How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review

Abstract The lack of physical exercise during the COVID-19 pandemic-related quarantine measures is challenging, especially for patients with Parkinson’s disease (PD). Without regular exercise not only patients, but also nursing staff and physicians soon noticed a deterioration of motor and non-motor...

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Autores principales:	Agnes Langer, Lucia Gassner, Anna Flotz, Sebastian Hasenauer, Jakob Gruber, Laurenz Wizany, Rochus Pokan, Walter Maetzler, Heidemarie Zach
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/37ea441eedf64b67ab0dce4ba30fd797
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spelling	oai:doaj.org-article:37ea441eedf64b67ab0dce4ba30fd7972021-12-02T13:33:52ZHow COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review10.1038/s41531-021-00160-32373-8057https://doaj.org/article/37ea441eedf64b67ab0dce4ba30fd7972021-03-01T00:00:00Zhttps://doi.org/10.1038/s41531-021-00160-3https://doaj.org/toc/2373-8057Abstract The lack of physical exercise during the COVID-19 pandemic-related quarantine measures is challenging, especially for patients with Parkinson’s disease (PD). Without regular exercise not only patients, but also nursing staff and physicians soon noticed a deterioration of motor and non-motor symptoms. Reduced functional mobility, increased falls, increased frailty, and decreased quality of life were identified as consequences of increased sedentary behavior. This work overviews the current literature on problems of supplying conventional physiotherapy and the potential of telerehabilitation, allied health services, and patient-initiated exercise for PD patients during the COVID-19 period. We discuss recent studies on approaches that can improve remote provision of exercise to patients, including telerehabilitation, motivational tools, apps, exergaming, and virtual reality (VR) exercise. Additionally, we provide a case report about a 69-year-old PD patient who took part in a 12-week guided climbing course for PD patients prior to the pandemic and found a solution to continue her climbing training independently with an outdoor rope ladder. This case can serve as a best practice example for non-instructed, creative, and patient-initiated exercise in the domestic environment in difficult times, as are the current. Overall, many recent studies on telemedicine, telerehabilitation, and patient-initiated exercises have been published, giving rise to optimism that facilitating remote exercise can help PD patients maintain physical mobility and emotional well-being, even in phases such as the COVID-19 pandemic. The pandemic itself may even boost the need to establish comprehensive and easy-to-do telerehabilitation programs.Agnes LangerLucia GassnerAnna FlotzSebastian HasenauerJakob GruberLaurenz WizanyRochus PokanWalter MaetzlerHeidemarie ZachNature PortfolioarticleNeurology. Diseases of the nervous systemRC346-429ENnpj Parkinson's Disease, Vol 7, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurology. Diseases of the nervous system RC346-429 Agnes Langer Lucia Gassner Anna Flotz Sebastian Hasenauer Jakob Gruber Laurenz Wizany Rochus Pokan Walter Maetzler Heidemarie Zach How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review
description	Abstract The lack of physical exercise during the COVID-19 pandemic-related quarantine measures is challenging, especially for patients with Parkinson’s disease (PD). Without regular exercise not only patients, but also nursing staff and physicians soon noticed a deterioration of motor and non-motor symptoms. Reduced functional mobility, increased falls, increased frailty, and decreased quality of life were identified as consequences of increased sedentary behavior. This work overviews the current literature on problems of supplying conventional physiotherapy and the potential of telerehabilitation, allied health services, and patient-initiated exercise for PD patients during the COVID-19 period. We discuss recent studies on approaches that can improve remote provision of exercise to patients, including telerehabilitation, motivational tools, apps, exergaming, and virtual reality (VR) exercise. Additionally, we provide a case report about a 69-year-old PD patient who took part in a 12-week guided climbing course for PD patients prior to the pandemic and found a solution to continue her climbing training independently with an outdoor rope ladder. This case can serve as a best practice example for non-instructed, creative, and patient-initiated exercise in the domestic environment in difficult times, as are the current. Overall, many recent studies on telemedicine, telerehabilitation, and patient-initiated exercises have been published, giving rise to optimism that facilitating remote exercise can help PD patients maintain physical mobility and emotional well-being, even in phases such as the COVID-19 pandemic. The pandemic itself may even boost the need to establish comprehensive and easy-to-do telerehabilitation programs.
format	article
author	Agnes Langer Lucia Gassner Anna Flotz Sebastian Hasenauer Jakob Gruber Laurenz Wizany Rochus Pokan Walter Maetzler Heidemarie Zach
author_facet	Agnes Langer Lucia Gassner Anna Flotz Sebastian Hasenauer Jakob Gruber Laurenz Wizany Rochus Pokan Walter Maetzler Heidemarie Zach
author_sort	Agnes Langer
title	How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review
title_short	How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review
title_full	How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review
title_fullStr	How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review
title_full_unstemmed	How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review
title_sort	how covid-19 will boost remote exercise-based treatment in parkinson’s disease: a narrative review
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/37ea441eedf64b67ab0dce4ba30fd797
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How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review

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