Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil
Background Performing motor evaluations using videoconferencing for patients with Parkinson's disease (PD) is safe and feasible. However, the feasibility of these evaluations is not adequately studied in resource-limited settings. Objective To evaluate the feasibility of performing m...
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Thieme Revinter Publicações
2023-05-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768665 |
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| author | Daniel Teixeira-dos-Santos Daniel Monte Freire Camelo Matheus Zschornack Strelow Maysa Tayane Santos Silva Paula Führ Letícia Winer Marins Artur Francisco Schumacher Schuh |
| author_facet | Daniel Teixeira-dos-Santos Daniel Monte Freire Camelo Matheus Zschornack Strelow Maysa Tayane Santos Silva Paula Führ Letícia Winer Marins Artur Francisco Schumacher Schuh |
| author_sort | Daniel Teixeira-dos-Santos |
| collection | DOAJ |
| description | Background Performing motor evaluations using videoconferencing for patients with Parkinson's disease (PD) is safe and feasible. However, the feasibility of these evaluations is not adequately studied in resource-limited settings.
Objective To evaluate the feasibility of performing motor evaluations for patients with PD in a resource-limited setting.
Methods The examiners rated motor aspects of parkinsonism of 34 patients with PD from the Brazilian public healthcare system through telemedicine with the patient's own means by using the Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) rating scale. Quality measures of the video meeting were also obtained. The feasibility of rating the motor aspects was the primary outcome whereas the rating of individual motor aspects, video meeting quality and predictors of a complete evaluation served as secondary outcomes.
Results The least assessable parameters were freezing of gait (52.9%), gait (70.6%), leg agility, and rest tremor (both 76.5%). Complete MDS-UPDRS part III was possible in 41.2% of patients and 62 out of 374 motor aspects evaluated (16.6%) were missed. Available physical space for a video evaluation was the worst quality measure. Incomplete evaluations were directly associated with disability (p = 0.048, r = 0.34) and inversely with available physical space (p = 0.003, r = 0.55).
Conclusion A significant portion of the MDS-UPDRS part III is unable to be performed during telemedicine-based evaluations in a real-life scenario of a resource-limited setting. |
| format | Article |
| id | doaj-art-5c8a31ffabb6465c8281755ebf65cfd3 |
| institution | OA Journals |
| issn | 0004-282X 1678-4227 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-5c8a31ffabb6465c8281755ebf65cfd32025-08-20T01:57:09ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-42272023-05-01810544445110.1055/s-0043-1768665Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern BrazilDaniel Teixeira-dos-Santos0Daniel Monte Freire Camelo1Matheus Zschornack Strelow2Maysa Tayane Santos Silva3Paula Führ4Letícia Winer Marins5Artur Francisco Schumacher Schuh6Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Serviço de Neurologia, Porto Alegre RS, Brazil.Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Serviço de Neurologia, Porto Alegre RS, Brazil.Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Serviço de Neurologia, Porto Alegre RS, Brazil.Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Serviço de Neurologia, Porto Alegre RS, Brazil.Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Serviço de Neurologia, Porto Alegre RS, Brazil.Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Serviço de Neurologia, Porto Alegre RS, Brazil.Universidade Federal do Rio Grande do Sul, Hospital de Clínicas de Porto Alegre, Serviço de Neurologia, Porto Alegre RS, Brazil.Background Performing motor evaluations using videoconferencing for patients with Parkinson's disease (PD) is safe and feasible. However, the feasibility of these evaluations is not adequately studied in resource-limited settings. Objective To evaluate the feasibility of performing motor evaluations for patients with PD in a resource-limited setting. Methods The examiners rated motor aspects of parkinsonism of 34 patients with PD from the Brazilian public healthcare system through telemedicine with the patient's own means by using the Movement Disorder Society-Sponsored Revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) rating scale. Quality measures of the video meeting were also obtained. The feasibility of rating the motor aspects was the primary outcome whereas the rating of individual motor aspects, video meeting quality and predictors of a complete evaluation served as secondary outcomes. Results The least assessable parameters were freezing of gait (52.9%), gait (70.6%), leg agility, and rest tremor (both 76.5%). Complete MDS-UPDRS part III was possible in 41.2% of patients and 62 out of 374 motor aspects evaluated (16.6%) were missed. Available physical space for a video evaluation was the worst quality measure. Incomplete evaluations were directly associated with disability (p = 0.048, r = 0.34) and inversely with available physical space (p = 0.003, r = 0.55). Conclusion A significant portion of the MDS-UPDRS part III is unable to be performed during telemedicine-based evaluations in a real-life scenario of a resource-limited setting.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768665parkinson diseasevideoconferencingtelemedicineremote consultationdeveloping countriesneurologic examination |
| spellingShingle | Daniel Teixeira-dos-Santos Daniel Monte Freire Camelo Matheus Zschornack Strelow Maysa Tayane Santos Silva Paula Führ Letícia Winer Marins Artur Francisco Schumacher Schuh Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil Arquivos de Neuro-Psiquiatria parkinson disease videoconferencing telemedicine remote consultation developing countries neurologic examination |
| title | Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil |
| title_full | Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil |
| title_fullStr | Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil |
| title_full_unstemmed | Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil |
| title_short | Feasibility for evaluating motor aspects of Parkinson's disease through video consultations in a resource-limited setting in Southern Brazil |
| title_sort | feasibility for evaluating motor aspects of parkinson s disease through video consultations in a resource limited setting in southern brazil |
| topic | parkinson disease videoconferencing telemedicine remote consultation developing countries neurologic examination |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1768665 |
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