Effectiveness of Telerehabilitation on Motor Impairments, Non-Motor Symptoms and Compliance in Patients With Parkinson's Disease: A Systematic Review

Frontiers in Neurology

Vellata, C., Belli, S., et al. (2021).

Frontiers in Neurology, 12, Article 627999.

<div>This systematic review investigates the impact of tele-rehabilitation (TR) programs on global or specific motor tasks (e.g. gait, balance, dexterity), motor-speech, dysphagia, patient satisfaction, and overall quality of life in people with Parkinson's disease.</div>

The Ricerca Corrente Funding Scheme of the Ministry of Health (Italy)



January 2005 to December 2019

<div>Randomized controlled trials, reviews and systematic reviews, case studies/series</div>

15

<div>Provision of rehabilitation programs via telepractice to individuals with hypokinetic dysarthria secondary to Parkinson's disease was found to be a valid and reliable alternative to face-to-face provision of services. The majority of studies were investigating the effects of Lee-Silverman Voice Treatment therapy given via teletherapy. Of note, due to lack of double blinding, heterogeneity between studies (e.g. evaluation protocols, ranges of severity, etc.), further research is warranted.</div>

<div>Provision of rehabilitation programs via telepractice to individuals with hypokinetic dysarthria secondary to Parkinson's disease was associated with high overall patient satisfaction due to increased convenience and accessibility. Most studies examined Lee-Silverman Voice Treatment as the sole treatment.</div>

<div>No studies investigating functional outcomes for dysphagia treatment provided via teletherapy to individuals with Parkinson's disease were found.</div>