Effectiveness of Tele Rehabilitation on Manual Dexterity and its Impact on Quality of Life in Patients with Parkinson’s Disease: A Pilot Study

doi:10.37506/ijpot.v14i2.2643

Paper

Effectiveness of Tele Rehabilitation on Manual Dexterity and its Impact on Quality of Life in Patients with Parkinson’s Disease: A Pilot Study

Published Feb 27, 2020 · Silpa Immanuel Voola

Indian Journal of Physiotherapy and Occupational Therapy - An International Journal

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5

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Abstract

Background: Patients with Parkinson’s disease exhibit disturbed manual dexterity. This impairment leads to difficulties in activities of daily living, such as buttoning a shirt or hand-writing. Recent advances in telecommunication technologies have boosted the possibility to deliver rehabilitation via the internet (i.e. telerehabilitation). The aim of the present pilot study was to investigate the effectiveness of Tele Rehabilitation to improve manual dexterity and its impact on quality of life in patients with Parkinson’s Disease. Method: This study was based on Quasi-experimental design and Convenience sampling method was used in Older Adults with Parkinson’s disease of 60 to 80 yrs age. The sample size is 10 (n=10) Experimental group (Tele Rehabilitation) (n=5) and Control group (resistance training) (n=5). The study was conducted at home for the patients referred from SRM hospital and Research centre. Screening was done using UPDRS and MoCA. Outcome measures were analysed using Purdue peg board test, Chedoke Arm and Hand Activity Inventory(CAHAI-13), Parkinson’s Disease Questionaire-39(PDQ-39). Results: The results revealed that the experimental group has shown significant difference at 5% level in all the metrics “Right, Left, Bi-manual, Assembly tasks of Purdue Peg Board test, CAHAI 13 and PDQ39. But comparing between the experimental and control groups significant difference at 5% level was observed only in bi manual task of Purdue Peg board test. Conclusion: Task specific Tele rehabilitation-based dexterity program significantly improved fine motor skills in Parkinson’s disease. Neuro Tele Rehabilitation is considered as an alternative effective mode of service delivery connecting the people in need with health care practitioners by providing effective interventions with minimal inconveniences.

Study Snapshot

Key takeawayTelerehabilitation significantly improves manual dexterity and quality of life in Parkinson's disease patients, offering an effective alternative to traditional healthcare delivery.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Effectiveness of Tele Rehabilitation on Manual Dexterity and its Impact on Quality of Life in Patients with Parkinson’s Disease: A Pilot Study

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References

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A home-based dexterity program significantly improved fine motor skills and dexterity-related activities of daily living in Parkinson's disease patients, but continuous training is needed to maintain benefits.

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Limb-kinetic apraxia is the strongest predictor of impaired dexterity in Parkinson's disease, affecting daily activities like buttoning and unbuttoning.

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Occupational therapy plays a growing role in managing Parkinson's disease, with emerging evidence supporting its efficacy and a person-centered approach.

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Almost half of Indian Parkinson's disease patients use complementary and alternative medicine (CAM), with a focus on Ayurvedic, homeopathic, and acupuncture, at a substantial cost.

Home-based training to improve manual dexterity in patients with multiple sclerosis: A randomized controlled trial

The home-based dexterity training program significantly improved manual dexterity and dexterity-related activities of daily living in moderately disabled MS patients.

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Visual cues during gait performance significantly improve movement smoothness and kinematic parameters in individuals with Parkinson's disease.

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Citations

An Overall Automated Architecture Based on the Tapping Test Measurement Protocol: Hand Dexterity Assessment through an Innovative Objective Method

This study proposes a novel measurement architecture for hand dexterity assessment, highlighting the importance of interdigital autonomy and neuroplasticity in upper limb coordination and therapeutic strategies.

Investigating Online Engagement in a Fine Motor Exercise Program among Rock Steady Boxing Participants – An Exploratory Study

Understanding motivators, facilitators, and barriers can improve engagement in online fine motor exercise programs for individuals with Parkinson's Disease.

A virtual group program to improve quality of life for people living with Parkinson’s: an Australian response to the COVID-19 pandemic

Virtual group sessions using occupational therapy-driven programs can effectively improve the quality of life for people living with Parkinson's disease during COVID-19 restrictions.