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Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study. Trevor G. Russell, PhD; Tammy C. Hoffmann, PhD; Mark Nelson, BPHTY(Hons); Leah Thompson, BOccThy (Hons); Amy Vincent, BOccThy (Hons). Aim
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Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study Trevor G. Russell, PhD; Tammy C. Hoffmann, PhD; Mark Nelson, BPHTY(Hons); Leah Thompson, BOccThy (Hons); Amy Vincent, BOccThy (Hons)
Aim • Determine accuracy and reliability of performing remote physical assessments of people with Parkinson disease (PD) via telerehabilitation. • Versus traditional face-to-face assessments. • Relevance • Telerehabilitation may be alternative service delivery model for people with PD in areas without readily accessible traditional rehabilitation services.
Method • 12 subjects simultaneously examined by: • Face-to-face investigator. • Remote investigator via eHAB telerehabilitation system. • Outcome measures: • Timed stance test. • Timed “Up and Go” test. • Step test. • Steps in 360 turn. • Berg Balance Scale • Lateral and functional reach tests.
Results • Limits of agreements intervals and weighted kappa statistics demonstrated telerehabilitation assessments to be accurate within clinically acceptable limits. • High inter- and intrarater reliability demonstrated across all telerehabilitation assessments.
Conclusion • This study: • Indicates that assessing physical ability of people with PD via telerehabilitation systems is possible. • Provides support for further development of telerehabilitation applications for patients with neurological disorders.