What to expect

Send time since diagnosis, current medication and timing, whether you freeze, falls in the last year, walking distance, deep brain stimulation details if any, and other medical conditions. A physician replies within 48 hours with goals and block length.

Cardiac history matters here more than in most rehabilitation programmes, because the intensity target is high. Send it.

Assessment of walking, balance, amplitude, freezing triggers, speech and swallowing, plus an exercise test to set intensity and a map of how your medication actually behaves through the day.

Intensity builds across the first week rather than starting at target. Amplitude training starts immediately, and feels strange immediately.

High-effort aerobic sessions, amplitude training, cued gait practice, balance and dual-task work. Sessions land in your "on" periods, which means the timetable is built around you rather than the reverse.

Progress in Parkinson's is often felt before it is measured — a longer stride, a louder voice, fewer freezes at the doorway. Both the measurements and your own report are recorded.

Re-measurement, and the home programme — which for this condition is the whole point, because the gains fade without it. It is built to be done daily at home and to survive a bad week.

Cueing strategies are rehearsed in the situations you will actually meet, and a companion is taught how to cue you without taking over.