Is Telerehabilitation Effective in Parkinson's Disease?

Objective This study evaluated the impact of a remote neurorehabilitation program featuring combined motor and cognitive dual-task exercises on multidimensional outcomes in individuals with parkinsonism. Methods A total of 60 patients with PD participated in a digitally delivered, personalized telerehabilitation protocol spanning 30 sessions. Baseline demographic and clinical data were recorded and participants underwent standardized assessments measuring hand dexterity, postural stability, mobility, quality of life and psychological health. Validated tools including the Activities-Specific Balance Confidence Scale, Nine-Hole Peg Test, Berg Balance Scale, Mini-BESTest, Timed Up and Go, PDQ-39 and Beck Depression Inventory were used before and after the intervention. Results After completing the program, participants demonstrated significant gains in manual dexterity, balance and mobility (all p < 0.05), along with marked improvements in mood and quality of life (both p < 0.05). Those who initially reported urinary and fecal incontinence also experienced meaningful improvement in autonomic symptoms (p < 0.05). The intervention was well-tolerated, with no adverse events observed. Conclusions The findings support the utility and safety of home-based telerehabilitation incorporating cognitive-motor dual-task activities as a practical approach for enhancing both motor and non-motor outcomes in Parkinsonizm.