Internet-based physical assessment of people with Parkinson disease is accurate and reliable: A pilot study

Trevor G Russell, Tammy C Hoffmann, Mark Nelson, Leah Thompson, Amy Vincent

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)643-50
Number of pages8
JournalJournal of Rehabilitation Research and Development
Volume50
Issue number5
DOIs
Publication statusPublished - 2013
Externally publishedYes

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Parkinson Disease
Research Personnel
Telerehabilitation
Nervous System Diseases
Exercise Test
Rehabilitation
Outcome Assessment (Health Care)

Cite this

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abstract = "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.",
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Internet-based physical assessment of people with Parkinson disease is accurate and reliable : A pilot study. / Russell, Trevor G; Hoffmann, Tammy C; Nelson, Mark; Thompson, Leah; Vincent, Amy.

In: Journal of Rehabilitation Research and Development, Vol. 50, No. 5, 2013, p. 643-50.

Research output: Contribution to journalArticleResearchpeer-review

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