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An Online Dual-Task Cognitive and Motor Exercise Program for Individuals With Parkinson Disease (PD3 Move Program):
Josefa Domingos1,2,3, John Dean2, Júlio Belo Fernandes3
1Department of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, Netherlands.
JMIR Aging
|December 22, 2022
Summary
Online dual-task training for Parkinson disease (PD) showed high acceptability and perceived benefits. This program improved physical and cognitive well-being, demonstrating its safety and effectiveness for PD patients.
Area of Science:
- Neurorehabilitation
- Digital Health Interventions
- Parkinson Disease Management
Background:
- Dual-task training is emerging for Parkinson disease (PD) to enhance physical and cognitive function.
- The acceptability, safety, and adherence of online dual-task training for PD patients remain largely uninvestigated.
Purpose of the Study:
- To evaluate the acceptability of a dual-task cognitive and motor online training program for individuals with PD.
- To assess the feasibility of this program within a group online community setting.
Main Methods:
- 15 participants with PD (Hoehn and Yahr stages I-IV) engaged in a 16-week online program (PD3 Move).
- The program involved physical and vocal exercises responding to cognitive challenges via Zoom.
- Acceptability was measured by attendance rates and a post-program questionnaire assessing satisfaction, perceived benefits, safety, and willingness to continue/recommend.
Main Results:
- High attendance rates (81%) and participant satisfaction (100% satisfied or very satisfied) were observed.
- Participants reported high perceived benefits, particularly from novel cognitive-physical challenges, instructor engagement, and social interaction.
- No adverse events occurred; all participants expressed willingness to continue and recommend the program.
Conclusions:
- The online dual-task training program was well-received, safe, and beneficial for medically stable individuals with PD (H&Y stages I-IV).
- Online community group programs can improve access to specialized care and enhance long-term exercise adherence in Parkinson disease.
Keywords:
Parkinson diseaseParkinson'sacceptabilityadherencecognitioncognitivecognitive training online exercisecommunity baseddigital interventiondual-task trainingelderexercisegeriatricgroup programmotormovementneurodegenerativeneuromuscularolder adultonline interventiononline programphysical activityphysical therapyphysiotherapistphysiotherapyspeechtask trainingvocalvoiceRelated Concept Videos
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