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...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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Nature Portfolio
2021-03-01
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Series: | npj Parkinson's Disease |
Online Access: | https://doi.org/10.1038/s41531-021-00160-3 |
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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 |
collection | DOAJ |
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. |
first_indexed | 2024-03-11T13:47:04Z |
format | Article |
id | doaj.art-37ea441eedf64b67ab0dce4ba30fd797 |
institution | Directory Open Access Journal |
issn | 2373-8057 |
language | English |
last_indexed | 2024-03-11T13:47:04Z |
publishDate | 2021-03-01 |
publisher | Nature Portfolio |
record_format | Article |
series | npj Parkinson's Disease |
spelling | doaj.art-37ea441eedf64b67ab0dce4ba30fd7972023-11-02T10:05:38ZengNature Portfolionpj Parkinson's Disease2373-80572021-03-01711910.1038/s41531-021-00160-3How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative reviewAgnes Langer0Lucia Gassner1Anna Flotz2Sebastian Hasenauer3Jakob Gruber4Laurenz Wizany5Rochus Pokan6Walter Maetzler7Heidemarie Zach8Department of Neurology, Medical University of ViennaDepartment of Neurology, Medical University of ViennaDepartment of Neurology, Medical University of ViennaDepartment of Neurology, Medical University of ViennaDepartment of Neurology, Medical University of ViennaDepartment of Neurology, Medical University of ViennaDepartment of Sport Physiology, Institute of Sports Sciences, University of ViennaDepartment of Neurology, University Medical Centre Schleswig-Holstein, Kiel UniversityDepartment of Neurology, Medical University of ViennaAbstract 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.https://doi.org/10.1038/s41531-021-00160-3 |
spellingShingle | 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 npj Parkinson's Disease |
title | 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_short | 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 |
url | https://doi.org/10.1038/s41531-021-00160-3 |
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