Online training program maintains motor functions and quality of life in patients with Parkinson's disease.

IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI:10.3389/fdgth.2024.1486662

Hiroshi Nakanishi, Ryoma Morigaki, Joji Fujikawa, Hiroshi Ohmae, Keisuke Shinohara, Nobuaki Yamamoto, Yuishin Izumi, Yasushi Takagi

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Abstract

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, numerous 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.

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在线训练计划可保持帕金森病患者的运动功能和生活质量。

目的：多项系统综述显示，体育锻炼对帕金森病（PD）患者的运动功能（MF）和生活质量（QoL）有积极影响。冠状病毒病（COVID-19）大流行后，开展了大量研究来揭示远程康复对帕金森病患者的影响。然而，有关针对帕金森病患者的在线项目的实证结果却寥寥无几。因此，本研究旨在确定一项在线体能和认知训练计划对帕金森病患者中枢神经功能和质量生活的影响：我们通过比较基线数据和六个月干预后的数据，评估了我们的在线项目对帕金森病患者的 QoL 和 MF 的影响。在进行 QoL 评估时，我们使用了 Schwab 和 England 日常生活活动量表以及帕金森病问卷（PDQ-39），而在进行 MF 评估时，我们使用了改良的 20 米步行测试和定时起立行走（TUG）测试来测量运动状态：本研究共招募了 20 名 QoL 患者和 19 名 MF 患者。在 PDQ-39 中，社会支持（p = 0.046，δ = 0.320）和认知（p = 0.028，δ = 0.268）明显改善。此外，改良 20 米步行中的步幅（p = 0.032，g = -0.377）和 TUG 测试中的考试持续时间（p = 0.003，δ = 0.296）和前倾步态（p = 0.003，δ = 0.341）在干预前后有明显差异：我们的研究结果表明，在线体能和认知训练计划对帕金森病患者的 MF 和 QoL 有积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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