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The Promise of Telemedicine for Movement Disorders: an Interdisciplinary Approach

  • Movement Disorders (S Fox, Section Editor)
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Abstract

Purpose of Review

Advances in technology have expanded telemedicine opportunities covering medical practice, research, and education. This is of particular importance in movement disorders (MDs), where the combination of disease progression, mobility limitations, and the sparse distribution of MD specialists increase the difficulty to access. In this review, we discuss the prospects, challenges, and strategies for telemedicine in MDs.

Recent Findings

Telemedicine for MDs has been mainly evaluated in Parkinson’s disease (PD) and compared to in-office care is cost-effective with similar clinical care, despite the barriers to engagement. However, particular groups including pediatric patients, rare MDs, and the use of telemedicine in underserved areas need further research.

Summary

Interdisciplinary telemedicine and tele-education for MDs are feasible, provide similar care, and reduce travel costs and travel time compared to in-person visits. These benefits have been mainly demonstrated for PD but serve as a model for further validation in other movement disorders.

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Acknowledgments

To Drew Whalen for editorial assistance.

Telemedicine task Force Members of the International Parkinson´s disease and Movement Disorders Society

1. Bajwa J, Director, Parkinson´s, Movement Disorders and Neurorestoration National Neuroscience Institute King Fahad Medical City Riyadh, Saudi Arabia

2. Bloem BR, Radboud university medical center; Donders Institute for Brain, Cognition and Behaviour; Department of Neurology; Nijmegen, the Netherlands.

3. Galifianakis NB, Department of Neurology, University of California, San Francisco, San Francisco, California, USA.

4. Gatto E, Instituto de Neurociencias Buenos Aires, INEBA, Buenos Aires, Argentina.

5. Goetz CG, Rush University Medical Center, Chicago, IL, USA.

6. Katz M, Neurology, University of California San Francisco, San Francisco, Calif., USA.

7. Pantelyat A, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

8. Tanner C, Parkinson's Disease Research, Education and Clinical Center, Neurology, San Francisco Veterans Affairs Medical Center, San Francisco, California, USA. Department of Neurology, University of California-San Francisco, San Francisco, California, USA.

9. Spindler M, Department of Neurology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

Author information

Authors and Affiliations

  1. Neuropediatric unit, Shaare Zedek Medical Center, Jerusalem, Israel

    H. Ben-Pazi

  2. Neurology Department, University Hospital Galway, Newcastle Road, Galway, Ireland

    P. Browne

  3. School of Medicine, National University of Ireland Galway, Galway, Ireland

    P. Browne

  4. Department of Neurobiology, Neurology and Geriatrics, Xuanwu Hospital of Capital Medical University Beijing, Beijing, China

    P. Chan

  5. Neurology Department, University Hospital, Burgos, Spain

    E. Cubo

  6. University of Toronto, Toronto, ON, Canada

    M. Guttman

  7. Department of Neurology, Mayo Clinic, Rochester, MN, USA

    A. Hassan

  8. Movement Disorders Program, Department of Neurology, Emory University School of Medicine, Atlanta, GA, USA

    J. Hatcher-Martin

  9. Parkinson’s Disease and Movement Disorders Program, Cleveland Clinic Lou Ruvo Center for Brain Health, Las Vegas, USA

    Z. Mari

  10. Department of Neurology, Johns Hopkins Medicine, Baltimore, MD, USA

    E. Moukheiber

  11. Neurology Unit, Department of Medicine, College of Medicine, University of Lagos, Lagos State, Nigeria

    N. U. Okubadejo

  12. Department of Neurology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    A. Shalash

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  1. H. Ben-Pazi
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Consortia

the International Parkinson and Movement Disorder Society Telemedicine Task Force

  • J. Bajwa
  • , B. R. Bloem
  • , N. B. Galifianakis
  • , E. Gatto
  • , C. G. Goetz
  • , M. Katz
  • , A. Pantelyat
  • , C. Tanner
  •  & M. Spindler

Corresponding author

Correspondence to E. Cubo.

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Conflict of Interest

Browne P, Chan P, Cubo E, Guttman M, Hassan A, Hatcher JM, Moukheiber E, Okubadejo NU, Shalash A, Bajwa J, Bloem BR, Galifianakis N, Gatto E, Goetz CG, Katz M, Mari Z, Pantelyat A, Tanner C, and Spindler M declare that they have no conflict of interest.

Ben-Pazi H is the founder of NeuroCan LTD, providing accessible neurological services including teleNeurology clinics.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Movement Disorders.

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Ben-Pazi, H., Browne, P., Chan, P. et al. The Promise of Telemedicine for Movement Disorders: an Interdisciplinary Approach. Curr Neurol Neurosci Rep 18, 26 (2018). https://doi.org/10.1007/s11910-018-0834-6

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