Telerehabilitation exercise program in elderly people with Parkinson's disease: an experimental study
DOI:
https://doi.org/10.17267/2238-2704rpf.2023.e4829Keywords:
Parkinson Disease, Telerehabilitation, Exercise, Physical Functional Performance, Quality of LifeAbstract
INTRODUCTION: Restrictions during the COVID-19 pandemic limited access to specialized rehabilitation centers for physical therapy treatment of people with Parkinson's disease (PD). It is known that lack of exercise can worsen health conditions, lead to worsening typical signs of the disease, and promote functional decline. Telerehabilitation is a strategy that can restore access and facilitate the continuity of physical therapy care. OBJECTIVES: To evaluate the effects of a telerehabilitation exercise program on the level of physical activity, functional capacity of lower limbs, performance of activities of daily living (ADLs) and quality of life (QoL) in elderly patients with PD. MATERIALS AND METHODS: This is an experimental, descriptive, exploratory, longitudinal study, in which the effects of intervention by telerehabilitation were evaluated, the program was composed of 12 sessions of 1 hour, 3 times a week. Analytical statistics was done for comparative purposes by Student's t test. RESULTS: 22 participants completed the study. Significant change was observed in physical activity level (IPAQ initial 0.18 ±0.39 and final 1.0 ± 0, p = 0.0001), in the functional capacity of lower limbs (5 times sit and stand test (TSLCV) mean time pre 16.22 ± 7.41, and post 12.26 ± 2. 83, p= 0.0197), in the performance in the activities of daily living (Brazilian OARS Multidimensional Functional Assessment Questionnaire (BOMFAQ) of 26.13 ± 6.31 and after of 35.45 ± 5.16, p = 0.0001) and in the QL of the elderly with PD (PDQ-39 initial of 45.92 ±15.36 and final of 23.63 ± 10.19, p = 0.0001). CONCLUSION: We conclude that there was a change in the level of physical activity, in the functional capacity of lower limbs, in the performance of ADLs and in QL.
Downloads
References
(1) Fiusa JM, Zamboni JW. Atualizações na doença de Parkinson através do tratamento com realidade virtual em 2018/2019. Rev Neurociências. 2020;1(28):1-8. https://doi.org/10.34024/rnc.2020.v28.9561
(2) Reich SG, Savitt JM. Parkinson's Disease. Med Clin North Am. 2019;103(2):337-350. https://doi.org/10.1016/j.mcna.2018.10.014
(3) Armstrong MJ, Okun MS. Diagnosis and Treatment of Parkinson Disease: A Review. JAMA. 2020;323(6):548-560. https://doi.org/10.1001/jama.2019.22360
(4) Requia WJ, Kondo EK, Adams MD, Gold DR, Struchiner CJ. Risk of the Brazilian health care system over 5572 municipalities to exceed health care capacity due to the 2019 novel coronavirus (COVID-19). Sci Total Environ. 2020;730:139144. https://doi.org/10.1016/j.scitotenv.2020.139144
(5) Van der Kolk NM, de Vries NM, Kessels RPC, Joosten H, Zwinderman AH, Post B, et al. Effectiveness of home-based and remotely supervised aerobic exercise in Parkinson's disease: a double-blind, randomised controlled trial. Lancet Neurol. 2019;18(11):998-1008. https://doi.org/10.1016/S1474-4422(19)30285-6
(6) COFFITO (Brasil). Resolução COFFITO nº 516/ 2020. Estabelece Teleconsulta, Telemonitoramento e Teleconsultoria. Brasília: Diário Oficial da União nº.56, Seção 1, de 23/03/2020; 2020. Disponível em: https://www.coffito.gov.br/nsite/?p=15825
(7) Achey M, Aldred JL, Aljehani N, Bloem BR, Biglan KM, Chan P, et al. International Parkinson and Movement Disorder Society Telemedicine Task Force. The past, present, and future of telemedicine for Parkinson's disease. MovDisord. 2014;29(7):871-83. https://doi.org/10.1002/mds.25903
(8) Cubo E, Hassan A, Bloem BR, Mari Z. MDS-Telemedicine Study Group. Implementation of Telemedicine for Urgent and Ongoing Healthcare for Patients with Parkinson's Disease During the COVID-19 Pandemic: New Expectations for the Future. J Parkinsons Dis. 2020;10(3):911-913. https://doi.org/10.3233/JPD-202108
(9) 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;12:627999. https://doi.org/10.3389/fneur.2021.627999
(10) Truijen S, Abdullahi A, Bijsterbosch D, 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 meta-analysis. Neurol Sci. 2022;43(5):2995-3006. https://doi.org/10.1007/s10072-021-05855-2
(11) Kim A, Yun SJ, Sung KS, et al. Exercise Management Using a Mobile App in Patients With Parkinsonism: Prospective, Open-Label, Single-Arm Pilot Study. JMIR Mhealth Uhealth. 2021;9(8):e27662. https://doi.org/10.2196/27662
(12) Goetz CG, Poewe W, Rascol O, Sampaio C, Stebbins GT, Counsell C, et al. Movement Disorder Society Task Force Report on the Hoehn and Yahr Staging Scale: Status and Recommendations. Mov Disord. 2004;19(9):1020–1028. https://doi.org/10.1002/mds.20213
(13) Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Suggestions for utilization of the mini-mental state examination in Brazil. Arq. Neuro psiquiatr. 2003;61(3B). https://doi.org/10.1590/S0004-282X2003000500014
(14) Benedetti TRB, Antunes PC, Rodrigues-añez CR, Mazo GZ, Petroski EL. Reproducibility and validity of the International Physical Activity Questionnaire (IPAQ) in elderly men. Rev Bras Med Esporte. 2007;13(1):11-16. https://doi.org/10.1590/S1517-86922007000100004
(15) Duncan RP, Leddy AL, Earhart GM. Five times sit-to-stand test performance in Parkinson’s disease. Arch Phys Med Rehabil. 2011;92(9):1431-6. https://doi.org/10.1016/j.apmr.2011.04.008
(16) Blay SL, Ramos LR, Mari Jde J. Validity of a Brazilian version of the Older Americans Resources and Services (OARS) mental health screening questionnaire. J Am Geriatr Soc. 1988;36(8):687-92. https://doi.org/10.1111/j.1532-5415.1988.tb07169.x
(17) Carod-Artal FJ, Martinez-Martin P, Vargas AP. Independent validation of SCOPA-psychosocial and metric properties of the PDQ-39 Brazilian version. Mov Disord. 2007;22(1):91-8. https://doi.org/10.1002/mds.21216
(18) Domingos J, Keus SHJ, Dean J, de Vries NM, Ferreira JJ, Bloem BR. The European Physiotherapy Guideline for Parkinson's Disease: Implications for Neurologists. J Parkinsons Dis. 2018;8(4):499-502. https://doi.org/10.3233/JPD-181383
(19) Zaman A, Ellingson L, Sunken A, Gibson E, Stegemöller EL. Determinants of exercise behaviour in persons with Parkinson's disease. Disabil Rehabil. 2021;43(5):696-702. https://doi.org/10.1080/09638288.2019.1638975
(20) Moraes Filho AV, Chaves SN, Martins WR, Tolentino GP, Homem RCPP, Farias GL, et al. Progressive Resistance Training Improves Bradykinesia, Motor Symptoms and Functional Performance in Patients with Parkinson's Disease. Clin Interv Aging. 2020;15:87-95. https://doi.org/10.2147/CIA.S231359
(21) Wu PL, Lee M, Huang TT. Effectiveness of physical activity on patients with depression and Parkinson's disease: A systematic review. PLoSOne. 2017;12(7):e0181515. https://doi.org/10.1371/journal.pone.0181515
(22) Silva AKS, Missias AA, Rocha OS, Carmo AA, Mendes FAS. Efeitos de um programa de telerreabilitação sobre a qualidade de vida de pessoas com Doença de Parkinson,
durante o isolamento social na pandemia da COVID-19. Thema. 2020;18(1):156-69. https://doi.org/10.15536/thema.V18.Especial.2020.156-169.1835
(23) Li R, Zhang Y, Jiang Y, Wang M, Ang WHD, Lau Y. Rehabilitation training based on virtual reality for patients with Parkinson’s disease in improving balance, quality of life, activities of daily living, and depressive symptoms: A systematic review and meta-regression analysis. Clin Rehabil. 2021;35(8):1089-1102. https://doi.org/10.1177/0269215521995179
(24) Spear KL, Auinger P, Simone R, Dorsey ER, Francis J. Patient Views on Telemedicine for Parkinson Disease. J Parkinsons Dis. 2019;9(2):401-404. https://doi.org/10.3233/JPD-181557
(25) Ypinga JHL, de Vries NM, Boonen LHHM, Koolman X, Munneke M, Zwinderman AH, et al. Effectiveness and costs of specialised physiotherapy given via Parkinson Net: a retrospective analysis of medical claims data. Lancet Neurol. 2018;17(2):153-61. https://doi.org/10.1016/S1474-4422(17)30406-4
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Janine Brasil de Araújo Moraes, Breno Caldas Ribeiro, Letícia de Cássia Tavares Nunes, Brunna Gabrielli Freitas da Costa, Caio Geovanni Reis Silva, Carina Alves Costa, Renato da Costa Teixeira, Saul Rassy Carneiro, Mellina Monteiro Jacob
This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.