TELEREHABILITATION AS A TOOL FOR EVALUATION AND TREATMENT OF INDIVIDUALS WITH PARKINSON'S DISEASE
Parkinson Disease, Telemedicine, Rehabilitation
Introduction: The pandemic context that the world has been experiencing from the end of 2019 to the present day, as a result of COVID-19, has brought the need for social distancing and consequent intensification of the use of communication technologies. In Parkinson's Disease (PD), which has motor and non-motor repercussions of decreased levels of physical activity, increased functional dependence and restriction of activity and participation, greater supervision and availability of family members and/or caregivers is required in consultations and face-to-face therapies. Therefore, TR can present itself as a viable alternative in the care of people with PD, according to the context in which it is inserted. Objectives: 1) To evaluate the effects of remotely administered physical therapy (TR) interventions in individuals with Parkinson's Disease; 2) Evaluate the applicability of a human-machine interface of wearable technologies and a Vibrating Biofeedback System in individuals with PD, based on the magnitude of plantar pressure (PP) to enable postural control during orthostatism in real time; 3) To verify the pattern of the motor evolution of individuals with PD submitted to Group Physiotherapy, whose consultations have taken place remotely due to the COVID-19 pandemic. Methods: 1) This is a systematic review protocol, in which randomized clinical trials (RCTs) and (quasi-randomized) studies involving adults (> 18 years old) diagnosed with PD undergoing TR will be included. 2) This is an experimental cross-sectional study in which 10 healthy individuals and 10 individuals with Parkinson's Disease will be recruited, in which a personalized pressure-sensitive insole will be tested. Each insole contains 10 FSR-type sensors connected to the Arduino Micro R3 analog input to quantify the magnitude of the PP. 3) This is a single-blind randomized clinical trial study, to be carried out in individuals with PD participating in the AGruPar extension project (Group Physical Therapy Assistance for Individuals with Parkinson's Disease). The Experimental Group will undergo TR, which will have remote assistance via the Google Meet platform, software used for synchronous meetings, taking place 1x a week with 1h duration, during the period of 6 months, involving global muscle strengthening; balance, gait and motor coordination training; cognitive training. The Control Group will have face-to-face assistance at the UFRN Department of Physiotherapy, with the same durability and the same protocol as the TR. Expected results: 1) It is expected to provide evidence of the effects of TR in individuals with PD in terms of motor function; gait; Balance; Quality of life; Number of falls; Adverse effects; and Patient adherence to TR. 2) The results obtained from testing the device may benefit participants in the physical sphere, according to a possible improvement in balance and gait. As for the scientific environment, this study may provide benefits for research and scientific production, in order to optimize physical therapy practice. 3) It is expected that TR will benefit patients in the physical sphere, due to the execution of tasks focused on global muscle strengthening, motor coordination, gait and balance training, in addition to cognitive training, which can have a positive impact on the psychological and social scope. consequently. It is believed that the interaction between patients with the same pathology can also influence the improvement of quality of life, in addition to being performed at a low cost, without the need for displacement.