Resumen
En este estudio retrospectivo, se evaluó la terapia física (TF) ofrecida a pacientes con enfermedad de Parkinson a través de telemedicina durante la pandemia de COVID-19.
Se encontró una tasa de participación del 71,4% y los pacientes informaron altos niveles de satisfacción.
Los terapeutas seleccionaron medidas reportadas por los pacientes con mayor frecuencia que medidas basadas en el rendimiento y el ejercicio terapéutico fue la intervención más común.
Los terapeutas informaron que la TF mejoraba la especificidad del entrenamiento, pero dificultaba la evaluación.
Se sugiere un modelo híbrido para futuras prácticas.
La TF fue segura y aceptable para los pacientes y terapeutas en este estudio.
Telehealth: Una herramienta eficaz para tratar pacientes con Parkinson en la fisioterapia
Los fisioterapeutas pueden aprovechar las ventajas de telehealth para tratar a pacientes con Parkinson. Implementar esta tecnología en una clínica de fisioterapia permite ofrecer tratamientos efectivos a distancia, mejorando la calidad de vida de los pacientes y ampliando las posibilidades de atención.
Abstract original
Experiences from the implementation of physical therapy via telehealth for individuals with Parkinson disease during the COVID-19 pandemic
Purpose: To (1) determine the characteristics and participation rate of adults with Parkinson disease (PD) in physical therapy (PT) delivered via telehealth, (2) identify the outcome measures and interventions implemented, (3) determine the safety of and (4) patient and therapist satisfaction with PT via telehealth in a clinic specializing in the care of people with PD during the coronavirus pandemic.
Materials & methods: A retrospective analysis of PT services via telehealth was conducted. Participating patients completed a satisfaction survey. Physical therapists (PTs) who delivered this care were interviewed. Three coders conducted thematic analysis of interviews. Descriptive statistics described the participation rate, demographics, outcome measures, interventions, and safety.
Results: There was a 71.4% participation rate. Participants (n = 55) were white (96%), non-Hispanic (100%), older adult (mean = 69.5 years (8.3)) males (65.5%). Non-participants (n = 22) had similar demographics. Therapists selected patient-reported measures more often than performance-based measures. Therapeutic exercise was the most common intervention. All patients (80% response rate) reported satisfaction with their experience. PTs reported the home enhanced specificity of training but impeded evaluation. Therapists endorsed a hybrid model for future practice.
Conclusions: Patients reported satisfaction with PT via telehealth during the pandemic. A hybrid model may support optimal delivery of PT.IMPLICATIONS FOR REHABILITATIONPhysical therapy via telehealth for patients with Parkinson disease was acceptable to patients and physical therapists in our study.Physical therapy via telehealth was safe for people with Parkinson disease in our study, although availability and benefits may not be reaching all populations equitably.Both physical therapists and patients endorse a hybrid model of care (a combination of in-person and remote assessment and treatment) to profit from the strengths of in-person and virtual formats while minimizing barriers to access.
| Autores | C Colón-Semenza J A Zajac A Schwartz P Darbandsari T D Ellis |
| revista | Disabil Rehabil |
| DOI | 10.1080/09638288.2023.2202418 |