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The Promise of Telemedicine for Movement Disorders: an Interdisciplinary Approach

Current Neurology and Neuroscience Reports volume 18, Article number: 26 (2018) Cite this article

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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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Institute of Medicine (US) Committee on Evaluating Clinical Applications of Telemedicine; Field MJ, editor. Telemedicine: a guide to assessing telecommunications in health care. Washington (DC): National Academies Press (US); 1996.

  2. World Health Organization. Telemedicine: opportunities and developments in member states: report on the second global survey on eHealth 2009. Global Observatory for eHealth Series; 2010. pp. 2.

  3. Cubo E, Doumbe J, Lopez E, et al. Telemedicine enables broader access to movement disorders curricula for medical students. Tremor Other Hyperkinet Mov (N Y). 2017;7:501.

    Google Scholar 

  4. Evolution and Current Applications of Telemedicine. Available from https://www.ncbi.nlm.nih.gov/books/NBK45445/).

  5. •• Achey M, Aldred JL, Aljehani N, et al. The past, present, and future of telemedicine for Parkinson’s disease. Mov Disord. 2014;29:871–83. This article reports the past, present, and likely future applications of telemedicine to Parkinson’s disease.

    Article  PubMed  Google Scholar 

  6. Dorsey ER, Vlaanderen FP, Engelen LJ, et al. Moving Parkinson care to the home. Mov Disord. 2016;31:1258–62.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Speedie SM, Ferguson AS, Sanders J, Doarn CR. Telehealth: the promise of new care delivery models. Telemed J E Health. 2008;14:964–7.

    Article  PubMed  Google Scholar 

  8. Wechsler LR, Tsao JW, Levine SR, et al. Teleneurology applications: report of the telemedicine work Group of the American Academy of Neurology. Neurology. 2013;80:670–6.

    Article  PubMed  PubMed Central  Google Scholar 

  9. •• Schneider RB, Biglan KM. The promise of telemedicine for chronic neurological disorders: the example of Parkinson’s disease. Lancet Neurol. 2017;16:541–51. This article describes the benefits of telemedicine for Parkinson’s disease and limitations and barriers to widespread implementation of telemedicine services remain to be addressed, including reimbursement, legal considerations, and technological issues.

    Article  PubMed  Google Scholar 

  10. Velasquez SE, Chaves-Carballo E, Nelson EL. Pediatric Teleneurology: a model of epilepsy care for rural populations. Pediatr Neurol. 2016;64:32–7.

    Article  PubMed  Google Scholar 

  11. Hubble JP. Interactive video conferencing and Parkinson’s disease. Kans Med. 1992;93:351–2.

    CAS  PubMed  Google Scholar 

  12. Goetz CG, Stebbins GT, Wolff D, DeLeeuw W, Bronte-Stewart H, Elble R, et al. Testing objective measures of motor impairment in early Parkinson’s disease: feasibility study of an at-home testing device. Mov Disord. 2009;24:551–6.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Cubo E, Gabriel-Galan JM, Martinez JS, et al. Comparison of office-based versus home web-based clinical assessments for Parkinson's disease. Mov Disord. 2012;27:308–11.

    Article  PubMed  Google Scholar 

  14. Dorsey ER, Deuel LM, Voss TS, Finnigan K, George BP, Eason S, et al. Increasing access to specialty care: a pilot, randomized controlled trial of telemedicine for Parkinson's disease. Mov Disord. 2010;25:1652–9.

    Article  PubMed  Google Scholar 

  15. Dorsey ER, Venkataraman V, Grana MJ, Bull MT, George BP, Boyd CM, et al. Randomized controlled clinical trial of “virtual house calls” for Parkinson disease. JAMA Neurol. 2013;70:565–70.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Abdolahi A, Scoglio N, Killoran A, Dorsey ER, Biglan KM. Potential reliability and validity of a modified version of the unified Parkinson’s disease rating scale that could be administered remotely. Parkinsonism Relat Disord. 2013;19:218–21.

    Article  PubMed  Google Scholar 

  17. Dorsey ER, Bloem BR. The Parkinson pandemic-a call to action. JAMA Neurol. 2018;75:9–10.

    Article  PubMed  Google Scholar 

  18. Dall TM, Storm MV, Chakrabarti R, Drogan O, Keran CM, Donofrio PD, et al. Supply and demand analysis of the current and future US neurology workforce. Neurology. 2013;81:470–8.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Cheng EM, Swarztrauber K, Siderowf AD, Eisa MS, Lee M, Vassar S, et al. Association of specialist involvement and quality of care for Parkinson’s disease. Mov Disord. 2007;22:515–22.

    Article  PubMed  Google Scholar 

  20. Dorsey ER, Voss TS, Shprecher DR, Deuel LM, Beck CA, Gardiner IF, et al. A U.S. survey of patients with Parkinson’s disease: satisfaction with medical care and support groups. Mov Disord. 2010;25:2128–35.

    Article  PubMed  Google Scholar 

  21. Burke JF, Albin RL. Do neurologists make a difference in Parkinson disease care? Neurology. 2011;77:e52–3.

    Article  PubMed  Google Scholar 

  22. Bull MT, Darwin K, Venkataraman V, Wagner J, Beck CA, Dorsey ER, et al. A pilot study of virtual visits in Huntington disease. J Huntingtons Dis. 2014;3:189–95.

    PubMed  Google Scholar 

  23. Hawkins AK, Creighton S, Ho A, McManus B, Hayden MR. Providing predictive testing for Huntington disease via telehealth: results of a pilot study in British Columbia, Canada. Clin Genet. 2013;84:60–4.

    CAS  Article  PubMed  Google Scholar 

  24. Amarendran V, George A, Gersappe V, Krishnaswamy S, Warren C. The reliability of telepsychiatry for a neuropsychiatric assessment. Telemed J E Health. 2011;17:223–5.

    Article  PubMed  Google Scholar 

  25. Martino D, Ganos C, Pringsheim TM. Tourette syndrome and chronic tic disorders: the clinical spectrum beyond tics. Int Rev Neurobiol. 2017;134:1461–90.

    Article  PubMed  Google Scholar 

  26. Goetz CG, Leurgans S, Chmura TA. Home alone: methods to maximize tic expression for objective videotape assessments in Gilles de la Tourette syndrome. Mov Disord. 2001;16:693–7.

    CAS  Article  PubMed  Google Scholar 

  27. Piacentini J, Woods DW, Scahill L, Wilhelm S, Peterson AL, Chang S, et al. Behavior therapy for children with Tourette disorder: a randomized controlled trial. JAMA. 2010;303:1929–37.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  28. Wilhelm S, Peterson AL, Piacentini J, Woods DW, Deckersbach T, Sukhodolsky DG, et al. Randomized trial of behavior therapy for adults with Tourette syndrome. Arch Gen Psychiatry. 2012;69:795–803.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Ricketts EJ, Goetz AR, Capriotti MR, Bauer CC, Brei NG, Himle MB, et al. A randomized waitlist-controlled pilot trial of voice over internet protocol-delivered behavior therapy for youth with chronic tic disorders. J Telemed Telecare. 2016;22:153–62.

    Article  PubMed  Google Scholar 

  30. Conelea CA, Wellen BCM. Tic treatment goes tech: a review of TicHelper.com. Cogn Behav Pract. 2017;24:374–81.

    Article  PubMed  Google Scholar 

  31. Foster MV, Sethares KA. Facilitators and barriers to the adoption of telehealth in older adults: an integrative review. Comput Inform Nurs. 2014;32:523–33. quiz 534-525

    Article  PubMed  Google Scholar 

  32. Cialone J, Augustine EF, Newhouse N, Vierhile A, Marshall FJ, Mink JW. Quantitative telemedicine ratings in batten disease: implications for rare disease research. Neurology. 2011;77:1808–11.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  33. Ragbeer SN, Augustine EF, Mink JW, Thatcher AR, Vierhile AE, Adams HR. Remote assessment of cognitive function in juvenile neuronal ceroid lipofuscinosis (batten disease): a pilot study of feasibility and reliability. J Child Neurol. 2016;31:481–7.

    Article  PubMed  Google Scholar 

  34. Padela AI, Gunter K, Killawi A, Heisler M. Religious values and healthcare accommodations: voices from the American Muslim community. J Gen Intern Med. 2012;27:708–15.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Alajlani M, Clarke M. Effect of culture on acceptance of telemedicine in middle eastern countries: case study of Jordan and Syria. Telemed J E Health. 2013;19:305–11.

    Article  PubMed  Google Scholar 

  36. U.S. Department of Veterans Affairs. FY 2018 / FY 2016: Annual performance plan and report [online]. Available at: https://www.va.gov/budget/docs/VAapprFY2018.pdf. Accessed 15 Nov 2017.

  37. https://mhealthintelligence.com/news/kaiser-ceo-telehealth-outpaced-in-person-visits-last-year. Visited at January 10th 2018.

  38. Congress.gov. Medicare Telehealth Parity Act of 2017. Available at: https://www.congress.gov/bill/115th-congress/house-bill/2550/titles. Accessed 4 Dec 2017.

  39. Schneider R, Dorsey ER, Biglan K. Telemedicine Care for Nursing Home Residents with parkinsonism. J Am Geriatr Soc. 2016;64:218–20.

    Article  PubMed  Google Scholar 

  40. https://otn.ca/wp-content/uploads/2017/11/otn-annual-report.pdf. Visited at January, 10th 2018.

  41. Li D, Zhang C, Gault J, Wang W, Liu J, Shao M, et al. Remotely programmed deep brain stimulation of the bilateral subthalamic nucleus for the treatment of primary Parkinson disease: a randomized controlled trial investigating the safety and efficacy of a novel deep brain stimulation system. Stereotact Funct Neurosurg. 2017;95:174–82.

    Article  PubMed  Google Scholar 

  42. Pretzer-Aboff I, Prettyman A. Implementation of an integrative holistic healthcare model for people living with Parkinson’s disease. Gerontologist. 2015;55(Suppl 1):S146–53.

    Article  PubMed  Google Scholar 

  43. Veenhuizen RB, Kootstra B, Vink W, Posthumus J, van Bekkum P, Zijlstra M, et al. Coordinated multidisciplinary care for ambulatory Huntington’s disease patients. Evaluation of 18 months of implementation. Orphanet J Rare Dis. 2011;6:77.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Veenhuizen RB, Tibben A. Coordinated multidisciplinary care for Huntington’s disease. An outpatient department. Brain Res Bull. 2009;80:192–5.

    Article  PubMed  Google Scholar 

  45. Iacono T, Stagg K, Pearce N, Hulme Chambers A. A scoping review of Australian allied health research in ehealth. BMC Health Serv Res. 2016;16:543.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Van Allen J, Davis AM, Lassen S. The use of telemedicine in pediatric psychology: research review and current applications. Child Adolesc Psychiatr Clin N Am. 2011;20:55–66.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Wilson L, Onslow M, Lincoln M. Telehealth adaptation of the Lidcombe program of early stuttering intervention: five case studies. Am J Speech Lang Pathol. 2004;13:81–93.

    Article  PubMed  Google Scholar 

  48. Lade H, McKenzie S, Steele L, Russell TG. Validity and reliability of the assessment and diagnosis of musculoskeletal elbow disorders using telerehabilitation. J Telemed Telecare. 2012;18:413–8.

    Article  PubMed  Google Scholar 

  49. Crotty M, Killington M, van den Berg M, Morris C, Taylor A, Carati C. Telerehabilitation for older people using off-the-shelf applications: acceptability and feasibility. J Telemed Telecare. 2014;20:370–6.

    Article  PubMed  Google Scholar 

  50. Bloem BR, de Vries NM, Ebersbach G. Nonpharmacological treatments for patients with Parkinson’s disease. Mov Disord. 2015;30:1504–20.

    Article  PubMed  Google Scholar 

  51. Lee NY, Lee DK, Song HS. Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson’s disease patients. J Phys Ther Sci. 2015;27:145–7.

    Article  PubMed  PubMed Central  Google Scholar 

  52. Albiol-Perez S, Gil-Gomez JA, Munoz-Tomas MT, Gil-Gomez H, Vial-Escolano R, Lozano-Quilis JA. The effect of balance training on postural control in patients with Parkinson’s disease using a virtual rehabilitation system. Methods Inf Med. 2017;56:138–44.

    Article  PubMed  Google Scholar 

  53. Canning CG, Sherrington C, Lord SR, Close JCT, Heritier S, Heller GZ, et al. Exercise for falls prevention in Parkinson disease: a randomized controlled trial. Neurology. 2015;84:304–12.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Siderowf A, Ravina B, Glick HA. Preference-based quality-of-life in patients with Parkinson's disease. Neurology. 2002;59:103–8.

    Article  PubMed  Google Scholar 

  55. Zimmermann R, Gschwandtner U, Benz N, Hatz F, Schindler C, Taub E, et al. Cognitive training in Parkinson disease: cognition-specific vs nonspecific computer training. Neurology. 2014;82:1219–26.

    Article  PubMed  Google Scholar 

  56. Dias AE, Limongi JC, Barbosa ER, Hsing WT. Voice telerehabilitation in Parkinson’s disease. Codas. 2016;28:176–81.

    Article  PubMed  Google Scholar 

  57. Frich JC, Rae D, Roxburgh R, Miedzybrodzka ZH, Edmondson M, Pope EB, et al. Health care delivery practices in Huntington’s disease specialty clinics: an international survey. J Huntingtons Dis. 2016;5:207–13.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Borasio GD. The role of palliative care in patients with neurological diseases. Nat Rev Neurol. 2013;9:292–5.

    Article  PubMed  Google Scholar 

  59. Ly BA, Bourgeault IL, Labonte R, Niang MN. Physicians’ perceptions on the impact of telemedicine on recruitment and retention in underserved areas: a descriptive study in Senegal. Hum Resour Health. 2017;15:67.

    Article  PubMed  PubMed Central  Google Scholar 

  60. • Cubo E, Doumbe J, Njiengwe E, et al. A Parkinson’s disease tele-education program for health care providers in Cameroon. J Neurol Sci. 2015;357:285–7. This article describes the feasibility of a tele-education program for Parkinson’s disease in Cameroon.

    Article  PubMed  Google Scholar 

  61. Wilkinson JR, Spindler M, Wood SM, Marcus SC, Weintraub D, Morley JF, et al. High patient satisfaction with telehealth in Parkinson disease: a randomized controlled study. Neurol Clin Pract. 2016;6:241–51.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Beck CA, Beran DB, Biglan KM, Boyd CM, Dorsey ER, Schmidt PN, et al. National randomized controlled trial of virtual house calls for Parkinson disease. Neurology. 2017;89:1152–61.

    Article  PubMed  PubMed Central  Google Scholar 

  63. Cubo E, Mariscal N, Solano B, Becerra V, Armesto D, Calvo S, et al. Prospective study on cost-effectiveness of home-based motor assessment in Parkinson’s disease. J Telemed Telecare. 2017;23:328–38.

    CAS  Article  PubMed  Google Scholar 

  64. Group GNDC. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the global burden of disease study 2015. Lancet Neurol. 2017;16:877–97.

    Article  Google Scholar 

  65. •• Korn RE, Shukla AW, Katz M, et al. Virtual visits for Parkinson disease: a multicenter noncontrolled cohort. Neurol Clin Pract. 2017;7:283–95. This article reports that Providing specialty care remotely into the homes of individuals with PD is feasible, but a one-time visit did not improve quality of life. Satisfaction with the visits was high among physicians and patients, who were interested in receiving such care in the future.

    Article  PubMed  Google Scholar 

  66. Samii A, Ryan-Dykes P, Tsukuda RA, Zink C, Franks R, Nichol WP. Telemedicine for delivery of health care in Parkinson’s disease. J Telemed Telecare. 2006;12:16–8.

    Article  PubMed  Google Scholar 

  67. Qiang JK, Marras C. Telemedicine in Parkinson’s disease: a patient perspective at a tertiary care Centre. Parkinsonism Relat Disord. 2015;21:525–8.

    Article  PubMed  Google Scholar 

  68. Dorsey ER, Topol EJ. State of telehealth. N Engl J Med. 2016;375:1400.

    Article  PubMed  Google Scholar 

  69. Mammen JR, Elson MJ, Java JJ, Beck CA, Beran DB, Biglan KM, Boyd CM, Schmidt PN, Simone R, Willis AW, Dorsey ER Patient and physician perceptions of virtual visits for Parkinson’s disease: a qualitative study. Telemed J E Health. 2017.

  70. Hassan A, Dorsey ER, Goetz CG, et al. Telemedicine task force. Telemedicine for Movement Disorders: A Global Perspective (in submission).

  71. Silva de Lima AL, Hahn T, Evers LJW, de Vries NM, Cohen E, Afek M, et al. Feasibility of large-scale deployment of multiple wearable sensors in Parkinson’s disease. PLoS One. 2017;12:e0189161.

    Article  PubMed  PubMed Central  Google Scholar 

  72. Henderson EJ, Lord SR, Brodie MA, Gaunt DM, Lawrence AD, Close JCT, et al. Rivastigmine for gait stability in patients with Parkinson’s disease (ReSPonD): a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet Neurol. 2016;15:249–58.

    CAS  Article  PubMed  Google Scholar 

  73. Bot BM, Suver C, Neto EC, Kellen M, Klein A, Bare C, et al. The mPower study, Parkinson disease mobile data collected using ResearchKit. Sci Data. 2016;3:160011.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  74. Michael J Fox Foundation (MJFF). Fox Insight Wearables: a virtual research study [online]. Available at: https://www.michaeljfox.org/fox-insight-form.html. Accessed November 8.

  75. Mera TO, Burack MA, Giuffrida JP. Objective motion sensor assessment highly correlated with scores of global levodopa-induced dyskinesia in Parkinson’s disease. J Parkinson's Dis. 2013;3:399–407.

    CAS  Google Scholar 

  76. Heldman DA, Espay AJ, LeWitt PA, Giuffrida JP. Clinician versus machine: reliability and responsiveness of motor endpoints in Parkinson’s disease. Parkinsonism Relat Disord. 2014;20:590–5.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Heldman DA, Giuffrida JP, Cubo E. Wearable sensors for advanced therapy referral in Parkinson's disease. J Parkinson's Dis. 2016;6:631–8.

    Article  Google Scholar 

  78. Heldman DA, Urrea-Mendoza E, Lovera LC, Schmerler DA, Garcia X, Mohammad ME, et al. App-based bradykinesia tasks for clinic and home assessment in Parkinson's disease: reliability and responsiveness. J Parkinson's Dis. 2017;7:741–7.

    Article  Google Scholar 

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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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  • DOI: https://doi.org/10.1007/s11910-018-0834-6

Keywords

  • Telemedicine
  • Movement disorders
  • Telehealth
  • Tele-education