Synchronous and asynchronous remote exercise may improve motor and non-motor symptoms in people with Parkinson’s disease during the COVID-19 pandemic

Santinelli, Felipe Balistieri; Simieli, Lucas; Costa, Elisa de Carvalho; Marteli, Letícia Nardoni; Fen, Chien Hsin; Tardelli, Erica; Okamoto, Erika; Tanaka, Kátia; Barbieri, Fábio Augusto

doi:10.20338/bjmb.v15i1.236

Cited by 2 publications

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“…For instance, in a recent Italian survey with 75 people with MS ( Motolese et al, 2020 ), the authors observed an increase in depressive symptoms, such as worse sleep quality, and higher fatigue symptoms during the lockdown. Similar results were observed for people with PD: individuals with a reduced amount of physical activity reported worsening of motor symptoms during the pandemic lockdown ( Schirinzi et al, 2020 ), while individuals with PD which are more active ( Santinelli et al, 2021 ). Also, longer periods without going out of the house could increase psychological stress, anxiety, and depression symptoms, consequently decreasing the quality of life and sleep quality ( Yalachkov et al, 2019 ; Prasad et al, 2020b ).…”

Section: Introductionsupporting

confidence: 73%

Perception of COVID-19 Pandemic by Brazilian People With Parkinson’s Disease and Multiple Sclerosis

et al. 2022

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COVID-19 in Brazil is threatening, and it has forced the government to adopt partial lockdown as a strategy to stop the spread of the virus in the first wave of pandemic (March 2020). These preventive measures during the COVID-19 pandemic may affect the motor and non-motor symptoms in people with Parkinson’s disease (PD) and Multiple sclerosis (MS). Thus, the purpose of this study was to investigate the perception during the first wave of COVID-19 pandemic lockdown on motor and non-motor symptoms, and also measure physical activity level, quality of life, and sleep quality in Brazilian people with PD and MS. One hundred and fifty-three participants (PD-97 and MS-56) answered an online survey to identify the perception of motor and non-motor symptoms, and characterize the physical activity level, and quality of life and sleep in these neurological Brazillian population. During the beginning of pandemic lockdown in Brazil, our results indicated that 69% of people with PD and 55% of people with MS reported worse on motor aspects and lower amount of physical activity performed. Also, 75.2% (PD) and 92.9% (MS) of our cohort were considered inactive or sedentary. Based on the perception and behavior of the population studied, people with PD and MS should be encouraged to perform more physical activity in order to reduce the effects of isolation in motor and non-motor aspects of the diseases. Teleinterventions, such as home-based exercise, should be included in the new routine of people with PD and MS to reduce the impacts of lockdown and to maintain quality of life at a good level.

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Section: Introductionsupporting

confidence: 73%

Perception of COVID-19 Pandemic by Brazilian People With Parkinson’s Disease and Multiple Sclerosis

et al. 2022

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“…Similarly, online fall prevention programs have been found to be feasible and acceptable to older participants [34,35], supporting the premise of a teleyoga program designed to prevent falls. Although there is currently limited evidence about the effects of online exercise programs that offer synchronous (real time) versus asynchronous (prerecorded) classes [36,37], some studies suggest that synchronous programs are more engaging with higher levels of adherence and physical activity [38][39][40].…”

Section: Introductionmentioning

confidence: 99%

“I wouldn’t have joined if it wasn’t online”: understanding older people’s engagement with teleyoga classes for fall prevention

Haynes

Gilchrist

Oliveira

et al. 2022

BMC Complement Med Ther

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Background Yoga-based exercise is a promising strategy for promoting healthy ageing, with the potential to reduce falls and increase physical, cognitive and psychological wellbeing. Teleyoga (real-time yoga provided via interactive videoconferencing) can deliver yoga programs at scale, potentially reducing costs, increasing convenience, and reaching people who cannot attend studio-based classes. But better understanding of how older people perceive and engage with teleyoga is needed to optimise its design, implementation and promotion. Methods This study built on a previous realist process evaluation of the SAGE yoga trial which is testing the effect of a yoga-based exercise program on falls among 700 community-dwelling people aged 60 + years. In this second phase of evaluation we conducted focus groups with participants who had completed the SAGE program online and with the yoga instructors who were delivering it. We also conducted interviews with participants who had withdrawn from the trial. Six program theories developed in the earlier evaluation provided a framework for data analysis, supplemented by inductive coding and an analytical workshop. Results Participants described physical and psychological benefits from the SAGE teleyoga program. While noting that teleyoga cannot facilitate hands-on correction or the same quality of observation or interaction as studio classes, participants were highly appreciative of their yoga instructors’ strategies for optimising visibility, instruction, social connection and therapeutic alliance, and for adapting to constrained home environments. Some participants argued that teleyoga was superior to studio classes due to its accessibility and convenience, its lower exposure to potential embarrassment about physical appearance or capabilities, and a reduced sense of peer competition and distraction. Our program theories applied across studio and online modes of delivery. Conclusion Teleyoga increases accessibility for people in diverse locations and circumstances; it provides a psychologically safer space which combats self-consciousness and unwanted competitiveness; it may enhance embodiment and mindfulness for some; and it has the potential to be offered relatively cheaply at scale which could support free or reduced price classes for people on low incomes and pensions, thereby encouraging a wider population to engage in yoga for healthy ageing and fall prevention.

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Synchronous and asynchronous remote exercise may improve motor and non-motor symptoms in people with Parkinson’s disease during the COVID-19 pandemic

Cited by 2 publications

References 25 publications

Perception of COVID-19 Pandemic by Brazilian People With Parkinson’s Disease and Multiple Sclerosis

Perception of COVID-19 Pandemic by Brazilian People With Parkinson’s Disease and Multiple Sclerosis

“I wouldn’t have joined if it wasn’t online”: understanding older people’s engagement with teleyoga classes for fall prevention

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