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ORIGINAL RESEARCH article
Front. Digit. Health
Sec. Health Communications and Behavior Change
Volume 6 - 2024 |
doi: 10.3389/fdgth.2024.1486662
Online training program maintains motor functions and quality of life in patients with Parkinson's disease
Provisionally accepted- Graduate School of Medical Sciences, Tokushima University, Tokushima, Japan
Objective: Several systematic reviews have shown that physical exercise positively affects motor function (MF) and quality of life (QoL) in patients with Parkinson’s disease (PD). After the coronavirus disease (COVID-19) pandemic, several studies were conducted to reveal the effects of telerehabilitation for patients with PD. However, only a few empirical results of online programs for PD patients have been reported. Therefore, this study aimed to determine the effects of an online physical and cognitive training program on MF and QoL in patients with PD. Methods: We evaluated the impact of our online program on the QoL and MF of patients with PD by comparing data at baseline and after six months of intervention. For the QoL assessment, we used the Schwab and England Activities of Daily Living scale and Parkinson’s Disease Questionnaire (PDQ-39), whereas, for MF, we measured movement status using the modified 20-m walk test and timed up-and-go (TUG) test. Results: We enrolled 20 patients for QoL and 19 for MF in this study. For PDQ-39, social support (p=0.046, δ=0.320) and cognitions (p=0.028, δ=0.268) significantly improved. Additionally, cadence (p=0.032, g=-0.377) in the modified 20-m walk and exam duration (p=0.003, δ=0.296) and forward gait (p=0.003, δ=0.341) in the TUG test showed significant differences before and after the intervention. Conclusion: Our results suggest that online physical and cognitive training programs positively affect MF and QoL in individuals with PD.
Keywords: Parkinson's disease, telerehabilitation, Online system, cognitive training, physical exercise, Motor function, Quality of Life, Frailty
Received: 26 Aug 2024; Accepted: 28 Oct 2024.
Copyright: © 2024 Nakanishi, Morigaki, Fujikawa, Ohmae, Shinohara, Yamamoto, Izumi and Takagi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Ryoma Morigaki, Graduate School of Medical Sciences, Tokushima University, Tokushima, Japan
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