stories are built, whether outcomes are guaranteed, and how to plan a similar programme.
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