Table 2.

Timeline of services in rehabilitation framework

	Preclinical	Prodromal	Clinical Early PD
Presentation	iRBD and non-motor signs	iRBD with subtle motor and/or functional deficits	iRBD with bradykinesia + rigidity or tremor
Sleep Clinician Role	Sleep Clinician provide education re: risk of neurodegenerative disease, exercise/lifestyle modification	Referral to Movement Disorders Neurologist	Movement Disorders Neurologist initiate clinical care for early PD
Exercise Prescription	Aerobic, resistance and multimodal exercise
Rehabilitation Role	Consultative services with PT for exercise prescription if not physically active Consultative services with OT for safe sleep environment recommendations	Refer to PT, OT, and SLP for baseline evaluations of physical function, physical activity monitoring, and individualized exercise recommendations to target observed deficits.	Initiate clinical care for early PD including PT, OT, and SLP referrals for baseline evaluations of physical function, physical activity monitoring, and individualized exercise recommendations to target observed deficits.

iRBD = idiopathic REM sleep behavior disorder; PD = Parkinson’s disease; PT = physical therapy; OT = occupational therapy; SLP = speech language pathology.