Telerehabilitation by Videoconferencing for Balance and Gait in People with Parkinson's Disease: A Scoping Review.

Autor: Silva-Batista C; Department of Neurology, Oregon Health and Science University, Portland, OR 97239, USA.; Exercise Neuroscience Research Group, University of São Paulo, São Paulo 05508-070, Brazil., de Almeida FO; Exercise Neuroscience Research Group, University of São Paulo, São Paulo 05508-070, Brazil., Wilhelm JL; Department of Neurology, Oregon Health and Science University, Portland, OR 97239, USA., Horak FB; Department of Neurology, Oregon Health and Science University, Portland, OR 97239, USA., Mancini M; Department of Neurology, Oregon Health and Science University, Portland, OR 97239, USA., King LA; Department of Neurology, Oregon Health and Science University, Portland, OR 97239, USA.
Jazyk: angličtina
Zdroj: Geriatrics (Basel, Switzerland) [Geriatrics (Basel)] 2024 May 23; Vol. 9 (3). Date of Electronic Publication: 2024 May 23.
DOI: 10.3390/geriatrics9030066
Abstrakt: Although supervised and real-time telerehabilitation by videoconferencing is now becoming common for people with Parkinson's disease (PD), its efficacy for balance and gait is still unclear. This paper uses a scoping approach to review the current evidence on the effects of telerehabilitation by videoconferencing on balance and gait for patients with PD. We also explored whether studies have used wearable technology during telerehabilitation to assess and treat balance and gait via videoconferencing. Literature searches were conducted using PubMed, ISI's Web of Knowledge, Cochrane's Library, and Embase. The data were extracted for study design, treatment, and outcomes. Fourteen studies were included in this review. Of these, seven studies investigated the effects of telerehabilitation (e.g., tele-yoga and adapted physiotherapy exercises) on balance and gait measures (e.g., self-reported balance, balance scale, walking speed, mobility, and motor symptoms) using videoconferencing in both assessment and treatment. The telerehabilitation programs by videoconferencing were feasible and safe for people with PD; however, the efficacy still needs to be determined, as only four studies had a parallel group. In addition, no study used wearable technology. Robust evidence of the effects of telerehabilitation by videoconferencing on balance and gait for patients with PD was not found, suggesting that future powered, prospective, and robust clinical trials are needed.
Databáze: MEDLINE