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Internet-based physical assessment of people with Parkinson disease is accurate and reliable

RUSSELL TG; HOFFMANN TC; NELSON M; THOMPSON; VINCENT A
J REHABIL RES DEV , 2013, vol. 50, n° 5, p. 643-650
Doc n°: 166767
Localisation : Documentation IRR
Descripteurs : AF5 - PARKINSON

Telerehabilitation may be an alternative service delivery model for people with
Parkinson disease (PD) who live in areas where traditional rehabilitation
services are not readily accessible. The aim of this study was to determine the
accuracy and reliability of performing remote physical assessments of people with
PD via telerehabilitation when compared with traditional face-to-face
assessments. Twelve subjects were simultaneously examined by a face-to-face
investigator and a remote investigator via the eHAB telerehabilitation system.
The outcome measures evaluated included the timed stance test, Timed "Up and Go"
test, step test, steps in 360 degree turn, Berg Balance Scale, and lateral and
functional reach tests. Limits of agreements intervals and weighted kappa
statistics demonstrated the telerehabilitation assessments to be accurate within
clinically acceptable limits.
A high level of inter- and intrarater reliability
was demonstrated across all telerehabilitation assessments. This study indicates
that it is possible to assess the physical ability of people with PD via
telerehabilitation systems and provides support for the further development of
telerehabilitation applications for patients with neurological disorders.

Langue : ANGLAIS

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