Expiratory Muscle Strength Training in Patients with Parkinson's Disease: A Pilot Study of Mobile Monitoring Application

Srp, Martin; Korteová, Rebeka; Kliment, Radim; Jech, Robert; Růžička, Evžen; Hoskovcová, Martina

doi:10.1002/mdc3.13313

Cited by 4 publications

(6 citation statements)

References 5 publications

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“…We are currently conducting a multicenter-international study in five tertiary PD centers (Fundación Investigación HM Hospitales, Spain; Ottawa Hospital Research Institute, Canada; Charles University, Czech Republic; CNS—Campus Neurológico, Portugal; and Mater Misericordiae University Hospital Dublin, Ireland). In this study, we aim to test the following three digital technologies developed by the iCARE-PD Consortium: MooVeo [ 8 ]; SpiroGym [ 9 ] and PDMonitor ® [ 10 ]. We plan to enroll a total of 40 People with Parkinson’s Disease (PwP).…”

Section: Methods and Analysismentioning

confidence: 99%

“…The software can be run locally or as a cloud application, with recorded videos being uploaded to the cloud and automatically quantified in a secure HIPAA/GDPR-compliant manner. SpiroGym is a mobile phone application designed to help patients increase their self-management, motivation and adherence to a respiratory physiotherapy program [ 9 ]. Patients train their respiratory strength with the assistance of a commercially available expiratory muscle trainer device and an externally added microphone.…”

Section: Methods and Analysismentioning

confidence: 99%

“…The app thus gives patients visual feedback about the quality of their use of the expiratory muscle trainer device. The SpiroGym app also allows the patient to check on training data from previous workouts and therefore monitor long-term development [ 9 ]. PD Monitor is a non-invasive continuous monitoring system for use by PD, certified as a Class IIa Medical Device according to European regulation EE 93/42/EEC [ 10 ].…”

Section: Methods and Analysismentioning

confidence: 99%

“…SpiroGym is a mobile phone application designed to help patients increase their self-management, motivation and adherence to a respiratory physiotherapy program [ 9 ]. Patients train their respiratory strength with the assistance of a commercially available expiratory muscle trainer device and an externally added microphone.…”

Section: Methods and Analysismentioning

confidence: 99%

See 3 more Smart Citations

Co-Designing Digital Technologies for Improving Clinical Care in People with Parkinson’s Disease: What Did We Learn?

Monje,

Grosjean,

Srp

et al. 2023

Sensors

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The healthcare model is shifting towards integrated care approaches. This new model requires patients to be more closely involved. The iCARE-PD project aims to address this need by developing a technology-enabled, home-based, and community-centered integrated care paradigm. A central part of this project is the codesign process of the model of care, exemplified by the active participation of patients in the design and iterative evaluation of three sensor-based technological solutions. We proposed a codesign methodology used for testing the usability and acceptability of these digital technologies and present initial results for one of them, MooVeo. Our results show the usefulness of this approach in testing the usability and acceptability as well as the opportunity to incorporate patients’ feedback into the development. This initiative will hopefully help other groups incorporate a similar codesign approach and develop tools that are well adapted to patients’ and care teams’ needs.

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Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

See 2 more Smart Citations

Co-Designing Digital Technologies for Improving Clinical Care in People with Parkinson’s Disease: What Did We Learn?

Monje,

Grosjean,

Srp

et al. 2023

Sensors

Self Cite

View full text Add to dashboard Cite

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“…In the head and neck cancer population, home-based exercise programs with telehealth treatment sessions have been associated with high levels of satisfaction and reduced costs of attendance for patients [ 16 ]. Applications and websites to facilitate home treatment and enhance patient adherence have also started to emerge with overall positive outcomes in regard to patient satisfaction, adherence, and functional outcomes [ 17 – 24 ]. For adults with neurogenic dysphagia, there is preliminary evidence to support the implementation of compensatory strategies [ 25 ] and exercise-based treatments [ 26 ] via telehealth, with reported improvements in physiologic function [ 27 ], swallowing performance [ 26 ], and treatment adherence [ 24 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Telehealth Management of Dysphagia in Adults: A Survey of Speech Language Pathologists’ Experiences and Perceptions

et al. 2022

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The goal of this study was to explore telehealth use for dysphagia management in response to COVID-19 to understand variables associated with clinician confidence and perceived effectiveness of this service delivery model and determine clinician-perceived benefits and challenges of managing dysphagia via telehealth. Speech-language pathologists (SLPs, n = 235) completed a web-based survey, providing information on demographics, telehealth use during the pandemic, and perspectives on current and future tele-management of dysphagia. Analyses included descriptive statistics to examine usage patterns; logistic regression to determine which variables were associated with telehealth use, clinician confidence, and perceived-effectiveness; and conventional content analysis to analyze responses to open-ended questions. Results revealed a sharp increase in the tele-management of dysphagia during the pandemic. Years of experience with dysphagia management ( p = .031) and pre-pandemic use of telehealth ( p < .001) were significantly associated with current use patterns. Working in the outpatient setting was associated with greater clinician confidence ( p = .003) and perceived effectiveness ( p = .007), and use of guidelines ( p = .042) was also associated with greater clinician confidence. Key challenges identified included inadequate technological infrastructure, inadequate patient digital literacy, and reimbursement restrictions. Key benefits were treatment continuity, improving access to care, and time savings. The majority (67%) of respondents reported that they would use telehealth in the future. These findings demonstrate SLPs’ abilities and desire to expand their practice patterns to include telehealth for dysphagia management. Therefore, clinician training and more research on best practices for assessment and treatment of dysphagia via telehealth is warranted to refine models of care for dysphagia tele-management. Supplementary Information The online version contains supplementary material available at 10.1007/s00455-022-10544-z.

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Rehabilitation of Airway Protection in Individuals With Movement Disorders: A Telehealth Feasibility Study

Sevitz

Borders

Dakin

et al. 2022

Am J Speech Lang Pathol

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Purpose: Airway protective deficits (swallowing and cough) greatly reduce health and quality of life and are a pervasive consequence of neurodegenerative movement disorders. Expiratory muscle strength training (EMST) and cough skill training (CST) are two treatment approaches to improve airway protection; however, many patients are unable to access these treatments. Telehealth may improve access to care, but it remains unknown whether these treatments are feasible and efficacious via telehealth. This study aimed to determine the practical feasibility and preliminary treatment effect of EMST and CST via telehealth. Method: Twenty participants with movement disorders completed 4 weeks of EMST and 2 weeks of CST, including two clinician-directed treatment sessions via telehealth and 3 days of home practice per week. Feasibility was calculated for each treatment. Practical feasibility was defined as completing treatment (EMST or CST) and obtaining the relevant outcome measures—a proxy of maximum expiratory pressure (pMEP) for EMST and peak expiratory flow rate (PEFR) for CST—within a 30-min session/period. Session factors that may have influenced feasibility were examined. Preliminary treatment effect was defined as changes in pMEP and PEFR. Results: Time taken to obtain pMEP and complete EMST was 17.48 min, and time taken to obtain PEFR and complete CST was 17.69 min. pMEP, single voluntary cough PEFR, and sequential voluntary cough PEFR increased from pre- to posttreatment. Conclusions: Findings suggest that the delivery of EMST and CST is feasible via telehealth and yield improvements to pMEP and PEFR. This has important implications for expanding service delivery of airway protective interventions and reducing health care disparities in people with neurodegenerative movement disorders. Supplemental Material: https://doi.org/10.23641/asha.21357669

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Expiratory Muscle Strength Training in Patients with Parkinson's Disease: A Pilot Study of Mobile Monitoring Application

Cited by 4 publications

References 5 publications

Co-Designing Digital Technologies for Improving Clinical Care in People with Parkinson’s Disease: What Did We Learn?

Co-Designing Digital Technologies for Improving Clinical Care in People with Parkinson’s Disease: What Did We Learn?

Telehealth Management of Dysphagia in Adults: A Survey of Speech Language Pathologists’ Experiences and Perceptions

Rehabilitation of Airway Protection in Individuals With Movement Disorders: A Telehealth Feasibility Study

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