Slowing down Parkinson symptoms
with continuous therapy

The earlier Parkinson is diagnosed, the better. With early treatment, the onset of severe symptoms can be delayed for years. The disease has very individual courses, thus there is no standardized treatment. Therefore, after the diagnosis of Parkinson it is crucial to have access to a neurologist specialized on the disease to get a tailor-made and continuous treatment, therapeutic support and the right medication.

Stage 1 & 2:

Diagnosis Parkinson
– Profound second opinion of a Parkinson specialist
– Detailed assessments of cognitive & physical abilities
– Validation of diagnosis
– Treatment plan recommendation including medication, rehabilitation measures, nutrition

Stage 3 & 4:

Further treatment options
– Detailed re-assessment of disease progression
– Evaluation of further treatment options in collaboration with University Hospital Zurich (USZ): Focused Ultrasound (FUS) and Deep Brain Stimulation (DBS)
– Exploration of further innovative treatments & therapies

Stage 5:

Specialized rehabilitation
– DBS fine tuning
– Inpatient rehabilitation with focused therapies using robotics
– Special cognitive and speech training
– Further finetuning of nutrition
– Continuous online support & therapy
– Annual inpatient refresher/check-up to adjust therapy, DBS settings and medication

At cereneo we offer a holistic and seamless treatment starting with diagnosis and a detailed assessment followed by a recommendation of possible treatment pathways that fit to a patient’s specific needs. These pathways vary depending on the stage of the disease and can include clinical interventions with leading Parkinson experts from University Hospital Zurich (e.g. DBS, FUS), inpatient rehabilitation in one of your clinics, rehabilitation at home and long-term online rehabilitation and support from our cereneo Home therapists.

Typical physical symptoms of PD include:

• tremor (resting tremor),
• muscle stiffness (rigor),
• slowed movements with small steps,
• reduced swinging of the arms (in many cases one-sided),
• typical facial masking with little to no facial emotional expression.

Usually changes or impairments of non-motor functions occur much earlier and should alarm relatives.

Typical non-motor symptoms can be:

• talking in sleep or sleepwalking,
• incontinence,
• depression,
• anxiety,
• pain,
• dizziness,
• loss of smell.

Next to the typical symptoms, Parkinson is often accompanied by sleep problems, constipation, bladder problems and problems with swallowing and chewing. Thus, eating and a healthy diet can become a very challenging and tiring task for Parkinson patients, which can lead to malnutrition.

Little is known about the causes, but it is the result of a declining dopamine production. Dopamine is a neurotransmitter produced by the body used by the nervous system to send messages between nerve cells. Too much or too little of it can lead to a vast range of health issues.
It is one the most common neurodegenerative diseases. Around 10 million people worldwide are affected by PD.

Men are affected more often than women and the disease typically manifests between the age of 50 and 60.

Parkinson disease  has a severe impact on your and your family’s life and affects one or several brain functions, such as speech, movement or cognitive abilities.
Whereas a stroke has an immediate severe impact, PD tends to occur more gradually.