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The Growing Role of Telerehabilitation and Teleassessment in the Management of Movement Disorders in Rare Neurological Diseases: A Scoping Review.
Lavorgna, Luigi; Maida, Elisabetta; Reinhard, Carola; Cras, Patrick; Reetz, Kathrin; Molnar, Maria Judit; Nonnekes, Jorik; Medijainen, Kadri; Summa, Susanna; Diserens, Karin; Petrarca, Maurizio; Albanese, Alberto; Leocani, Letizia; Delussi, Marianna; Vinciguerra, Claudia; Pagliano, Emanuela; Kubica, Jadwiga; Lallemant, Pauline; Wenning, Gregor; Sival, Deborah; Groleger Srsen, Katja; Bertini, Enrico Silvio; Lopane, Giovanna; Boesch, Sylvia; Bonavita, Simona; Crosiers, David; Muresanu, Dafin; Timmann, Dagmar; Federico, Antonio.
Affiliation
  • Lavorgna L; Department of Advanced Medical and Surgical Sciences Napoli, University of Campania Luigi Vanvitelli, Napoli, Italy.
  • Maida E; Department of Advanced Medical and Surgical Sciences Napoli, University of Campania Luigi Vanvitelli, Napoli, Italy.
  • Reinhard C; Centre for Rare Diseases and Institute of Medical Genetics and Applied Genomics, University Hospitals Tubingen, Tubingen, Germany.
  • Cras P; Department of Neurology, University Hospital Antwerp, Edegem, Belgium.
  • Reetz K; Translational Neurosciences, Faculty of Medicine and Health Sciences, University Hospital Antwerp, Edegem, Belgium.
  • Molnar MJ; Department of Neurology, RWTH Aachen University, Aachen, Germany.
  • Nonnekes J; Forschungszentrum Julich GmbH, JARA Institute Molecular Neuroscience and Neuroimaging, Julich, Germany.
  • Medijainen K; Institute of Genomic Medicine and Rare Disorders, Semmelweis University, Budapest, Hungary.
  • Summa S; Department of Rehabilitation, Sint Maartenskliniek, Nijmegen, The Netherlands.
  • Diserens K; Tartu University Hospital, Tartu, Estonai.
  • Petrarca M; Department of Neurorehabilitation and Robotics, Movement Analysis and Robotics Laboratory (MARLab), Bambino Gesu Pediatric Hospital, Roma, Italy.
  • Albanese A; Neurology, CHUV, Lausanne, Switzerland.
  • Leocani L; Department of Neurorehabilitation and Robotics, Movement Analysis and Robotics Laboratory (MARLab), Bambino Gesu Pediatric Hospital, Roma, Italy.
  • Delussi M; Neurology, Istituto Clinico Humanitas, Rozzano, Italy.
  • Vinciguerra C; Institute of Experimental Neurology and Neurological Department, San Raffaele Hospital, Milano, Italy.
  • Pagliano E; Department of translational biomedicine and neuroscience "DiBraiN", University of Bari Aldo Moro, Bari, Italy.
  • Kubica J; University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
  • Lallemant P; Fondazione IRCCS Istituto Neurologico Carlo Besta, Milano, Italy.
  • Wenning G; Institute of Physiotherapy, Faculty of Health Science, Jagiellonian University Medical College, Krakow, Poland.
  • Sival D; Paris Brain Institute (ICM Institut du Cerveau), INSERM, CNRS, Assistance Publique-Hôpitaux de Paris (APHP), University Hospital Pitié-Salpêtrière, Sorbonne Université, Paris, France.
  • Groleger Srsen K; Pediatric Physical Medicine and Rehabilitation Department, Sorbonne Université, Paris, France.
  • Bertini ES; Department of Neurology and Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
  • Lopane G; Department of Pediatrics, University of Groningen, Beatrix Children's Hospital, Groningen, The Netherlands.
  • Boesch S; Rehabilitation Institute of Republic Slovenia, University of Ljubljana, Ljubljana, Slovenia.
  • Bonavita S; Medical faculty, University of Ljubljana, Ljubljana, Slovenia.
  • Crosiers D; Unit of Neuromuscular and Neurodegenerative Disorders, IRCCS, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
  • Muresanu D; IRCCS Istituto Delle Scienze Neurologiche di Bologna, Bologna, Italy.
  • Timmann D; Department of Neurology and Neurosurgery, Center for rare movement disorders, Innsbruck Medical University, Innsbruck, Austria.
  • Federico A; Department of Advanced Medical and Surgical Sciences Napoli, University of Campania Luigi Vanvitelli, Napoli, Italy.
Telemed J E Health ; 2024 Jul 01.
Article in En | MEDLINE | ID: mdl-38946606
ABSTRACT

Background:

People with rare neurological diseases (RNDs) often experience symptoms related to movement disorders, requiring a multidisciplinary approach, including rehabilitation. Telemedicine applied to rehabilitation and symptom monitoring may be suitable to ensure treatment consistency and personalized intervention. The objective of this scoping review aimed to emphasize the potential role of telerehabilitation and teleassessment in managing movement disorders within RNDs. By providing a systematic overview of the available literature, we sought to highlight potential interventions, outcomes, and critical issues.

Methods:

A literature search was conducted on PubMed, Google Scholar, IEEE, and Scopus up to March 2024. Two inclusion criteria were followed (1) papers focusing on telerehabilitation and teleassessment and (2) papers dealing with movement disorders in RNDs.

Results:

Eighteen papers fulfilled the inclusion criteria. The main interventions were home-based software and training programs, exergames, wearable sensors, smartphone applications, virtual reality and digital music players for telerehabilitation; wearable sensors, mobile applications, and patient home video for teleassessment. Key findings revealed positive outcomes in gait, balance, limb disability, and in remote monitoring. Limitations include small sample sizes, short intervention durations, and the lack of standardized protocols.

Conclusion:

This review highlighted the potential of telerehabilitation and teleassessment in addressing movement disorders within RNDs. Data indicate that these modalities may play a major role in supporting conventional programs. Addressing limitations through multicenter studies, longer-term follow-ups, and standardized protocols is essential. These measures are essential for improving remote rehabilitation and assessment, contributing to an improved quality of life for people with RNDs.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Telemed J E Health Journal subject: INFORMATICA MEDICA / SERVICOS DE SAUDE Year: 2024 Document type: Article Affiliation country:
Fulltext
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Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Telemed J E Health Journal subject: INFORMATICA MEDICA / SERVICOS DE SAUDE Year: 2024 Document type: Article Affiliation country: