To assess whether a “virtual admission” can be useful for Parkinson’s disease patients with severe motor fluctuations

Randall, Anna; Panicker, Jay; Macerollo, Antonella; Alusi, Sundus

doi:10.1007/s10072-020-04939-9

Cited by 2 publications

(5 citation statements)

References 6 publications

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“…Finally, Stillerova et al 17 evaluated 11 Australian patients with PD in a real-life scenario by using 18 motor aspects present in the MDS-UPDRS and reported a median of 2 motor items missing for each patient (11.1% of the proposed motor aspects). Other studies also reported high rates of completeness of motor evaluations through video conferencing, either by using a modified version of the MDS-UPDRS that excluded rigidity and postural stability in highly selected populations, [4][5][6][7] or other instruments pertaining to upper limb functioning. 9 There are a variety of reasons for difficulties in assessing motor parameters and for the difference observed between the present and previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies reported that at least some of these components impaired adequate motor evaluations. 6,8,10,17 Studies in which these difficulties were not reported most often offered technical support and instructions, and had highly selected populations regarding their educational level and ease to use this technology. 4,5 Due to our study being conducted in a real-life scenario of a resource-limited country, most patients had a low degree of education and income, which is possibly associated with a lower quality of hardware and internet connection available for a video meeting, as well as more difficulties in dealing with technology and understanding the examiner's instructions.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies reported that at least some of these components impaired adequate motor evaluations. 6 8 10 17 Studies in which these difficulties were not reported most often offered technical support and instructions, and had highly selected populations regarding their educational level and ease to use this technology. 4 5 …”

Section: Discussionmentioning

confidence: 99%

“…3 Performing motor evaluations for patients with PD using telemedicine has been previously studied and is considered both safe and feasible. [4][5][6][7][8] Recent studies reported that a successful motor evaluation was possible for 98.3% of the motor parameters present in the Movement Disorder Society -Unified Parkinson's Disease Rating Scale (MDS-UPDRS), except for rigidity and balance, which cannot be assessed in a video conference. 8 Additional research also reported high reliability of the upper limb tele-assessment in comparison to a face-to-face assessment.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil

et al. 2023

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Background Performing motor evaluations using videoconferencing for patients with Parkinson's disease (PD) is safe and feasible. However, the feasibility of these evaluations is not adequately studied in resource-limited settings. Objective To evaluate the feasibility of performing motor evaluations for patients with PD in a resource-limited setting. Methods The examiners rated motor aspects of parkinsonism of 34 patients with PD from the Brazilian public healthcare system through telemedicine with the patient's own means by using the Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) rating scale. Quality measures of the video meeting were also obtained. The feasibility of rating the motor aspects was the primary outcome whereas the rating of individual motor aspects, video meeting quality and predictors of a complete evaluation served as secondary outcomes. Results The least assessable parameters were freezing of gait (52.9%), gait (70.6%), leg agility, and rest tremor (both 76.5%). Complete MDS-UPDRS part III was possible in 41.2% of patients and 62 out of 374 motor aspects evaluated (16.6%) were missed. Available physical space for a video evaluation was the worst quality measure. Incomplete evaluations were directly associated with disability (p = 0.048, r = 0.34) and inversely with available physical space (p = 0.003, r = 0.55). Conclusion A significant portion of the MDS-UPDRS part III is unable to be performed during telemedicine-based evaluations in a real-life scenario of a resource-limited setting.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil

et al. 2023

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“…To such extent, the pandemic gave us the opportunity to explore the feasibility and the scientific content of the use of telerehabilitation [6]. The latter should be built around patient needs and enriched by novel digital solutions such as virtual reality and sensor-based kinematic feedback [6,18,19].…”

Section: Discussionmentioning

confidence: 99%

Remote smartphone gait monitoring and fall prediction in Parkinson’s disease during the COVID-19 lockdown

et al. 2021

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Background Falls could be serious events in Parkinson's disease (PD). Patient remote monitoring strategies are on the raise and may be an additional aid in identifying patients who are at risk of falling. The aim of the study was to evaluate if balance and timed-up-and-go data obtained by a smartphone application during COVID-19 lockdown were able to predict falls in PD patients. Methods A cohort of PD patients were monitored for 4 weeks during the COVID-19 lockdown with an application measuring static balance and timed-up-and-go test. The main outcome was the occurrence of falls (UPDRS-II item 13) during the observation period. Results Thirty-three patients completed the study, and 4 (12%) reported falls in the observation period. The rate of falls was reduced with respect to patient previous falls history (24%). The stand-up time and the mediolateral sway, acquired through the application, differed between "fallers" and "non-fallers" and related to the occurrence of new falls (OR 1.7 and 1.6 respectively, p < 0.05), together with previous falling (OR 7.5, p < 0.01). In a multivariate model, the stand-up time and the history of falling independently related to the outcome (p < 0.01). ConclusionsOur study provides new data on falls in Parkinson's disease during the lockdown. The reduction of falling events and the relationship with the stand-up time might suggest that a different quality of falls occurs when patient is forced to stay home -hence, clinicians should point their attention also on monitoring patients' sit-to-stand body transition other than more acknowledged features based on step quality.

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To assess whether a “virtual admission” can be useful for Parkinson’s disease patients with severe motor fluctuations

Cited by 2 publications

References 6 publications

Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil

Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil

Remote smartphone gait monitoring and fall prediction in Parkinson’s disease during the COVID-19 lockdown

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