{
  "abstract": "Parkinson’s disease (PD) is the fastest-growing neurodegenerative disorder worldwide. It is characterized by a heterogeneous spectrum of motor and non-motor symptoms that lead to progressive disability, which is often insufficiently addressed by pharmacological or surgical treatments alone. Optimal management of individuals living with PD, therefore, requires a multidisciplinary team approach that integrates comprehensive functional assessment with both pharmacological and non-pharmacological strategies. A person-centered framework is essential to ensure continuity, coherence, and tailored rehabilitation across disease stages. Within this context, physiatrists (rehabilitation medicine physicians) may play a pivotal role; however, their specific contributions to PD care remain insufficiently defined. This position paper presents the rationale, reviews the supporting evidence, and provides practical recommendations to strengthen and clarify the role of physiatrists in the comprehensive management of PD. We illustrate the versatile contributions of physiatrists using the metaphor of an orchestra, in which the physiatrist can play a valuable role as a member and, depending on local circumstances and the availability of possible alternatives, also as the director.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Rehabilitation Medicine Villa Margherita KOS group, Arcugnano Vicenza, Italy",
    "Department of Rehabilitation Center of Expertise for Parkinson and Movement Disorders, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands",
    "Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy",
    "Department of Rehabilitation Medicine, AmsterdamUMC, Amsterdam Movement Sciences, Rehabilitation and Development, Amsterdam, The Netherlands",
    "Department of Physical Medicine and Rehabilitation, Wake Forest University School of Medicine, Charlotte, NC USA"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Daniele Volpe"
    },
    {
      "affs": [
        1
      ],
      "name": "Jorik Nonnekes"
    },
    {
      "affs": [
        2
      ],
      "name": "Marialuisa Gandolfi"
    },
    {
      "affs": [
        1
      ],
      "name": "Bas R. Bloem"
    },
    {
      "affs": [
        3
      ],
      "name": "Erwin. E. H. van Wegen"
    },
    {
      "affs": [
        0
      ],
      "name": "Leila Bakdounes"
    },
    {
      "affs": [
        4
      ],
      "name": "Mark .A. Hirsch"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/9t08ab03mf6pt.bib",
  "cited_by": 0,
  "doi": "10.1038/s41531-026-01457-x",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13728181/",
  "id": "9t08ab03mf6pt",
  "issns": [
    "2373-8057"
  ],
  "landing_url": "https://doi.org/10.1038/s41531-026-01457-x",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Perspective"
    ],
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      "lcc",
      "RC346-429"
    ],
    [
      "openalex",
      "2728|Parkinson's Disease Mechanisms and Treatments"
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  "openalex": "W7167892290",
  "pdf_url": "https://www.nature.com/articles/s41531-026-01457-x_reference.pdf",
  "pmcid": "PMC13728181",
  "pmid": "42431909",
  "published": "2026-07-01",
  "publisher": "Nature Publishing Group",
  "ris": "https://research.draconitic.com/paper/9t08ab03mf6pt.ris",
  "sources": [
    {
      "first_seen": "2026-11-06T12:23:54Z",
      "native_id": "PMC13728181",
      "source": "pmc",
      "url": "https://doi.org/10.1038/s41531-026-01457-x"
    },
    {
      "first_seen": "2026-11-08T14:20:55Z",
      "native_id": "0c25eec00dbc4bc98bac7b2819395fa3",
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      "url": "https://doi.org/10.1038/s41531-026-01457-x"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2728|Parkinson's Disease Mechanisms and Treatments",
      "subfield": "neurology"
    }
  ],
  "title": "The physiatrist in Parkinson’s multidisciplinary care: from orchestra member to orchestra director",
  "title_text": "The physiatrist in Parkinson’s multidisciplinary care: from orchestra member to orchestra director",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T14:21:15Z",
  "url": "https://research.draconitic.com/paper/9t08ab03mf6pt",
  "venue": "NPJ Parkinson's Disease",
  "versions": []
}