Effects of Telerehabilitation-Based Motor and Cognitive Dual-Task Exercise in Patients With Parkinson's Disease

Comparison of the Effects of Telerehabilitation-Based Motor and Cognitive Dual-Task Exercise in Patients With Parkinson's Disease - A Randomized Controlled Study

The ability to respond to multiple stimuli is impaired in Parkinson's patients. Traditional rehabilitation approaches focus only on balance and gait training, but individuals with Parkinson's disease need to perform multiple tasks in daily life.

The dual-task (DT) methodology aims to perform two tasks simultaneously. There is no study in which motor and cognitive dual-task exercises are given together and followed up remotely in elderly individuals with PD.

Therefore, it was aimed to compare the effects of telerehabilitation method and motor and cognitive dual-task exercises on cognitive function, balance, walking, fall risk and quality of life in individuals with Parkinson's Disease.

Inclusion Criteria:

• Being diagnosed with idiopathic Parkinson's Disease

  • Getting at least 21 points from the Montreal Cognitive Assessment Scale test
  • Stability of drug therapy taken in the last 1 month
  • Being in the "ten" period of the patients
  • Being able to walk independently on flat ground (4 and above according to Functional Ambulation Classification)

Exclusion Criteria:

• • Serious hearing or vision problems

  • Having other neurological, cardiovascular or orthopedic disorders that may prevent walking
  • Any other neurological disorder (eg dementia, cerebrovascular disease)
  • Having an education level of less than 5 years
  • Patients with a pacemaker
  • Having vascular lower extremity pathologies
  • Not having internet access with a smart phone or computer