{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T23:05:04Z","timestamp":1785020704991,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Upper limb disturbances are prevalent in patients with Parkinson disease (PD) and can limit their participation in activities of daily living. Tele\u2010assessment of upper limb motor symptoms using an Internet application may be an alternative for addressing the growing demand for monitoring of disease progression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the level of agreement between face\u2010to\u2010face and tele\u2010assessment of patients with PD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Reliability study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Parkinson's Disease Association.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Twenty\u2010one patients with PD from a local association participated in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients attended a session for clinical face\u2010to\u2010face and real\u2010time online tele\u2010assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measurements<\/jats:title><jats:p>Upper limb measures of function (assessed with the Manual Ability Measure 16), dexterity (evaluated using the coin rotation task), motor speed (assessed by the finger tapping test), tremor (evaluated with the Fahn\u2010Tolosa\u2010Marin Tremor Rating Scale), and range of motion (using the Kinovea software) were recorded by two independent researchers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All the outcome measures evaluated showed a good interrater, intraclass correlation coefficient (\u03c1\u2009&gt;\u20090.75). In addition, most confidence intervals were narrow and excluded 0.8. The lowest reliability was obtained for elbow flexion of the most affected upper limb (\u03c1\u2009=\u20090.75; confidence interval 0.49\u20100.89) and the highest reliability for finger tapping tests (\u03c1\u2009=\u20091; 1, 1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates high interrater reliability of upper limb tele\u2010assessment in patients with PD compared to a face\u2010to\u2010face assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pmrj.12001","type":"journal-article","created":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T18:01:39Z","timestamp":1551895299000},"page":"590-596","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Agreement Between Face\u2010to\u2010Face and Tele\u2010assessment of Upper Limb Functioning in Patients with Parkinson Disease"],"prefix":"10.1002","volume":"11","author":[{"given":"Irene","family":"Cabrera\u2010Martos","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences University of Granada, 60 Ilustraci\u00f3n Av.  18016 Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Araceli","family":"Ortiz\u2010Rubio","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences University of Granada  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Torres\u2010S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences University of Granada  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"L\u00f3pez\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences University of Granada  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Rodr\u00edguez\u2010Torres","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences University of Granada  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Carmen Valenza","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences University of Granada  Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000247740.47667.03"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2010.01.008"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropsychologia.2004.06.009"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.09.016"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22199"},{"key":"e_1_2_6_7_1","first-page":"116","article-title":"Leap motion evaluation for assessment of upper limb motor skills in Parkinson's disease","author":"Butt AH","year":"2017","journal-title":"IEEE Int Conf Rehabil Robot"},{"key":"e_1_2_6_8_1","first-page":"39","article-title":"Videoconference\u2010based physiotherapy and tele\u2010assessment for homebound older adults: a pilot study","volume":"33","author":"Bernard MM","year":"2009","journal-title":"Act Adapt Aging"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.CPJ.0000437937.63347.5a"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23145"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22340"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.12.005"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/NRL.0b013e3181b1d5b0"},{"key":"e_1_2_6_14_1","first-page":"1357633X1770003","article-title":"Testing fine motor coordination via telehealth: effects of video characteristics on reliability and validity","volume":"1","author":"Hoenig HM","year":"2017","journal-title":"J Telemed Telecare"},{"key":"e_1_2_6_15_1","first-page":"271","volume-title":"Parkinson's Disease Andmovement Disorders","author":"Fahn S","year":"1993"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2011.110814"},{"key":"e_1_2_6_17_1","first-page":"359","article-title":"Therapeutic motion analysis of lower limbs using Kinovea","volume":"3","author":"Guzm\u00e1n\u2010Valdivia CH","year":"2013","journal-title":"Int J Soft Comput Eng"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2796.2000.00699.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-017-0838-0"},{"key":"e_1_2_6_20_1","first-page":"263","volume-title":"Proceedings of 4th International Conference on Wireless Mobile Communication and Healthcare \u2010 Transforming Healthcare through Innovations in Mobile and Wireless Technologies (MOBIHEALTH)","author":"Fernandez F","year":"2014"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2015.06.006"},{"key":"e_1_2_6_22_1","unstructured":"BersonT; Skype Security Evaluation Tech Rep ALR\u20102005\u2010031 Anagram Laboratories 2005."},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2012.00156"},{"key":"e_1_2_6_24_1","first-page":"28787250","article-title":"Patient and physician perceptions of virtual visits for Parkinson's disease: a qualitative study","volume":"1","author":"Mammen JR","year":"2017","journal-title":"Telemed J E Health"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2013.123"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-15-465"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-015-0984-7"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.24028"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2008.11.006"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2016.1162853"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12228"},{"key":"e_1_2_6_32_1","doi-asserted-by":"crossref","unstructured":"VillapolME LiuW GutierrezJ et al. A sustainable connectivity model of the internet access technologies in rural and low\u2010income areas. In: Smart Grid and Innovative Frontiers in Telecommunications. Proceedings of Third International Conference SmartGIFT;2018 pp. 93\u2013102.","DOI":"10.1007\/978-3-319-94965-9_10"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1258\/135763303771005207"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.53.2.171"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2017.05.021"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(17)30167-9"},{"key":"e_1_2_6_37_1","first-page":"29297769","article-title":"Telemedicine for Parkinson's disease: limited engagement between local clinicians and remote specialists","volume":"3","author":"Elson MJ","year":"2018","journal-title":"Telemed J E Health"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpmrj.12001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12001","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.12001","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12001","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T10:20:11Z","timestamp":1694341211000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.12001"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,6]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1002\/pmrj.12001"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.12001","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,6]]},"assertion":[{"value":"2018-03-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}