Telehealth For Individuals with Parkinson’s Disease During Covid-19 In Brazil: A Prospective Case Series

Authors

  • Natália Mariano Barboza PT, MSc, Neurofunctional Physical Therapy Research Group (GPFIN), Graduate program in Rehabilitation Sciences – State University of Londrina, Paraná, Brazil
  • Hayslenne Andressa Gonçalves de Oliveira Araújo PT, MSc, Neurofunctional Physical Therapy Research Group (GPFIN), Graduate program in Rehabilitation Sciences – State University of Londrina, Paraná, Brazil
  • Marcelle Brandão Terra PT, MSc, Neurofunctional Physical Therapy Research Group (GPFIN), Graduate program in Rehabilitation Sciences – State University of Londrina, Paraná, Brazil
  • Maria Eduarda Brandão Bueno PT, MSc, Neurofunctional Physical Therapy Research Group (GPFIN), Graduate program in Rehabilitation Sciences – State University of Londrina, Paraná, Brazil
  • Rogério José Souza PT, MSc, Neurofunctional Physical Therapy Research Group (GPFIN), Graduate program in Rehabilitation Sciences – State University of Londrina, Paraná, Brazil
  • Andressa Letícia Miri PT, MSc, Neurofunctional Physical Therapy Research Group (GPFIN), Graduate program in Rehabilitation Sciences – State University of Londrina, Paraná, Brazil
  • Suhaila Mahmoud Smaili PT, PhD, Department of Physiotherapy, Neurofunctional Physical Therapy Research Group (GPFIN), Master’s and Doctoral degree program in Rehabilitation Sciences – State University of Londrina, Paraná, Brazil

DOI:

https://doi.org/10.5195/ijt.2022.6471

Keywords:

Coronavirus infections, Parkinson's disease, Physiotherapy, Telerehabilitation

Abstract

Objective: To implement a telerehabilitation prevention, treatment, and follow-up physical therapy protocol for monitoring individuals with Parkinson´s disease (PD) and to verify its effectiveness in minimizing the deleterious effects of the COVID-19 pandemic. Design: Prospective case series, involving 40 participants with mild to moderate PD recruited from a specialized neurorehabilitation group. The study was divided into four parts: (1) Phone calls to assess the feasibility of participating in remote physical therapy. (2) Social media training. (3) Baseline and post-intervention assessment for functional lower extremity strength, fear of falling, quality of life, depression, anxiety, activities of daily living, verbal fluency. (4) Intervention protocol consisting of 20 remote weekly physical therapy sessions, graphic material for physical and cognitive training, social activities, and education. Conclusion: The telerehabilitation protocol was viable and effective for patients with PD as an alternative to in-person treatment during the COVID-19 pandemic.

  

References

Antonini, A., Leta, V., Teo, J., & Chaudhuri, K. R. (2020). Outcome of Parkinson’s Disease patients affected by COVID-19. Movement Disorders, 35(6), 905–908. https://doi.org/10.1002/mds.28104

Bettger, J. P., Thoumi, A., Marquevich, V., De Groote, W., Rizzo Battistella, L., Imamura, M., Delgado Ramos, V., Wang, N., Dreinhoefer, K. E., Mangar, A., Ghandi, D. B. C., Ng, Y. S., Lee, K. H., Tan Wei Ming, J., Pua, Y. H., Inzitari, M., Mmbaga, B. T., Shayo, M. J., Brown, D. A., … Stein, J. (2020). COVID-19: Maintaining essential rehabilitation services across the care continuum. BMJ Global Health, 5(5), 1–7. https://doi.org/10.1136/bmjgh-2020-002670

Camargos, F. F. O., Dias, R. C., Dias, J. M. D., & Freire, M. T. F. (2010). Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International among elderly Brazilians (FES-I-BRAZIL). Revista Brasileira de Fisioterapia (Sao Carlos (Sao Paulo, Brazil)), 14(3), 237–243. https://doi.org/10.1590/S1413-35552010000300010

Conselho Federal de Fisioterapia e Terapia Ocupacional (COFFITO). (n.d.). https://www.coffito.gov.br

Cubo, E., Hassan, A., & Mari, Z. (2020). Implementation of telemedicine for urgent and ongoing healthcare for patients with Parkinson’s Disease during the COVID-19 pandemic: New expectations for the future. Journal of Parkinson’s Disease, 10, 911–913. https://doi.org/10.1002/mds.28067

de Biase, S., Cook, L., Skelton, D. A., Witham, M., & ten Hove, R. (2020). The COVID-19 rehabilitation pandemic. Age and Ageing, 49(5), 696–700. https://doi.org/10.1093/ageing/afaa118

Duncan, R. P., Leddy, A. L., & Earhart, G. M. (2011). Five times sit-to-stand test performance in Parkinson’s disease. Archives of Physical Medicine and Rehabilitation, 92(9), 1431–1436. https://doi.org/10.1016/j.apmr.2011.04.008

Ellul, M. A., Benjamin, L., Singh, B., Lant, S., Michael, B. D., Easton, A., Kneen, R., Defres, S., Sejvar, J., & Solomon, T. (2020). Neurological associations of COVID-19. Lancet Neurology, 19 (September), 767–783. https://doi.org/10.1016/S1474-4422(20)30221-0

Faro, A. (2015). Confirmatory factor analysis and standardization of the Hospital Anxiety and Depression Scale (HADS). Psicologia: Teoria e Pesquisa, 31(3), 349–353. https://doi.org/10.1590/0102-37722015032072349353

Folstein, M.F. & Folstein, S. E. (1975). “Mini-mental state.”A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. https://doi.org/10.1016/0022-3956(75)90026-6

Goetz, C. G., Tilley, B. C., Shaftman, S. R., Stebbins, G. T., Fahn, S., Martinez-Martin, P., Poewe, W., Sampaio, C., Stern, M. B., Dodel, R., Dubois, B., Holloway, R., Jankovic, J., Kulisevsky, J., Lang, A. E., Lees, A., Leurgans, S., LeWitt, P. A., Nyenhuis, D., … Zweig, R. M. (2008). Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): Scale presentation and clinimetric testing results. Movement Disorders, 23(15), 2129–2170. https://doi.org/10.1002/mds.22340

Haines, K. J., & Berney, S. (2020). Physiotherapists during COVID-19: Usual business, in unusual times. Journal of Physiotherapy, 66(2), 67–69. https://doi.org/https://doi.org/10.1016/j.jphys.2020.03.012

Helmich, R. C., & Bloem, B. R. (2020). The Impact of the COVID-19 Pandemic on Parkinson’s Disease: Hidden sorrows and emerging opportunities. Journal of Parkinson’s Disease, 10(2), 351–354. https://doi.org/10.3233/JPD-202038

Hoehn, M. M., & Yahr, M. D. (1967). Parkinsonism: onset, progression, and mortality. Neurology, 17(5)(May), 427–442. https://doi.org/10.1212/wnl.17.5.427

Hughes, A. J., Daniel, S. E., Kilford, L., & Lees, A. J. (1992). Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: A clinico-pathological study of 100 cases. Journal of Neurology Neurosurgery and Psychiatry, 55(3), 181–184. https://doi.org/10.1136/jnnp.55.3.181

Isernia, S., Di Tella, S., Pagliari, C., Jonsdottir, J., Castiglioni, C., Gindri, P., Salza, M., Gramigna, C., Palumbo, G., Molteni, F., & Baglio, F. (2020). Effects of an innovative telerehabilitation intervention for people with Parkinson’s Disease on quality of life, motor, and non-motor abilities. Frontiers in Neurology, 11(August), 1–11. https://doi.org/10.3389/fneur.2020.00846

Papa, S. M., Brundin, P., Fung, V. S. C., Kang, U. J., Burn, D. J., Colosimo, C., Chiang, H. L., Alcalay, R. N., & Trenkwalder, C. (2020). Impact of the COVID-19 pandemic on Parkinson’s Disease and movement disorders. Movement Disorders, 35(5), 711–715. https://doi.org/10.1002/mds.28067

Rodrigues, A. B., Yamashita, É. T., & Chiappetta, A. L. de M. L. (2008). Teste de fluência verbal no adulto e no idoso: Verificação da aprendizagem verbal. Revista CEFAC, 10(4), 443–451. https://doi.org/10.1590/s1516-18462008000400004

Sohrabi, C., Alsafi, Z., Neill, N. O., Khan, M., & Kerwan, A. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International Journal of Surgery, 76(January), 71–76. https://doi.org/10.1016/j.ijsu.2020.02.034

Souza, R. G., Borges, V., Silva, S. M. C. D. A., & Ferraz, H. B. (2007). Quality of life scale in Parkinson’s disease: PDQ-39 - (Brazilian Portuguese version) to assess patients with and without levodopa motor fluctuation. Arquivos de Neuro-Psiquiatria, 65(3 B), 787–791. https://doi.org/10.1590/S0004-282X2007000500010

van Wamelen, D. J., Leta, V., Johnson, J., Ocampo, C. L., Podlewska, A. M., Rukavina, K., Rizos, A., Martinez-Martin, P., & Chaudhuri, K. R. (2020). Drooling in Parkinson’s Disease: Prevalence and progression from the non-motor international longitudinal study. Dysphagia, 35(6), 955–961. https://doi.org/10.1007/s00455-020-10102-5

Ypinga, J. H. L., de Vries, N. M., Boonen, L. H. H. M., Koolman, X., Munneke, M., Zwinderman, A. H., & Bloem, B. R. (2018). Effectiveness and costs of specialised physiotherapy given via ParkinsonNet: A retrospective analysis of medical claims data. The Lancet Neurology, 17(2), 153–161. https:/doi/org/10.1016/S1474-4422(17)30406-4

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Published

2022-12-13 — Updated on 2022-12-20

How to Cite

Barboza, N. M., Araújo, H. A. G. de O., Terra, M. B., Bueno, M. E. B., Souza, R. J., Miri, A. L., & Smaili, S. M. (2022). Telehealth For Individuals with Parkinson’s Disease During Covid-19 In Brazil: A Prospective Case Series. International Journal of Telerehabilitation, 14(2). https://doi.org/10.5195/ijt.2022.6471

Issue

Vol. 14 No. 2 (2022)

Section

Clinical Research

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Copyright (c) 2022 Natália Mariano Barboza, Hayslenne Andressa Gonçalves de Oliveira Araújo , Marcelle Brandão Terra, Maria Eduarda Brandão Bueno , Rogério José de Souza, Andressa Letícia Miri , Suhaila Mahmoud Smaili

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