PMID- 32903506
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 1664-2295 (Print)
IS  - 1664-2295 (Electronic)
IS  - 1664-2295 (Linking)
VI  - 11
DP  - 2020
TI  - Effects of an Innovative Telerehabilitation Intervention for People With 
      Parkinson's Disease on Quality of Life, Motor, and Non-motor Abilities.
PG  - 846
LID - 10.3389/fneur.2020.00846 [doi]
LID - 846
AB  - Parkinson's disease (PD) often leads to multifactorial motor and non-motor 
      disabilities with resultant social restrictions. Continuity of care in this 
      pathology, including a tailored home rehabilitation, is crucial to improve or 
      maintain the quality of life for patients. The aim of this multicenter study was 
      to test in a pilot sample of PD patients the efficiency and efficacy of the Human 
      Empowerment Aging and Disability (HEAD) program. The virtual reality HEAD program 
      was administered in two consecutive phases: (1) in clinic (ClinicHEAD, 12 
      45-minutes sessions, 3 sessions/week); (2) at home (HomeHEAD, 60 45-minutes 
      sessions, 5 sessions/week). Thirty-one PD outpatients were enrolled [mean age 
      (SD) = 66.84 (9.13)]. All patients performed ClinicHEAD, and after allocation 
      (ratio 1:2) were assigned to the HomeHEAD or the Usual Care (UC) group. Motor, 
      cognitive and behavioral outcome measures were assessed at enrollment (T0), at 
      hospital discharge (T1), at 4 (T2) and 7 (T3) months after baseline. After 
      ClinicHEAD (T1 vs. T0 comparison) a significant (p < 0.05) improvement in 
      functional mobility, balance, upper limb mobility, global cognitive function, 
      memory, quality of life and psychological well-being was observed. After the 
      HomeHEAD intervention there was an additional enhancement for upper limb 
      mobility. At T3 follow-up, the UC group that did not continue the HEAD program at 
      home showed a worsening with respect to the HomeHEAD group in balance and 
      functional mobility. Furthermore, in the HomeHEAD group, a positive association 
      was observed between adherence, mental and physical health (SF-12). A trend was 
      also registered between adherence and positive affect. The digital health 
      patient-tailored rehabilitation program resulted in improving motor and non-motor 
      abilities and quality of life in clinical setting, enhancing the motor function 
      in telerehabilitation at home, and maintaining the non-motor abilities and 
      quality of life at follow-up. In the near future, people with PD can be supported 
      also at home with individualized rehabilitation strategies for a better quality 
      of life and wellbeing along with lower costs for society.
CI  - Copyright (c) 2020 Isernia, Di Tella, Pagliari, Jonsdottir, Castiglioni, Gindri, 
      Salza, Gramigna, Palumbo, Molteni and Baglio.
FAU - Isernia, Sara
AU  - Isernia S
AD  - IRCCS Fondazione don Carlo Gnocchi ONLUS, Milan, Italy.
FAU - Di Tella, Sonia
AU  - Di Tella S
AD  - IRCCS Fondazione don Carlo Gnocchi ONLUS, Milan, Italy.
FAU - Pagliari, Chiara
AU  - Pagliari C
AD  - IRCCS Fondazione don Carlo Gnocchi ONLUS, Milan, Italy.
FAU - Jonsdottir, Johanna
AU  - Jonsdottir J
AD  - IRCCS Fondazione don Carlo Gnocchi ONLUS, Milan, Italy.
FAU - Castiglioni, Carlotta
AU  - Castiglioni C
AD  - Fondazione Opera San Camillo Presidio Sanitario San Camillo, Turin, Italy.
FAU - Gindri, Patrizia
AU  - Gindri P
AD  - Fondazione Opera San Camillo Presidio Sanitario San Camillo, Turin, Italy.
FAU - Salza, Marco
AU  - Salza M
AD  - Fondazione Opera San Camillo Presidio Sanitario San Camillo, Turin, Italy.
FAU - Gramigna, Cristina
AU  - Gramigna C
AD  - Villa Beretta Rehabilitation Center, Costa Masnaga, Italy.
FAU - Palumbo, Giovanna
AU  - Palumbo G
AD  - Villa Beretta Rehabilitation Center, Costa Masnaga, Italy.
FAU - Molteni, Franco
AU  - Molteni F
AD  - Villa Beretta Rehabilitation Center, Costa Masnaga, Italy.
FAU - Baglio, Francesca
AU  - Baglio F
AD  - IRCCS Fondazione don Carlo Gnocchi ONLUS, Milan, Italy.
LA  - eng
PT  - Journal Article
DEP - 20200813
PL  - Switzerland
TA  - Front Neurol
JT  - Frontiers in neurology
JID - 101546899
PMC - PMC7438538
OTO - NOTNLM
OT  - Parkinson's disease
OT  - continuity of care
OT  - digital health
OT  - nervous system disease
OT  - quality of life
OT  - rehabilitation
OT  - technology
OT  - telerehabilitation
EDAT- 2020/09/10 06:00
MHDA- 2020/09/10 06:01
PMCR- 2020/08/13
CRDT- 2020/09/09 17:55
PHST- 2020/03/31 00:00 [received]
PHST- 2020/07/07 00:00 [accepted]
PHST- 2020/09/09 17:55 [entrez]
PHST- 2020/09/10 06:00 [pubmed]
PHST- 2020/09/10 06:01 [medline]
PHST- 2020/08/13 00:00 [pmc-release]
AID - 10.3389/fneur.2020.00846 [doi]
PST - epublish
SO  - Front Neurol. 2020 Aug 13;11:846. doi: 10.3389/fneur.2020.00846. eCollection 
      2020.