Telemedicine is witnessing a rebirth due to the COVID-19 pandemic and the continuing need for limited-contact or contactless care in medicine. Telerehabilitation, an offshoot of telemedicine, is a valuable yet underexplored tool in the therapeutic armamentarium of patients with neurological conditions, particularly Parkinson’s disease (PD). Although there is evidence in literature reporting the use of telerehabilitation and virtual reality-based services in providing rehabilitation to improve speech, swallowing, gait, and postural instability among persons with PD, the evidence is limited due to small patient numbers. Teleneurorehabilitation (TNR) is an underutilized strategy that may be as effective and perhaps more feasible and affordable among Indian PD patients and also allows sustained rehabilitation. In this article, we encapsulate the evidence on the utility and efficacy of TNR among persons with PD and call upon the neurology community to recognize and utilize the valuable asset that TNR may be for PD patients.


中文翻译：

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帕金森氏病的神经神经康复治疗：时代的灵丹妙药？


由于COVID-19大流行以及医学界对有限接触或非接触式护理的持续需求，远程医疗正在重生。远程康复是远程医学的分支，在患有神经系统疾病，尤其是帕金森氏病（PD）的患者的治疗性武器库中，是一种有价值的但尚未开发的工具。尽管文献中有证据表明使用远程康复和基于虚拟现实的服务来改善PD患者的言语，吞咽，步态和姿势不稳，但由于患者人数少，证据有限。远程神经康复（TNR）是一种未得到充分利用的策略，在印度PD患者中可能同样有效，也许更为可行和负担得起，并且可以实现持续的康复。在这篇文章中，