Mitra Afshari1, Andrea V Hernandez2, Jorik Nonnekes3, Bastiaan R Bloem4, Christopher G Goetz1. 1. Department of Neurology Rush University Medical Center Chicago IL USA. 2. College of Arts and Sciences Loyola University Chicago IL USA. 3. Department of Rehabilitation Radboud University Medical Center, Donders Institute for Brain, Cognition, and Behaviour Nijmegen The Netherlands. 4. Department of Neurology Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour Nijmegen The Netherlands.
Abstract
Background: Falls are inherent to Parkinson's disease (PD) progression, and risk assessment is mandatory for optimal long term management. Objective: To determine if the telehealth application of two observer-based, objective measures of fall-risk in PD-Five-Times-Sit-To-Stand (FTSTS) and 360° Rapid-Turns-Test (RTT)-is feasible and safe. Methods: Following in-clinic training, 15 people with Hoehn and Yahr Stage 2 (n = 8) and 3 (n = 7) PD, median MoCA score 25 (range 14-29), and subjective freezing-of-gait (n = 13), participated in four televisits with care partners biweekly for 10 weeks where virtual FTSTS/RTT assessments were performed. Results: Participants completed all protocol-driven 120 virtual FTSTS and 60 RTT assessments with effective ratability (feasibility) and zero adverse events (safety). 22% virtual FTSTS and 55% RTT met criteria for high fall-risk designation. Conclusions: Objective fall-risk assessment with virtual FTSTS and RTT through telehealth among HY2-3 PD patients, with varying motor and cognitive function, is feasible and safe following introductory in-clinic training.
Background: Falls are inherent to Parkinson's disease (PD) progression, and risk assessment is mandatory for optimal long term management. Objective: To determine if the telehealth application of two observer-based, objective measures of fall-risk in PD-Five-Times-Sit-To-Stand (FTSTS) and 360° Rapid-Turns-Test (RTT)-is feasible and safe. Methods: Following in-clinic training, 15 people with Hoehn and Yahr Stage 2 (n = 8) and 3 (n = 7) PD, median MoCA score 25 (range 14-29), and subjective freezing-of-gait (n = 13), participated in four televisits with care partners biweekly for 10 weeks where virtual FTSTS/RTT assessments were performed. Results: Participants completed all protocol-driven 120 virtual FTSTS and 60 RTT assessments with effective ratability (feasibility) and zero adverse events (safety). 22% virtual FTSTS and 55% RTT met criteria for high fall-risk designation. Conclusions: Objective fall-risk assessment with virtual FTSTS and RTT through telehealth among HY2-3 PD patients, with varying motor and cognitive function, is feasible and safe following introductory in-clinic training.
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Authors: Anna Naito; Anne-Marie Wills; Thomas F Tropea; Adolfo Ramirez-Zamora; Robert A Hauser; Davide Martino; Travis H Turner; Miriam R Rafferty; Mitra Afshari; Karen L Williams; Okeanis Vaou; Martin J McKeown; Letty Ginsburg; Adi Ezra; Robert Iansek; Kristin Wallock; Christiana Evers; Karlin Schroeder; Rebeca DeLeon; Nicole Yarab; Roy N Alcalay; James C Beck Journal: NPJ Parkinsons Dis Date: 2021-04-12