Teleneurology in Parkinson's disease: A step-by-step video guide

Autores da FMUP

• Diogo Alexandre Santos Ferreira

  Autor

• Elsa Irene Peixoto Azevedo Silva

  Autor

Participantes de fora da FMUP

• Ara?jo, R.

Unidades de investigação

• Cirurgia e Fisiologia

• Laboratório Associado RISE- Rede de Investigação em Saúde

  

  Investigador

  Fernando Carlos De Landér Schmitt

• Neurociências Clínicas e Saúde Mental

Abstract

Background The COVID-19 pandemic forced the implementation of social distancing and circulation restrictions. This affected all aspects of society including health care. In the field of chronic neurological disorders such as Parkinsons disease (PD), teleneurology is employed in scenarios where face-to-face interactions are not possible. A growing number of clinicians and institutions are turning to teleneurology in order to providing medical care. Aims of the article In this manuscript, we present a practical, how we do it in real life, example of a teleneurology appointment with a person with PD (PwP). Methods We elaborated a step-by-step approach of the main aspects of a consultation with a PwP and provide video illustration. Results The key aspects of a teleneurology appointment were separated into: (1) In the office, before the appointment; (2) History taking; (3) Examination; and (4) Finishing up. Conclusions We discuss the strengths and weaknesses of this approach and provide our experience in overcoming commonly encountered difficulties.

Keywords

• COVID-19; Parkinson Disease; remote consultation; telemedicine