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Comercializadora de Servicios Médicos Cubanos, S.A.SMC Salud

Neurology

Parkinson's Disease Treatment

Intensive multidisciplinary rehabilitation for Parkinson's and movement disorders at CIREN

Cuba's International Center for Neurological Restoration (CIREN) delivers an intensive, coordinated rehabilitation model for Parkinson's disease and related movement disorders. A single multidisciplinary team — neurologists, physiatrists, physical therapists, occupational therapists, speech therapists, and neuropsychologists — provides 4–6 hours of daily therapy combining pharmacological optimization, gait and balance training, speech therapy, and neuropsychological support to maximize independence and quality of life.

Parkinson's Disease Treatment
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Medically ReviewedSMC Salud Medical Editorial Team
Last updated: July 15, 2026
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Cuba's International Center for Neurological Restoration (CIREN) delivers an intensive, coordinated rehabilitation model for Parkinson's disease and related movement disorders. A single multidisciplinary team — neurologists, physiatrists, physical therapists, occupational therapists, speech therapists, and neuropsychologists — provides 4–6 hours of daily therapy combining pharmacological optimization, gait and balance training, speech therapy, and neuropsychological support to maximize independence and quality of life.

Expected Duration

4–8 weeks of intensive rehabilitation in Havana.

  1. 1

    Neurological & motor assessment

    Timeframe: 3–7 days

    Neurological exam, UPDRS motor scoring, neuroimaging, medication review, and baseline functional testing to build the individualized rehab plan.

  2. 2

    Intensive multidisciplinary rehabilitation

    Timeframe: 4–6 weeks

    Daily 4–6 hours of coordinated therapy — physical, occupational, speech, and neuropsychology — with pharmacological optimization by your neurologist.

  3. 3

    Discharge & home plan

    Timeframe: 3–5 days

    Final motor reassessment, personalized home exercise program, caregiver training, medication report, and follow-up scheduling before return home.

Preparation

1

Send neuroimaging & motor scoring

Provide recent MRI, any DAT-scan, UPDRS scores if available, and a detailed medication history including current levodopa equivalents and response patterns.

2

Track motor fluctuations

Keep a diary of 'on' and 'off' periods, freezing episodes, and dyskinesias for one to two weeks before travel so the neurologist can optimize therapy.

3

Arrange mobility aids

Bring any walker, cane, or braces you use, and plan for a companion to assist with transfers and mobility during the stay.

4

Plan caregiver participation

Arrange for a family member or caregiver to attend; caregiver training is central to sustaining functional gains at home.

Recovery

1

Perform the home exercise program daily

Consistency with the prescribed gait, balance, amplitude, and stretching exercises is the strongest driver of maintained functional gains.

2

Follow the medication schedule exactly

Time levodopa and other medications precisely as prescribed; timing is critical to managing 'on'/'off' fluctuations.

3

Continue speech & swallowing practice

Use the voice and swallowing exercises daily to maintain communication and reduce aspiration risk.

4

Engage caregivers in transfers & safety

Apply the transfer, balance, and fall-prevention techniques learned in Havana to reduce fall risk at home.

5

Attend follow-up reviews

Schedule periodic motor reassessment (in person or via telemedicine) to adjust therapy and medication as the disease progresses.

Why International Patients Choose Our Facilities

World-class Cuban institutions, pioneering biotechnology, and complete concierge care — the reasons patients from 40+ countries trust SMC Salud with their treatment.

The SMC Salud Advantage

Multilingual Patient Coordinators

Native-language coordinators in Arabic, Turkish, French, German, English, and more guide you through every step of your medical journey.

24/7 Concierge Support

Visa processing, airport reception, accommodation, interpreters, and round-the-clock coordination — every detail handled from inquiry to return home.

Pioneering Cuban Biotechnology

Access unique therapies developed by Cuba's leading research institutions — CIMAvax-EGF, Heberprot-P, Melagenin Plus — available only through Cuba's medical system.

Proven International Track Record

Decades of medical excellence with patients treated from over 40 countries, backed by WHO-recognized research institutions and experienced specialists.

Integrated Treatment & Recovery

Surgery, therapy, and rehabilitation delivered in one coordinated program by a single medical team — the Cuban model that achieves strong functional outcomes.

Cultural & Dietary Accommodation

Prayer rooms, halal and special-diet meals, and culturally aware care that honors your faith, customs, and family throughout your stay in Cuba.

Eligibility Assessment

Review the requirements below to understand what's needed for your treatment in Cuba. Check off each item as you prepare.

Treatment-specific eligibility

The program is indicated for patients with Parkinson's disease and related movement disorders at mild to moderate stages where intensive rehabilitation can meaningfully improve function. Suitability is determined through individual review of motor scoring, imaging, medication history, and overall health. Each case is assessed individually by our neurology team.

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Medical Documentation

Health Requirements

Travel & Logistics

Check off items as you prepare — a CTA will appear when all are reviewed.

Patient Experiences

Real Stories from Our Patients

Read firsthand accounts from international patients who completed their medical journeys with us.

“The neurological rehabilitation for my Parkinson's significantly reduced my tremors and improved my daily functioning. The intensive therapy model made all the difference.”

Abdullah A.

Saudi Arabia

Parkinson's Treatment

“The neurological restoration program at CIREN gave me hope when doctors in three other countries said nothing more could be done. After six weeks in Havana, my mobility improved significantly.”

Ahmed K.

United Arab Emirates

Neurological Restoration

Frequently Asked Questions

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Specialists & Medical Centers

The physicians and Cuban medical institutions behind this specialty.

Coordination & Processing Center

The team that receives your request

You access our services through the Coordination and Processing Center, where a specialist immediately responds to your request and assesses whether you require the service — and you can also access an online consultation prior to your trip.

IR

Iliana Reyes Álvarez

Head of the Coordination and Processing Center

Doctor in Medicine, First Degree Specialist in Comprehensive General Medicine. Master in Primary Health Care. Certified in Foreign Trade.

OH

Osvaldo Héctor Ardisana

Commercial Specialist, International Medical Services

Doctor in Medicine. First Degree Specialist in Comprehensive General Medicine. Master in Marketing and Social Communication. Certified in Foreign Trade.

NH

Natalia Hijuelos Aleexeva

Commercial Specialist, International Medical Services

Doctor in Medicine. First Degree Specialist in Comprehensive General Medicine. Certified in Nutrition and Foreign Trade.

JC

Julio César González Palomino

Commercial Specialist, International Medical Services

Doctor in Medicine, First Degree Specialist in Comprehensive General Medicine. Master in Medical Emergencies.

TS

Tatiana Solano López

Commercial Specialist, International Medical Services

Doctor of Medicine. First-Degree Specialist in Psychiatry. Certified in Medical Emergencies and Urgent Care. Bachelor of Science in Nursing.

TB

Tania Bárbara Vázquez García

Commercial Specialist, International Medical Services

Bachelor's Degree in German Language and Scientific-Technical Information. Certified in Technical Information Processes, Foreign Trade, Foreign Investment, and International Cooperation.

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