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Accepted for/Published in: JMIR mHealth and uHealth

Date Submitted: Feb 2, 2021
Date Accepted: Jul 2, 2021

The final, peer-reviewed published version of this preprint can be found here:

Exercise Management Using a Mobile App in Patients With Parkinsonism: Prospective, Open-Label, Single-Arm Pilot Study

Kim A, Yun SJ, Sung KS, Kim Y, Jo JY, Jo H, Park K, Oh BM, Seo HG

Exercise Management Using a Mobile App in Patients With Parkinsonism: Prospective, Open-Label, Single-Arm Pilot Study

JMIR Mhealth Uhealth 2021;9(8):e27662

DOI: 10.2196/27662

PMID: 34463635

PMCID: 8441602

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Exercise Management Using a Mobile App in Patients with Parkinsonism: A Prospective, Open-label, Single-arm, Pilot Study

  • Aram Kim; 
  • Seo Jung Yun; 
  • Kwan Sik Sung; 
  • Yeonju Kim; 
  • Ju Young Jo; 
  • Hanseul Jo; 
  • Kyudong Park; 
  • Byung-Mo Oh; 
  • Han Gil Seo

ABSTRACT

Background:

Although exercise has benefits for motor function and quality of life in patients with parkinsonism, these patients have many barriers to exercise participation. Recently, the use of mobile apps has been highlighted as a remotely supervised exercise management strategy.

Objective:

This study aimed to evaluate the effects of home-based exercise management with a customized mobile app on exercise amount, physical activity, and quality of life in patients with parkinsonism.

Methods:

This was a prospective, open-label, single-arm, pilot study. Participants were encouraged to engage in an 8-week home-based exercise program delivered through a customized app. The primary outcome was the exercise amount. The secondary outcomes were International Physical Activity Questionnaire (IPAQ), Parkinson’s Disease Questionnaire-39 (PDQ-39), and Geriatric Depression Scale (GDS).

Results:

A total of 21 participants completed the intervention and assessment (mean age: 72 years; women: 17/21, 81%; men: 4/21, 19%). The participants reported a significant increase in the total amount of exercise (baseline: 343.33±206.70 min/week; 8-week follow up: 693.10±373.45 min/week; P<.001) and in the amount of each exercise component including stretching, strengthening, balance and cooperation, and oral-motor and vocal exercise after 8 weeks. The analysis of secondary outcomes revealed significant improvements in the IPAQ (P=.006), PDQ-39 (P=.02), and GDS (P=.04) scores. The usability of the program with the mobile app was verified based on the positive responses such as “intention to use” and “role expectation for rehabilitation.”

Conclusions:

Exercise management with a customized mobile app may have benefits for improving exercise adherence, physical activity, depression, and quality of life in patients with parkinsonism. This supervised home-based, technology-based, reinforcing, and multimodal exercise management strategy should be recommend to patients with parkinsonism. In addition, this program may be useful as an alternative exercise management strategy during the COVID-19 pandemic. Additional clinical trials are needed to evaluate the efficacy of this exercise program in a large population and to confirm its disease-modifying effects.


 Citation

Please cite as:

Kim A, Yun SJ, Sung KS, Kim Y, Jo JY, Jo H, Park K, Oh BM, Seo HG

Exercise Management Using a Mobile App in Patients With Parkinsonism: Prospective, Open-Label, Single-Arm Pilot Study

JMIR Mhealth Uhealth 2021;9(8):e27662

DOI: 10.2196/27662

PMID: 34463635

PMCID: 8441602

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