How COVID-19 will increase distant exercise-based remedy in Parkinson’s illness: a story assessment
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NPJ Parkinsons Dis. 2021 March 8; 7 (1): 25. doi: 10.1038 / s41531-021-00160-3.
The lack of physical activity during the COVID-19 pandemic-related quarantine is challenging, especially for patients with Parkinson’s disease (PD). Without regular exercise, not only patients, but also nurses and doctors soon noticed a worsening of motor and non-motor symptoms. Decreased functional mobility, increased falls, increased frailty and decreased quality of life were identified as consequences of increased sedentary behavior. This work reviews the current literature on issues with the delivery of conventional physical therapy and the potential of telerehabilitation, associated health services, and patient-initiated exercise for PD patients during the COVID-19 period. We discuss recent studies on approaches that can improve remote patient care, including telerehabilitation, motivational tools, apps, exergaming, and virtual reality (VR) exercises. In addition, we provide a case report on a 69-year-old PD patient who took part in a 12-week guided climbing course for PD patients before the pandemic and who found a solution to continue her climbing training independently with a rope ladder outdoors. This case can serve as a best practice example of untrained, creative and patient-initiated exercises in the home environment during difficult times, as is currently the case. Overall, numerous studies on telemedicine, telerehabilitation, and patient-initiated exercise have recently been published that inspire optimism that remote exercise facilitation can help PD patients maintain physical mobility and emotional wellbeing even during periods like the COVID-19 pandemic. The pandemic itself may even increase the need to put in place comprehensive and easy-to-implement telerehabilitation programs.
PMID: 33686074 | DOI: 10.1038 / s41531-021-00160-3