D'Souza Arnold Fredrick, Jasti Dushyanth Babu, Rao Rohini R, Natarajan Manikandan
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Neurology, Star Hospitals, Hyderabad, Telangana, India.
Int J Telemed Appl. 2025 Jun 5;2025:9936329. doi: 10.1155/ijta/9936329. eCollection 2025.
Telerehabilitation can enhance delivery and acceptance of the home exercise program. This study evaluated the feasibility, safety, and signal of efficacy of a tele-assisted home exercise program for improving balance and functional mobility in persons with Parkinson's disease (TELEPORT-PD). Eight participants underwent six sessions of physiotherapist-supervised and tailored multimodal exercise over smartphone videoconference through WhatsApp Messenger over 2 weeks. Feasibility was assessed through adherence and retention rates, and safety was assessed through self-reported adverse events. Balance was measured using the Berg Balance Scale (BBS) and Activity-specific Balance Confidence (ABC) scale, while functional mobility was assessed using Timed-Up-and-Go (TUG) test and 5-times Sit-To-Stand (5STS) test, at baseline and at the end of 2 weeks. The adherence and retention rates were 100%, and no serious adverse events were reported. Significant improvements were noted in the change scores of BBS (11.23 points; = 0.014), ABC (14.21%; = 0.014), TUG (-2.21 s; = 0.007), and 5STS (-3.11 s; = 0.007). All participants provided positive feedback and expressed their interest to continue the program. TELEPORT-PD appears to be feasible, safe, and acceptable, while demonstrating improvements in balance and functional mobility. Clinical Trials Registry of India: CTRI/2022/09/045345.
远程康复可以提高家庭锻炼计划的实施和接受度。本研究评估了一项远程辅助家庭锻炼计划（TELEPORT-PD）在改善帕金森病患者平衡能力和功能性移动方面的可行性、安全性和疗效信号。8名参与者在2周内通过WhatsApp Messenger在智能手机视频会议上接受了6次由物理治疗师监督和量身定制的多模式锻炼。通过依从率和保留率评估可行性，通过自我报告的不良事件评估安全性。在基线和2周结束时，使用伯格平衡量表（BBS）和特定活动平衡信心（ABC）量表测量平衡能力，同时使用计时起立行走（TUG）测试和5次坐立试验（5STS）评估功能性移动。依从率和保留率均为100%，未报告严重不良事件。BBS变化得分（11.23分；P = 0.014）、ABC（14.21%；P = 0.014）、TUG（-2.21秒；P = 0.007）和5STS（-3.11秒；P = 0.007）有显著改善。所有参与者都提供了积极反馈，并表示有兴趣继续该计划。TELEPORT-PD似乎是可行、安全且可接受的，同时在平衡能力和功能性移动方面有改善。印度临床试验注册中心：CTRI/2022/09/045345。
