Digital Therapeutics in Parkinson’s Disease: Practical Applications and Future Potential

Ellis, Terry; Earhart, Gammon M.

doi:10.3233/jpd-202407

Cited by 49 publications

(37 citation statements)

References 24 publications

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“…The fact that confinement and reduced medical services affect psychiatric health [3] but may also worsen progression of chronic diseases such as PD has consequences for the decision-making process of lawmakers and governmental bodies. Further, whilst treatments for improving functional outcomes through telemedicine offer opportunities to treat patients at home [8,[27][28][29][30][31], insurance bodies in many countries including Switzerland incomprehensibly require personal consultations for coverage of costs. More studies are needed to investigate whether telemedicine approaches can supplement traditional patient care [27,32] and personal training.…”

Section: Discussionmentioning

confidence: 99%

Worsened Parkinson’s Disease Progression: Impact of the COVID-19 Pandemic

Ineichen

Baumann‐Vogel

Sitzler

et al. 2021

JPD

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Whilst some studies investigated the impact of viral infection or reduced access to medication during the COVID-19 pandemic in patients with Parkinson’s disease (PD), data on the effects of pandemic restrictions are still scarce. We retrospectively analyzed motor symptoms of longitudinally followed PD patients (n = 264) and compared motor disease progression before and during the COVID-19 pandemic. Additionally, we performed a trend analysis of the yearly evolution of motor symptoms in 755 patients from 2016 until 2021. We observed a worsening of motor symptoms and a significantly increased motor disease progression during pandemic-related restrictions as compared to before the COVID-19 outbreak.

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Section: Discussionmentioning

confidence: 99%

Worsened Parkinson’s Disease Progression: Impact of the COVID-19 Pandemic

Ineichen

Baumann‐Vogel

Sitzler

et al. 2021

JPD

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“…After the new era of pandemic emergencies, telehealth systems have become a fundamental service for pursuing and maintaining healthcare protocols. In neurological diseases, such as Parkinson’s [ 1 , 2 ]; Alzheimer’s [ 3 , 4 ] and Multiple Sclerosis [ 5 , 6 ], a large number of tools and services have been proposed.…”

Section: Introductionmentioning

confidence: 99%

TeleRehabilitation of Social-Pragmatic Skills in Children with Autism Spectrum Disorder: A Principal Component Analysis

Marino

Failla

Bruschetta

et al. 2023

IJERPH

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In many therapeutic settings, remote health services are becoming increasingly a viable strategy for behavior management interventions in children with autism spectrum disorder (ASD). However, there is a paucity of tools for recovering social-pragmatic skills. In this study, we sought to demonstrate the effectiveness of a new online behavioral training, comparing the performance of an ASD group carrying out an online treatment (n°8) with respect to a control group of demographically-/clinically matched ASD children (n°8) engaged in a traditional in-presence intervention (face-to-face). After a 4-month behavioral treatment, the pragmatic skills language (APL test) abilities detected in the experimental group were almost similar to the control group. However, principal component analysis (PCA) demonstrated that the overall improvement in socio-pragmatic skills was higher for ASD children who underwent in-presence training. In fact, dimensions defined by merging APL subscale scores are clearly separated in ASD children who underwent in-presence training with respect to those performing the online approach. Our findings support the effectiveness of remote healthcare systems in managing the social skills of children with ASD, but more approaches and resources are required to enhance remote services.

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“…The restrictions in social contact and participation imposed in response to the COVID-19 pandemic significantly impacted older people, many of whom faced the highest levels of isolation because of the age-related risk factors associated with the virus [29,30]. In these circumstances, the importance of telehealth [31][32][33] and digital alternatives such as apps and online programs for maintaining communication and activity [33,34] was brought to the forefront. Older people are increasingly confident in using digital technology, and studies during the pandemic reported that digital resources were used by older adults to maintain social connections [35] and by people with PD to engage in physical activity [32,36].…”

Section: Introductionmentioning

confidence: 99%

Moving online: Experiences and potential benefits of digital dance for older adults and people with Parkinson’s disease

Bek

Leventhal²,

Groves³

et al. 2022

PLoS ONE

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Background Dance provides a range of beneficial effects for older adults including individuals with age-related neurological conditions such as Parkinson’s disease (PD). The COVID-19 pandemic accelerated the development of at-home dance programs delivered digitally through live and pre-recorded media, but little is known about how participants may engage with and benefit from these resources. Objective This study explored experiences and potential benefits of digital dance participation among healthy older adults and people with PD. Methods An online survey consisting of fixed-choice and open questions was designed in collaboration with dance program providers and distributed between June and November 2020. Results Healthy older adults (N = 149) and people with PD (N = 178) participating in at-home dance programs reported frequent engagement and a range of benefits. People with PD reported greater levels of motor (e.g., ease of movement, balance) than non-motor (e.g., energy, confidence) outcomes, while healthy older adults reported similar numbers of motor and non-motor outcomes. Positive outcomes were associated with the use of movement imagery during dance in both groups, while singing was associated with benefits in people with PD and vocalising was associated with benefits in older adults. At-home dance resources were found to offer convenience and flexibility, but participants missed the interaction, support, and routine provided by in-person classes. The majority expressed a preference to continue with both digital and in-person participation in the future. Qualitative analysis of participants’ comments further revealed that digital participation could help to maintain connection and well-being, as well as identifying further considerations for improving accessibility and facilitating digital engagement. Conclusions At-home dance appears to be accessible, engaging, and potentially beneficial for older adults and people with PD, although barriers to participation should be addressed. Digital resources will be increasingly important to enable cost-effective, large-scale provision of home-based therapeutic activities.

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Digital Therapeutics in Parkinson’s Disease: Practical Applications and Future Potential

Cited by 49 publications

References 24 publications

Worsened Parkinson’s Disease Progression: Impact of the COVID-19 Pandemic

Worsened Parkinson’s Disease Progression: Impact of the COVID-19 Pandemic

TeleRehabilitation of Social-Pragmatic Skills in Children with Autism Spectrum Disorder: A Principal Component Analysis

Moving online: Experiences and potential benefits of digital dance for older adults and people with Parkinson’s disease

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