Kountoura Antigoni, Tegos Thomas, Arnaoutoglou Marianthi, Tsolaki Magdalini
Department of Neurology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Alzheimer Hellas, 54643 Thessaloniki, Greece.
Clin Pract. 2025 May 23;15(6):98. doi: 10.3390/clinpract15060098.
Occupational therapy (OT) plays a crucial role in addressing functional limitations and promoting independence in Parkinson's disease (PD) patients. OT interventions target motor skills, daily activities, and engagement in meaningful tasks. Telehealth, the remote delivery of healthcare services, has expanded access to rehabilitation, including OT for PD. While several studies have examined the benefits of online OT, a comprehensive assessment of its impact on functional outcomes and quality of life (QoL) is needed. This review aimed to evaluate the effects of online OT interventions on functional outcomes and QoL of patients with PD. : This review employed a systematized approach, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, though it did not constitute a full systematic review or meta-analysis. A comprehensive search was conducted across PubMed, Web of Science, Scopus, and Embase databases between August 2023 and September 2024. The search targeted randomized controlled trials (RCTs) investigating telerehabilitation interventions in OT for individuals with PD. Studies were excluded if they were not published in English, did not employ an RCT design, or lacked a focus on telerehabilitation within the scope of occupational therapy for PD. Additionally, systematic reviews, meta-analyses, qualitative studies, and studies without measurable outcomes were excluded. Nine studies met the inclusion criteria, with four involving occupational therapists directly and five evaluating interventions within the scope of OT practice. : The primary outcomes of this review focused on mobility improvements in PD patients, assessed through gait metrics such as gait speed, stride length, and gait variability. Secondary outcomes evaluated the impact of telerehabilitation on QoL, using tools such as the Parkinson's Disease Questionnaire (PDQ-39) and other disease-specific instruments. The findings demonstrated that online OT interventions significantly improved motor skills, cognitive function, and activities of daily living in PD patients. Furthermore, these interventions enhanced overall well-being and QoL. The remote format fostered sustained engagement and adherence to therapy, contributing to better long-term outcomes. : Online OT interventions show promising potential for improving functional outcomes and QoL in PD patients. These findings underscore the potential of telehealth to expand access to OT services, thereby enhancing long-term rehabilitation outcomes for this population.
职业疗法（OT）在解决帕金森病（PD）患者的功能限制和促进其独立性方面发挥着关键作用。职业疗法干预针对运动技能、日常活动以及参与有意义的任务。远程医疗，即医疗服务的远程提供，扩大了康复服务的可及性，包括针对帕金森病的职业疗法。虽然已有多项研究探讨了在线职业疗法的益处，但仍需要对其对功能结局和生活质量（QoL）的影响进行全面评估。本综述旨在评估在线职业疗法干预对帕金森病患者功能结局和生活质量的影响。：本综述采用了一种系统化方法，以系统评价和Meta分析的首选报告项目（PRISMA）框架为指导，不过它并不构成全面的系统评价或Meta分析。在2023年8月至2024年9月期间，对PubMed、科学网、Scopus和Embase数据库进行了全面检索。检索目标是针对帕金森病患者职业疗法中远程康复干预的随机对照试验（RCT）。如果研究不是以英文发表、未采用RCT设计或在帕金森病职业疗法范围内未聚焦于远程康复，则将其排除。此外，系统评价、Meta分析、定性研究以及没有可测量结局的研究也被排除。九项研究符合纳入标准，其中四项直接涉及职业治疗师，五项评估了职业疗法实践范围内的干预措施。：本综述的主要结局聚焦于帕金森病患者的运动能力改善，通过步态速度、步长和步态变异性等步态指标进行评估。次要结局使用帕金森病问卷（PDQ - 39）等工具以及其他特定疾病的工具，评估远程康复对生活质量的影响。研究结果表明，在线职业疗法干预显著改善了帕金森病患者的运动技能、认知功能和日常生活活动能力。此外，这些干预措施提高了整体幸福感和生活质量。远程形式促进了对治疗的持续参与和依从性，有助于取得更好的长期结局。：在线职业疗法干预在改善帕金森病患者的功能结局和生活质量方面显示出有前景的潜力。这些发现强调了远程医疗在扩大职业疗法服务可及性方面的潜力，从而改善该人群的长期康复结局。
