Banca de DEFESA: LILIANE SANTOS DE VASCONCELLOS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : LILIANE SANTOS DE VASCONCELLOS
DATE: 09/05/2025
TIME: 09:00
LOCAL: SALA 5 DO DEPTO DE FISIOTERAPIA - CAMPUS NATAL
TITLE:

Tele-rehabilitation as a Tool for Assessment and Treatment of Individuals with Parkinson's Disease

KEY WORDS:

Keywords: Parkinson's Disease; Telemedicine; Rehabilitation

PAGES: 208
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Parkinson's Disease (PD) is one of the most prevalent progressive neurodegenerative disorders among older adults, impacting mobility, social interaction, and mental health. Due to its direct effects on motor functions, individuals with PD often require increased supervision and availability from family members and/or caregivers during in-person consultations and therapies. In this context, Telerehabilitation (TR) may emerge as a viable alternative for assisting individuals with PD. Objectives: To evaluate the effects of remotely delivered physiotherapy interventions (TR) on individuals with PD; To examine the motor progression patterns of individuals with PD who participated in group physiotherapy sessions conducted remotely. Methods: The study was developed in two phases, addressing the proposed objectives:
A systematic review was conducted, including randomized and quasi-randomized clinical trials involving adults (>18 years old) diagnosed with PD and undergoing TR. A longitudinal, prospective cohort study was carried out. Data collection occurred remotely via videoconferencing (Google Meet®) due to the Coronavirus Disease (COVID-19) pandemic. The study involved individuals with PD participating in the therapeutic group AGruPar (Group-Based Physiotherapy Assistance for individuals with Parkinson's Disease), assessing both motor and non-motor aspects of the disease. Results and Conclusions: In Study 1, TR yielded outcomes comparable to, but not superior to, control interventions in improving motor function, gait speed and stability, gait freezing, fall risk, and quality of life in individuals with PD. TR showed benefits in enhancing postural balance in individuals under 70 years of age, with adherence rates similar to control interventions. Adverse events were minimal and non-severe in the primary studies. Thus, TR remains a viable and promising alternative due to its potential for engagement and personalized treatment, particularly for individuals with limited access to rehabilitation centers. Standardized, long-term research is recommended to further demonstrate the additional benefits of TR in managing PD. In Study 2, TR outcomes indicated stability in gait, bradykinesia, mobility, and quality of life over the follow-up period. The study also identified barriers and facilitators associated with TR. Challenges such as digital health literacy and access to technology persist, as caregivers often operate the devices used, reinforcing patient dependence.

 

COMMITTEE MEMBERS:
Externa à Instituição - CAROLINE CUNHA DO ESPIRITO SANTO - ISD
Externa ao Programa - 3374877 - LARISSA BASTOS TAVARES - nullExterna à Instituição - LARISSA COUTINHO DE LUCENA - ISD
Presidente - 2319151 - TATIANA SOUZA RIBEIRO
Externa à Instituição - THAIANA BARBOSA FERREIRA PACHECO - UFRN