Feasibility and preliminary efficacy of a telerehabilitation approach to group adapted tango instruction for people with Parkinson disease

远程康复 出勤 物理医学与康复 步态 医学 物理疗法 运动学习 心理学 远程医疗 医疗保健 经济增长 经济 神经科学
作者
Katie J. Seidler,Ryan P. Duncan,Marie E. McNeely,Madeleine E. Hackney,Gammon M. Earhart
出处
期刊:Journal of Telemedicine and Telecare [SAGE]
卷期号:23 (8): 740-746 被引量:51
标识
DOI:10.1177/1357633x16668092
摘要

People with Parkinson disease (PD) demonstrate improvements in motor function following group tango classes, but report long commutes as a barrier to participation. To increase access, we investigated a telerehabilitation approach to group tango instruction. Twenty-six people with mild-to-moderate PD were assigned based on commute distance to either the telerehabilitation group (Telerehab) or an in-person instruction group (In-person). Both groups followed the same twice-weekly, 12-week curriculum with the same instructor. Feasibility metrics were participant retention, attendance and adverse events. Outcomes assessed were balance, PD motor sign severity and gait. Participant retention was 85% in both groups. Attendance was 87% in the Telerehab group and 84% in the In-person group. No adverse events occurred. Balance and motor sign severity improved significantly over time ( p < 0.001) in both groups, with no significant group × time effects. Gait did not significantly change. Since a priori feasibility criteria were met or exceeded, and there were no notable outcome differences between the two instruction approaches, this pilot study suggests a telerehabilitation approach to group tango class for people with PD is feasible and may have similar outcomes to in-person instruction.
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