Department of Kinesiology, University of Connecticut, Storrs, CT, USA.
Department of Physical Therapy, Boston University, Boston, MA, USA.
Disabil Rehabil. 2024 Apr;46(8):1593-1601. doi: 10.1080/09638288.2023.2202418. Epub 2023 Apr 23.
To (1) determine the characteristics and participation rate of adults with Parkinson disease (PD) in physical therapy (PT) delivered via telehealth, (2) identify the outcome measures and interventions implemented, (3) determine the safety of and (4) patient and therapist satisfaction with PT via telehealth in a clinic specializing in the care of people with PD during the coronavirus pandemic.
MATERIALS & METHODS: A retrospective analysis of PT services via telehealth was conducted. Participating patients completed a satisfaction survey. Physical therapists (PTs) who delivered this care were interviewed. Three coders conducted thematic analysis of interviews. Descriptive statistics described the participation rate, demographics, outcome measures, interventions, and safety.
There was a 71.4% participation rate. Participants ( = 55) were white (96%), non-Hispanic (100%), older adult (mean = 69.5 years (8.3)) males (65.5%). Non-participants ( = 22) had similar demographics. Therapists selected patient-reported measures more often than performance-based measures. Therapeutic exercise was the most common intervention. All patients (80% response rate) reported satisfaction with their experience. PTs reported the home enhanced specificity of training but impeded evaluation. Therapists endorsed a hybrid model for future practice.
Patients reported satisfaction with PT via telehealth during the pandemic. A hybrid model may support optimal delivery of PT.IMPLICATIONS FOR REHABILITATIONPhysical therapy via telehealth for patients with Parkinson disease was acceptable to patients and physical therapists in our study.Physical therapy via telehealth was safe for people with Parkinson disease in our study, although availability and benefits may not be reaching all populations equitably.Both physical therapists and patients endorse a hybrid model of care (a combination of in-person and remote assessment and treatment) to profit from the strengths of in-person and virtual formats while minimizing barriers to access.
（1）确定在冠状病毒大流行期间专门为帕金森病（PD）患者提供服务的诊所中，通过远程医疗进行的物理治疗（PT）的参与者的特征和参与率，（2）识别实施的结果测量和干预措施，（3）确定通过远程医疗进行 PT 的安全性和（4）患者和治疗师的满意度。
对通过远程医疗进行的 PT 服务进行了回顾性分析。参与的患者完成了满意度调查。为提供这种护理的物理治疗师（PT）进行了访谈。三位编码员对访谈进行了主题分析。描述性统计数据描述了参与率、人口统计学、结果测量、干预措施和安全性。
参与率为 71.4%。参与者（ = 55）为白人（96%）、非西班牙裔（100%）、老年男性（平均=69.5 岁（8.3））（65.5%）。非参与者（ = 22）具有相似的人口统计学特征。治疗师更经常选择患者报告的测量方法，而不是基于表现的测量方法。治疗性运动是最常见的干预措施。所有患者（80%的响应率）对他们的体验表示满意。PT 报告说家庭增强了培训的特异性，但阻碍了评估。治疗师认可未来实践的混合模式。
在大流行期间，患者报告对远程医疗进行的 PT 感到满意。混合模型可能支持 PT 的最佳交付。
本研究中，远程医疗为帕金森病患者提供的物理治疗对患者和物理治疗师来说都是可以接受的。
在我们的研究中，远程医疗对帕金森病患者是安全的，尽管可用性和益处可能没有公平地惠及所有人群。
物理治疗师和患者都支持混合护理模式（即面对面和远程评估和治疗的结合），从面对面和虚拟格式的优势中受益，同时将获得途径的障碍降至最低。
