The Growing Role of Telerehabilitation and Teleassessment in the Management of Movement Disorders in Rare Neurological Diseases: A Scoping Review

被引：1

作者：

Lavorgna, Luigi ^{[1
]}

Maida, Elisabetta ^{[1
]}

Reinhard, Carola ^{[2
,3
]}

Cras, Patrick ^{[4
,5
]}

Reetz, Kathrin ^{[6
,7
]}

Molnar, Maria Judit ^{[8
]}

Nonnekes, Jorik ^{[9
]}

Medijainen, Kadri ^{[10
]}

Summa, Susanna ^{[11
]}

Diserens, Karin ^{[12
]}

Petrarca, Maurizio ^{[11
]}

Albanese, Alberto ^{[13
]}

Leocani, Letizia ^{[14
,15
]}

Delussi, Marianna ^{[16
]}

Vinciguerra, Claudia ^{[17
]}

Pagliano, Emanuela ^{[18
]}

Kubica, Jadwiga ^{[19
]}

Lallemant, Pauline ^{[20
,21
]}

Wenning, Gregor ^{[22
]}

Sival, Deborah ^{[23
]}

Groleger Srsen, Katja ^{[24
,25
]}

Bertini, Enrico Silvio ^{[26
]}

Lopane, Giovanna ^{[27
]}

Boesch, Sylvia ^{[28
]}

Bonavita, Simona ^{[1
]}

Crosiers, David ^{[4
,5
]}

Muresanu, Dafin ^{[29
,30
]}

Timmann, Dagmar ^{[31
]}

Federico, Antonio ^{[32
]}

机构：

[1] Univ Campania Luigi Vanvitelli, Dept Adv Med & Surg Sci Napoli, Piazza Miraglia, I-80133 Naples, Italy

[2] Univ Hosp Tubingen, Ctr Rare Dis, Tubingen, Germany

[3] Univ Hosp Tubingen, Inst Med Genet & Appl Genom, Tubingen, Germany

[4] Univ Hosp Antwerp, Dept Neurol, Edegem, Belgium

[5] Univ Antwerp, Fac Med & Hlth Sci, Translat Neurosci, Edegem, Belgium

[6] Rhein Westfal TH Aachen, Dept Neurol, Aachen, Germany

[7] Forschungszentrum Julich GmbH, JARA Inst Mol Neurosci & Neuroimaging, Julich, Germany

[8] Semmelweis Univ, Inst Genom Med & Rare Disorders, Budapest, Hungary

[9] Sint Maartensklin, Dept Rheumatol, Nijmegen, Netherlands

[10] Tartu Univ Hosp, Tartu, Estonia

[11] Bambino Gesu Pediat Hosp, Dept Neurorehabil & Robot, Movement Anal & Robot Lab MARLab, Rome, Italy

[12] CHU Vaudois, Neurol, Lausanne, Switzerland

[13] Ist Clin Humanitas, Neurol, Rozzano, Italy

[14] Osped San Raffaele, Inst Expt Neurol, Milan, Italy

[15] Osped San Raffaele, Neurol Dept, Milan, Italy

[16] Univ Bari Aldo Moro, Dept Translat Biomed & Neurosci DiBraiN, Bari, Italy

[17] Univ Hosp San Giovanni di Dio & Ruggi dAragona, Salerno, Italy

[18] Fdn IRCCS Ist Neurol Carlo Besta, Milan, Italy

[19] Jagiellonian Univ Med Coll, Inst Physiotherapy, Fac Hlth Sci, Krakow, Poland

[20] Sorbonne Univ, Univ Hosp Pitie Salpetriere, AP HP, Paris Brain Inst,ICM Inst Cerveau,INSERM,CNRS, Paris, France

[21] Sorbonne Univ, Pediat Phys Med & Rehabil Dept, Paris, France

[22] Med Univ Innsbruck, Dept Neurol & Neurosurg, Innsbruck, Austria

[23] Univ Groningen, Beatrix Childrens Hosp, Dept Pediat, Groningen, Netherlands

[24] Univ Ljubljana, Rehabil Inst Republ Slovenia, Ljubljana, Slovenia

[25] Univ Ljubljana, Med Fac, Ljubljana, Slovenia

[26] IRCCS Osped Pediat Bambino Gesu, Unit Neuromuscular & Neurodegenerat Disorders, Rome, Italy

[27] IRCCS Ist Sci Neurol Bologna, Bologna, Italy

[28] Innsbruck Med Univ, Ctr Rare Movement Disorders, Dept Neurol & Neurosurg, Innsbruck, Austria

[29] Iuliu Hatieganu Univ Med & Pharm, Fac Med, Dept Neurosci, Cluj Napoca, Romania

[30] RoNeuro Inst Neurol Res & Diagnost, Cluj Napoca, Romania

[31] Univ Hosp Essen, Ctr Translat Neuro & Behav Sci C TNBS, Dept Neurol, Essen, Germany

[32] Siena Univ Hosp, Dept Med Surg & Neurosci, Siena, Italy

来源：

TELEMEDICINE AND E-HEALTH | 2024年 / 30卷 / 09期

关键词：

rare neurological diseases; telerehabilitation; digital health; virtual reality; exergames; telemedicine; INTERVAL-REHABILITATION; EXERCISE PROGRAM; ATAXIA; CHILDREN; CLASSIFICATION; IMPROVEMENT; BALANCE; PEOPLE;

D O I：

10.1089/tmj.2023.0702

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页码：2419 / 2430

页数：12

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