{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T18:00:14Z","timestamp":1786730414874,"version":"build-2736575974"},"reference-count":63,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T00:00:00Z","timestamp":1659916800000},"content-version":"vor","delay-in-days":219,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Parkinson's Disease"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. The COVID\u201019 pandemic imposed social\/physical distancing, lockdown measures, and forced reorientation of the rehabilitation programs for people with Parkinson\u2019s disease (PD). Epidemiologic safety measures boosted remote exercise\u2010based treatment. <jats:italic>Objectives<\/jats:italic>. Remote delivery of rehabilitation care services is not typically used in our department. Therefore, this study aimed to assess and implement a telehealth physical rehabilitation program tailored for outpatients with idiopathic PD and slight or medium functional limitations. <jats:italic>Methods<\/jats:italic>. A prospective study was performed on a group of outpatients with idiopathic PD, selected from the database of the neurorehabilitation clinic of the Emergency Teaching Hospital \u201cBagdasar\u2010Arseni.\u201d We studied 17 patients (5 women and 12 men), aged between 54\u201070 years (average 65.9\u2009\u00b1\u20094.87), with a disease history of 7.3\u2009\u00b1\u20093.6 (years), with mild or moderate disabling clinical forms, quantified by an average Hoehn and Yahr score of 2.3\u2009\u00b1\u20090.35 (limits 1.5\u20103). All patients underwent pharmacologic treatment with unchanged doses throughout the study. No patients had disabling osteoarticular problems (all could walk independently) and had no significant psycho\u2010cognitive dysfunction. Patients were supervised and coached online in tandem by the therapist and physician. In addition, a family member assisted and supervised the patient\u2019s performance and coordinated the technical electronic procedures. Walking biodynamics was assessed by timing \u201c6\u2010meters walking\u201d and \u201cGet up and walk 3 meters\u201d (TUG) tests. Each person attended ten sessions of motor telerehabilitation procedures (2 per week) lasting 50 minutes each during social distancing (October\u2010December 2021). <jats:italic>Results<\/jats:italic>. None of the patients was at increased risk of falling. They all improved their locomotor performance, reflected in a significant decrease in TUG duration (the initial average time improved from 13.50 seconds to 10.57). The telerehabilitation program also significantly improved the average walking speed (initially, 44.5\u2009cm\/sec and finally, it raised to 56.8\u2009cm\/sec). <jats:italic>Discussion<\/jats:italic>. The TUG and \u201c6\u2010meters walking\u201d tests are helpful tools for a global biodynamic remote assessment of PD patients. Limitations of the study: a small group of selected patients, restrictive working conditions (due to epidemiological social\/physical restrictions and no direct physiotherapist\u2010patient contact), and need for supervision by an attendant to assist the subject and perform the audio\u2010video transmission. Further studies are necessary to identify the optimal web\u2010based model of care and boost the implementation of this modern neurorehabilitation concept. <jats:italic>Conclusions<\/jats:italic>. Telemedicine turned the virtual space into a new reality and may compensate for the restrictions imposed on face\u2010to\u2010face meetings in pandemic conditions. Moreover, with modern telecommunication techniques, a regular and individualized physical kinetic rehabilitation program can be performed even in pandemic conditions. Remote delivery of kinetic motor programs was appropriate for selected groups of PD patients.<\/jats:p>","DOI":"10.1155\/2022\/4370712","type":"journal-article","created":{"date-parts":[[2022,8,8]],"date-time":"2022-08-08T13:50:08Z","timestamp":1659966608000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Telerehabilitation: A Practical Remote Alternative for Coaching and Monitoring Physical Kinetic Therapy in Patients with Mild and Moderate Disabling Parkinson\u2019s Disease during the COVID\u201019 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