Applications of telerehabilitation in patients with Parkinson's. Systematic review.
Main Article Content
Abstract
Introduction: Parkinson’s is a chronic and progressive neurodegenerative disorder. Worldwide, disability from Parkinson’s is increasing faster than that from any other neurological disorder. Parkinson’s patients face numerous barriers to accessing face-toface rehabilitation services. For this reason, in recent years telerehabilitation has been proposed as a possible solution to this problem. The main objective of this work is to carry out a review of the literature on the applications of telerehabilitation in patients with Parkinson’s. Method: A review was carried out following the PRISMA regulations. The PubMed, Cinahl, PsycINFO, SPORTDiscus, Academic Search Complete, Lilacs, IBECS, CENTRAL, SciELO, and WOS databases were consulted. The Cochrane tool was used to assess the risk of bias and the quality of the evidence was assessed GRADE. Results: Telerehabilitation is effective in patients with Parkinson’s. The total sample was 256 patients. The number of telerehabilitation sessions ranged from 15 to 28 sessions, each lasting between 40 and 90 minutes. The total treatment lasted between 4 and 8 weeks and the frequency was between 1 and 3 times per week. Conclusions: Telerehabilitation is an effective alternative to clinical treatment to reduce postural instability, improve postural control, maintain speech, and improve strength. This therapy offers advantages over conventional face-to-face rehabilitation in clinic for patients with mobility difficulties.
Downloads
References
Aguayo-Aledo JL, Flores-Pastor B, Soria-Aledo V. Sistema GRADE: Clasificación de la calidad de la evidencia y graduación de la fuerza de la recomendación. Cirugía Española. 2014; 92(2):82-8. https://doi.org/10.1016/j.ciresp.2013.08.002
Albiol-Pérez S, Gil-Gómez JA, Muñoz-Tomás MT, Gil-Gómez H, Vial-Escolano R, Lozano-Quilis JA. The Effect of Balance Training on Postural Control in Patients with Parkinson’s Disease Using a Virtual Rehabilitation System. Methods Inf Med. 2017 Mar 23;56(2):138-144. https://doi.org/10.3414/ME16-02-0004
Baiano C, Barone P, Trojano L, Santangelo G. Prevalence and clinical aspects of mild cognitive impairment in Parkinson’s disease: A meta-analysis. Mov Disord. 2020 Jan;35(1):45-54. https://doi.org/10.1002/mds.27902
Bianchini E, Onelli C, Morabito C, Alborghetti M, Rinaldi D, Anibaldi P, et al. Feasibility, Safety, andEffectiveness of Telerehabilitation in Mild-to-Moderate Parkinson’s Disease. Front Neurol. 2022 Jun 16; 13: 909197. https://doi.org/10.3389/fneur.2022.909197
Constantinescu G, Theodoros D, Russell T, Ward E, Wilson S, Wootton R. Assessing disordered speech and voice in Parkinson’s disease: a telerehabilitation application Int J Lang Commun Disord. 2010 Nov-Dec;45(6):630-44. https://doi.org/10.3109/13682820903470569
Eldemir S, Guclu-Gunduz A, Eldemir K, Saygili F, Yilmaz R, Akbostancı MC. The effect of task-oriented circuit training-based telerehabilitation on upper extremity motor functions in patients with Parkinson’s disease: A randomized controlled trial. Parkinsonism Relat Disord. 2023 Apr; 109: 105334. https://doi.org/10.1016/j.parkreldis.2023.105334
Gandolfi M, Geroin C, Dimitrova E, Boldrini P, Waldner A, Bonadiman S, et al. Virtual Reality Telerehabilitation for Postural Instability in Parkinson’s Disease: A Multicenter, Single-Blind, Randomized, Controlled Trial. Biomed Res Int. 2017; 2017: 7962826. https://doi.org/10.1155/2017/7962826
Higgins JPT, Thomas J. Cochrane Handbook for Systematic Reviews of Interventions. 2.aed. WILEY Blackwell; 2019. https://doi.org/10.1002/14651858.ED000142
Lai B, Bond K, Kim Y, Barstow B, Jovanov E, Bickel CS. J Exploring the uptake and implementation of tele-monitored home-exercise programmes in adults with Parkinson’s disease: A mixed-methods pilot study. Telemed Telecare. 2020 Jan-Feb;26(1-2):53-63. https://doi.org/10.1177/1357633X18794315
Lei C, Sunzi K, Dai F, Liu X, Wang Y, Zhang B, et al. Effects of virtual reality rehabilitation training on gait and balance in patients with Parkinson’s disease: A systematic review. PLoS One. 2019 Nov 7;14(11): e0224819. https://doi.org/10.1371/journal.pone.0224819
Mamédio C, Andrucioli M, Cuce M. The PICO strategy for the research question construction and evidence research. Rev Latino-Am Enfermagem 2007; 15:508- 11. https://doi.org/10.1590/s0104-11692007000300023
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. diciembre de 2016;5 (1):210. https://doi.org/10.1186/s13643-016-0384-4
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol. marzo de 2021;19:26. https://doi.org/10.1136/bmj.n71
Pazzaglia C, Imbimbo I, Tranchita E, Minganti C, Ricciardi D, Lo Monaco R, Parisi A, Padua L. Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson’s disease: a randomised controlled trial Physiotherapy. 2020 Mar; 106:36-42. https://doi.org/10.1016/j.physio.2019.12.007
Quinn R, Park S, Theodoros D, Hill AJ. Delivering group speech maintenance therapy via telerehabilitation to people with Parkinson’s disease: A pilot study. Int J Speech Lang Pathol. 2019 Aug;21(4):385-394. https://doi.org/10.1080/17549507.2018.1476918
Reich SG, Savitt JM. Parkinson’s Disease. Med Clin North Am. 2019 Mar;103(2):337-350. https://doi.org/10.1016/j.mcna.2018.10.014
Reichmann H, Csoti I, Koschel J, Lorenzl S, Schrader C, Winkler J, et al. Lifestyle and Parkinson’s disease. J Neural Transm (Vienna). 2022 Sep;129(9):1235-1245. https://doi.org/10.1007/s00702-022-02509-1
Simon DK, Tanner CM, Brundin P. Parkinson Disease Epidemiology, Pathology, Genetics, and Pathophysiology. Clin Geriatr Med. 2020 Feb;36(1):1-12. https://doi.org/10.1016/j.cger.2019.08.002
Truijen S, Abdullahi A, Bijsterbosch D, van Zoest E, Conijn M, Wang Y, et al. Effect of home-based virtual reality training and telerehabilitation on balance in individuals with Parkinson disease, multiple sclerosis, and stroke: a systematic review and metaanalysis. Neurol Sci. 2022 May;43(5):2995-3006. https://doi.org/10.1007/s10072-021-05855-2
Vellata C, Belli S, Balsamo F, Giordano A, Colombo R, Maggioni G. Effectiveness of Telerehabilitation on Motor Impairments, Non-motor Symptoms and Compliance in Patients With Parkinson’s Disease: A Systematic Review. Front Neurol. 2021 Aug 26; 12:627999. https://doi.org/10.3389/fneur.2021.627999