对帕金森病患者进行跌倒风险的虚拟客观评估是否可行且安全？
Are Virtual Objective Assessments of Fall-Risk Feasible and Safe for People with Parkinson's Disease?
作者信息
Afshari Mitra, Hernandez Andrea V, Nonnekes Jorik, Bloem Bastiaan R, Goetz Christopher G
机构信息
Department of Neurology Rush University Medical Center Chicago IL USA.
College of Arts and Sciences Loyola University Chicago IL USA.
出版信息
Mov Disord Clin Pract. 2022 Jul 4;9(6):799-804. doi: 10.1002/mdc3.13494. eCollection 2022 Aug.
BACKGROUND
Falls are inherent to Parkinson's disease (PD) progression, and risk assessment is mandatory for optimal long term management.
OBJECTIVE
To determine if the telehealth application of two observer-based, objective measures of fall-risk in PD- (FTSTS) and (RTT)-is feasible and safe.
METHODS
Following in-clinic training, 15 people with Hoehn and Yahr Stage 2 (n = 8) and 3 (n = 7) PD, median MoCA score 25 (range 14-29), and subjective freezing-of-gait (n = 13), participated in four televisits with care partners biweekly for 10 weeks where virtual FTSTS/RTT assessments were performed.
RESULTS
Participants completed all protocol-driven 120 virtual FTSTS and 60 RTT assessments with effective ratability (feasibility) and zero adverse events (safety). 22% virtual FTSTS and 55% RTT met criteria for high fall-risk designation.
CONCLUSIONS
Objective fall-risk assessment with virtual FTSTS and RTT through telehealth among HY2-3 PD patients, with varying motor and cognitive function, is feasible and safe following introductory in-clinic training.
背景
跌倒在帕金森病（PD）进展过程中是固有的，风险评估对于优化长期管理至关重要。
目的
确定基于观察者的两种PD跌倒风险客观测量方法（FTSTS）和（RTT）的远程医疗应用是否可行且安全。
方法
在门诊培训后，15名Hoehn和Yahr 2期（n = 8）和3期（n = 7）的PD患者，MoCA评分中位数为25（范围14 - 29），且有主观步态冻结（n = 13），与护理伙伴每两周进行一次为期10周的四次远程会诊，期间进行虚拟FTSTS/RTT评估。
结果
参与者完成了所有方案驱动的120次虚拟FTSTS和60次RTT评估，具有有效的可评估性（可行性）且无不良事件（安全性）。22%的虚拟FTSTS和55%的RTT符合高跌倒风险指定标准。
结论
在门诊进行入门培训后，通过远程医疗对不同运动和认知功能的HY2 - 3期PD患者进行虚拟FTSTS和RTT客观跌倒风险评估是可行且安全的。
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