1 Program in Physical Therapy, Washington University School of Medicine in St Louis, St. Louis, MO, USA.
2 Department of Neurology, Washington University School of Medicine in St Louis, St. Louis, MO, USA.
J Telemed Telecare. 2017 Sep;23(8):740-746. doi: 10.1177/1357633X16668092. Epub 2016 Sep 13.
People with Parkinson disease (PD) demonstrate improvements in motor function following group tango classes, but report long commutes as a barrier to participation. To increase access, we investigated a telerehabilitation approach to group tango instruction. Twenty-six people with mild-to-moderate PD were assigned based on commute distance to either the telerehabilitation group (Telerehab) or an in-person instruction group (In-person). Both groups followed the same twice-weekly, 12-week curriculum with the same instructor. Feasibility metrics were participant retention, attendance and adverse events. Outcomes assessed were balance, PD motor sign severity and gait. Participant retention was 85% in both groups. Attendance was 87% in the Telerehab group and 84% in the In-person group. No adverse events occurred. Balance and motor sign severity improved significantly over time ( p < 0.001) in both groups, with no significant group × time effects. Gait did not significantly change. Since a priori feasibility criteria were met or exceeded, and there were no notable outcome differences between the two instruction approaches, this pilot study suggests a telerehabilitation approach to group tango class for people with PD is feasible and may have similar outcomes to in-person instruction.
帕金森病患者（PD）参加团体探戈课程后，运动功能得到改善，但他们报告说长途通勤是参与的障碍。为了增加参与度，我们研究了一种远程康复方法来进行团体探戈教学。根据通勤距离，将 26 名轻度至中度 PD 患者分为远程康复组（远程康复组）或面对面教学组（面对面组）。两组都遵循相同的每周两次、为期 12 周的课程，由同一位教师授课。可行性指标包括参与者保留率、出勤率和不良事件。评估的结果包括平衡、PD 运动症状严重程度和步态。两组的参与者保留率均为 85%。远程康复组的出勤率为 87%，面对面组的出勤率为 84%。没有发生不良事件。两组的平衡和运动症状严重程度都随着时间的推移显著改善（p<0.001），组间无显著差异。步态没有显著变化。由于事先设定的可行性标准得到满足或超过，并且两种教学方法之间没有明显的结果差异，因此这项初步研究表明，对于 PD 患者，远程康复方法进行团体探戈课程是可行的，并且可能与面对面教学具有相似的效果。
