Adverse Effects of Telemedicine.

Dear Editor,

We would like to share ideas on “Teleneurorehabilitation Among Person with Parkinson’s Disease in India: The Initial Experience and Barriers to Implementation” by Garg et al.[1] In the paper, they conclude that “Multiple challenges were faced in implementing a telerehabilitation program among persons with PD, exacerbated … adherence issues and maintenance. Future TNR programs must address these concerns.” In general, the COVID-19 pandemic has resulted in several problems in patient care. Difficulty in accessing health care services at medical centers has become a common problem during the pandemic. An adjustment to the situation is required. Telemedicine is a current useful method for providing care during the pandemic.[2]

Garg et al.[1] give many useful points in implementation of a telemedicine communication system. We would like to add a little mentioned aspect: the negative effect of telemedicine. As an electronic tool, telemedicine might cause problems to the neurological patient. A recent report observes that seizures might be associated with telemedicine use.[3] Sounds or bright lights from electronic phones might be the cause.[4] For patients with Parkinson’s disease, seizures are also a possible problem.[5] It is necessary to have a good instruction for patient and cousin on safe and appropriate environmental adjustment when using telemedicine communication.

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Conflicts of interest

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