Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Republic of Korea; and Neuroscience Center, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Republic of Korea.
Department of Urology, Asan Medical Center, Songpa-gu, Seoul, Republic of Korea.
Brain Impair. 2024 Mar;25. doi: 10.1071/IB23061.
Background Exercise is crucial for the well-being of people with Parkinson's disease (PD). Although there are challenges to exercising with PD, mobile apps are seen as potential solutions, though their impact is not yet fully understood. We developed a mobile app and a home-based exercise program specialised for people with PD and investigated the effect of the mobile exercise app for the people with PD. Methods Participants from the Movement Disorder Clinic were prompted to download and actively use our app for a duration of 2 weeks. Before commencing, we assessed their self-rated smartphone proficiency. Both at the start and after the 2-week period, we employed the International Physical Activity Questionnaire-Short Form and the PD Questionnaire-39 (PDQ-39) to evaluate their physical activity and overall quality of life (QoL). Exercise metrics were quantified in terms of metabolic equivalent minutes per week (MET-min/week). Furthermore, we gathered feedback on user satisfaction with the app at the end of the study. Results Out of 41 recruited patients, 25 completed the 2-week program and 16 dropped out. Median MET-min/week rose from 1386.0 to 3210.0 (P = 0.009), primarily in moderate activities (P = 0.049) and walking (P = 0.002). Median PDQ-39 scores showed improvement from 17.2 to 8.5 (P = 0.005) after the program. Conclusion The mobile app holds potential to enhance exercise and QoL for people with PD. For optimal benefits, future studies should focus on e-health literacy education, app quality enhancements, and a broader exercise program variety.
锻炼对帕金森病（PD）患者的健康至关重要。尽管 PD 患者在锻炼时面临挑战，但移动应用程序被视为潜在的解决方案，尽管其影响尚未完全了解。我们为 PD 患者开发了一款移动应用程序和一个基于家庭的锻炼计划，并研究了该移动锻炼应用程序对 PD 患者的影响。
我们邀请运动障碍诊所的参与者下载并积极使用我们的应用程序，为期 2 周。在开始之前，我们评估了他们自我评估的智能手机熟练程度。在开始和 2 周后，我们使用国际体力活动问卷-短表和帕金森病问卷-39（PDQ-39）评估他们的身体活动和整体生活质量（QoL）。运动指标以每周代谢当量分钟数（MET-min/week）表示。此外，我们在研究结束时收集了参与者对应用程序的满意度反馈。
在招募的 41 名患者中，有 25 名完成了 2 周的计划，16 名中途退出。中位数 MET-min/week 从 1386.0 上升到 3210.0（P = 0.009），主要是在中度活动（P = 0.049）和步行（P = 0.002）方面。在计划后，PDQ-39 的中位数评分从 17.2 提高到 8.5（P = 0.005）。
移动应用程序有可能增强 PD 患者的运动和生活质量。为了获得最佳效果，未来的研究应侧重于电子健康素养教育、应用程序质量改进和更广泛的锻炼计划多样性。
