{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T14:32:49Z","timestamp":1791383569410,"version":"4.3.3"},"reference-count":30,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinics and Practice"],"abstract":"<jats:p>Background\/Objectives: Occupational therapy (OT) plays a crucial role in addressing functional limitations and promoting independence in Parkinson\u2019s disease (PD) patients. OT interventions target motor skills, daily activities, and engagement in meaningful tasks. Telehealth, the remote delivery of healthcare services, has expanded access to rehabilitation, including OT for PD. While several studies have examined the benefits of online OT, a comprehensive assessment of its impact on functional outcomes and quality of life (QoL) is needed. This review aimed to evaluate the effects of online OT interventions on functional outcomes and QoL of patients with PD. Methods: This review employed a systematized approach, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, though it did not constitute a full systematic review or meta-analysis. A comprehensive search was conducted across PubMed, Web of Science, Scopus, and Embase databases between August 2023 and September 2024. The search targeted randomized controlled trials (RCTs) investigating telerehabilitation interventions in OT for individuals with PD. Studies were excluded if they were not published in English, did not employ an RCT design, or lacked a focus on telerehabilitation within the scope of occupational therapy for PD. Additionally, systematic reviews, meta-analyses, qualitative studies, and studies without measurable outcomes were excluded. Nine studies met the inclusion criteria, with four involving occupational therapists directly and five evaluating interventions within the scope of OT practice. Results: The primary outcomes of this review focused on mobility improvements in PD patients, assessed through gait metrics such as gait speed, stride length, and gait variability. Secondary outcomes evaluated the impact of telerehabilitation on QoL, using tools such as the Parkinson\u2019s Disease Questionnaire (PDQ-39) and other disease-specific instruments. The findings demonstrated that online OT interventions significantly improved motor skills, cognitive function, and activities of daily living in PD patients. Furthermore, these interventions enhanced overall well-being and QoL. The remote format fostered sustained engagement and adherence to therapy, contributing to better long-term outcomes. Conclusions: Online OT interventions show promising potential for improving functional outcomes and QoL in PD patients. These findings underscore the potential of telehealth to expand access to OT services, thereby enhancing long-term rehabilitation outcomes for this population.<\/jats:p>","DOI":"10.3390\/clinpract15060098","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T06:35:09Z","timestamp":1747982109000},"page":"98","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Online Occupational Therapy as a Rehabilitation Intervention for Parkinson\u2019s Disease: A Systematized Review"],"prefix":"10.3390","volume":"15","author":[{"given":"Antigoni","family":"Kountoura","sequence":"first","affiliation":[{"name":"Department of Neurology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Tegos","sequence":"additional","affiliation":[{"name":"Department of Neurology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianthi","family":"Arnaoutoglou","sequence":"additional","affiliation":[{"name":"Department of Neurology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2072-8010","authenticated-orcid":false,"given":"Magdalini","family":"Tsolaki","sequence":"additional","affiliation":[{"name":"Alzheimer Hellas, 54643 Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"131","DOI":"10.5014\/ajot.2012.662001","article-title":"Telehealth Opportunities in Occupational Therapy Through the Affordable Care Act","volume":"66","author":"Cason","year":"2012","journal-title":"Am. J. Occup. Ther."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"656","DOI":"10.5014\/ajot.59.6.656","article-title":"Telerehabilitation Position Paper","volume":"59","author":"Wakeford","year":"2005","journal-title":"Am. J. Occup. Ther."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"21","DOI":"10.5195\/ijt.2015.6163","article-title":"The Process for the Formulation of the International Telehealth Position Statement for Occupational Therapy","volume":"7","author":"Jacobs","year":"2015","journal-title":"Int. J. Telerehabil."},{"key":"ref_4","first-page":"689","article-title":"Efficacy of Non-Immersive Virtual Reality-Based Telerehabilitation on Postural Stability in Parkinson\u2019s Disease: A Multicenter Randomized Controlled Trial","volume":"59","author":"Goffredo","year":"2023","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Bernardo-Filho, M., Cunha De S\u00e1-Caputo, D., and Taiar, R. (2020). Parkinson\u2019s Disease Rehabilitation: Effectiveness Approaches and New Perspectives. Physical Therapy Effectiveness, IntechOpen.","DOI":"10.5772\/intechopen.76735"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"7503190030","DOI":"10.5014\/ajot.2021.046581","article-title":"Occupational Therapy Interventions for Instrumental Activities of Daily Living for Adults With Parkinson\u2019s Disease: A Systematic Review","volume":"75","author":"Foster","year":"2021","journal-title":"Am. J. Occup. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Rana, A.Q. (2011). How to Stay Active with Parkinson\u2019s Disease. Diagnosis and Treatment of Parkinson\u2019s Disease, InTech.","DOI":"10.5772\/952"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s11910-021-01096-0","article-title":"Frameworks for Parkinson\u2019s Disease Rehabilitation Addressing When, What, and How","volume":"21","author":"Rafferty","year":"2021","journal-title":"Curr. Neurol. Neurosci. Rep."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Ramos, L.F.P., Vilacorta-Pereira, T.d.C.S., Duarte, J.d.S., Yamada, E.S., and Santos-Lobato, B.L. (2023). Feasibility and Effectiveness of a Remote Individual Rehabilitation Program for People with Parkinson\u2019s Disease Living in the Brazilian Amazon: A Randomized Clinical Trial. Front. Neurol., 14.","DOI":"10.3389\/fneur.2023.1244661"},{"key":"ref_10","first-page":"S27","article-title":"A New Era: The Growth of Video-Based Visits for Remote Management of Persons with Parkinson\u2019s Disease","volume":"11","author":"Larson","year":"2021","journal-title":"J. Park. Dis."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1080\/09638280802062553","article-title":"A Systematic Review of Clinical Outcomes, Clinical Process, Healthcare Utilization and Costs Associated with Telerehabilitation","volume":"31","author":"Kairy","year":"2009","journal-title":"Disabil. Rehabil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1016\/j.jamda.2019.11.015","article-title":"A Systematic Review of Nursing Home Palliative Care Interventions: Characteristics and Outcomes","volume":"21","author":"Carpenter","year":"2020","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/cns.13549","article-title":"Quality of Life in Parkinson\u2019s Disease: A Systematic Review and Meta-analysis of Comparative Studies","volume":"27","author":"Zhao","year":"2021","journal-title":"CNS Neurosci. Ther."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1016\/S0140-6736(14)61393-3","article-title":"Parkinson\u2019s Disease","volume":"386","author":"Kalia","year":"2015","journal-title":"The Lancet"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1016\/j.jagp.2019.05.013","article-title":"A Future Research Agenda for Digital Geriatric Mental Healthcare","volume":"27","author":"Fortuna","year":"2019","journal-title":"Am. J. Geriatr. Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1093\/tbm\/ibz141","article-title":"A Scoping Review of Patient-Facing, Behavioral Health Interventions with Voice Assistant Technology Targeting Self-Management and Healthy Lifestyle Behaviors","volume":"10","author":"Sezgin","year":"2020","journal-title":"Transl. Behav. Med."},{"key":"ref_17","first-page":"2255","article-title":"Physical Therapists\u2019 Use of Telehealth in Older Adults within the Home Health Setting: A Scoping Review Protocol","volume":"21","author":"Bartlett","year":"2023","journal-title":"JBI Evid. Synth."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1080\/17538157.2019.1656210","article-title":"A Focus Group Study of Older Adults\u2019 Perceptions and Preferences towards Web-Based Physical Activity Interventions","volume":"45","author":"Alley","year":"2020","journal-title":"Inform. Health Soc. Care"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"8188","DOI":"10.1080\/09638288.2021.2019327","article-title":"A Systematic Review of Economic Analyses of Home-Based Telerehabilitation","volume":"44","author":"Grigorovich","year":"2022","journal-title":"Disabil. Rehabil."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Jahouh, M., Gonz\u00e1lez-Bernal, J.J., Gonz\u00e1lez-Santos, J., Fern\u00e1ndez-L\u00e1zaro, D., Soto-C\u00e1mara, R., and Mielgo-Ayuso, J. (2021). Impact of an Intervention with Wii Video Games on the Autonomy of Activities of Daily Living and Psychological\u2013Cognitive Components in the Institutionalized Elderly. Int. J. Environ. Res. Public. Health, 18.","DOI":"10.3390\/ijerph18041570"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s10654-019-00576-5","article-title":"A 24-Step Guide on How to Design, Conduct, and Successfully Publish a Systematic Review and Meta-Analysis in Medical Research","volume":"35","author":"Muka","year":"2020","journal-title":"Eur. J. Epidemiol."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Bendig, J., Wolf, A.-S., Mark, T., Frank, A., Mathiebe, J., Scheibe, M., M\u00fcller, G., Stahr, M., Schmitt, J., and Reichmann, H. (2022). Feasibility of a Multimodal Telemedical Intervention for Patients with Parkinson\u2019s Disease\u2014A Pilot Study. J. Clin. Med., 11.","DOI":"10.3390\/jcm11041074"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Choi, H.-S., and Cho, S.-H. (2022). Effects of Multimodal Rehabilitation on the Activities of Daily Living, Quality of Life, and Burden of Care for Patients with Parkinson\u2019s Disease: A Randomized Control Study. Healthcare, 10.","DOI":"10.3390\/healthcare10101888"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.gerinurse.2022.05.003","article-title":"Effect of Mobile Health Intervention for Self-Management on Self-Efficacy, Motor and Non-Motor Symptoms, Self-Management, and Quality of Life in People with Parkinson\u2019s Disease: Randomized Controlled Trial","volume":"46","author":"Park","year":"2022","journal-title":"Geriatr. Nur."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"20552076231191001","DOI":"10.1177\/20552076231191001","article-title":"Cost Effectiveness of a Telerehabilitation Intervention vs Home Based Care for Adults with Severe Neurologic Disability: A Randomized Clinical Trial","volume":"9","author":"Piette","year":"2023","journal-title":"Digit. Health"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1007\/s13760-022-02104-x","article-title":"Effects of LSVT-BIG via Telerehabilitation on Non-Motor and Motor Symptoms and Quality of Life in Parkinson\u2019s Disease","volume":"123","author":"Turgay","year":"2023","journal-title":"Acta Neurol. Belg."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Isernia, S., Di Tella, S., Pagliari, C., Jonsdottir, J., Castiglioni, C., Gindri, P., Salza, M., Gramigna, C., Palumbo, G., and Molteni, F. (2020). Effects of an Innovative Telerehabilitation Intervention for People With Parkinson\u2019s Disease on Quality of Life, Motor, and Non-Motor Abilities. Front. Neurol., 11.","DOI":"10.3389\/fneur.2020.00846"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1080\/14473828.2021.1887631","article-title":"A Virtual Group Program to Improve Quality of Life for People Living with Parkinson\u2019s: An Australian Response to the COVID-19 Pandemic","volume":"78","author":"Sterrenberg","year":"2022","journal-title":"World Fed. Occup. Ther. Bull."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e054386","DOI":"10.1136\/bmjopen-2021-054386","article-title":"A Systematic Review of Impact of Person-Centred Interventions for Serious Physical Illness in Terms of Outcomes and Costs","volume":"12","author":"Nkhoma","year":"2022","journal-title":"BMJ Open"}],"container-title":["Clinics and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-7283\/15\/6\/98\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:38:54Z","timestamp":1760031534000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-7283\/15\/6\/98"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,23]]},"references-count":30,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["clinpract15060098"],"URL":"https:\/\/doi.org\/10.3390\/clinpract15060098","relation":{},"ISSN":["2039-7283"],"issn-type":[{"value":"2039-7283","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,23]]}}}