Evidence map›Paper›PMID 41719152›Full record

Trial reportJournal of Parkinson's disease2026

Telerehabilitation for early-stage Parkinson's disease: A randomized controlled feasibility trial of individualised real-time physiotherapy delivered via a videoconference platform.

Rob Skelly, Fiona Lindop, Adam L Gordon, Neil H Chadborn, Manaal Malik, Kieron McFarlane, Lisa Brown, Jackie Beckhelling, Andrew Skeggs, Leanne Smith and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Parkinson's disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rob SkellyDepartment of Medicine for Older People, University Hospitals of Derby and Burton, Derby, UK.ORCID 0000-0001-8695-3299
Fiona LindopSpecialist Rehabilitation, University Hospitals of Derby and Burton, Derby, UK.
Adam L GordonWolfson Institute of Population Health, Queen Mary University of London, London, UK.ORCID 0000-0003-1676-9853
Neil H ChadbornNIHR Applied Research Collaboration East Midlands, Nottingham, UK.ORCID 0000-0003-1368-7983
Manaal MalikSchool of Medicine, University of Nottingham, Institute of Mental Health, Triumph Road, Nottingham, UK.
Kieron McFarlaneSchool of Medicine, University of Nottingham, Institute of Mental Health, Triumph Road, Nottingham, UK.
Lisa BrownDepartment of Neurology, University Hospitals of Derby and Burton, Derby, UK.
Jackie BeckhellingDepartment of Research and Development, University Hospitals of Derby and Burton, Derby, UK.
Andrew SkeggsDepartment of Research and Development, University Hospitals of Derby and Burton, Derby, UK.
Leanne SmithDepartment of Medicine, North Tyneside General Hospital, Rake Lane, North Shields, UK.
Richard WalkerDepartment of Medicine, North Tyneside General Hospital, Rake Lane, North Shields, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionExercise can improve outcomes for people with Parkinson's. Telerehabilitation (TR) may lower costs and maximise clinician time but its efficacy for gait and balance in early Parkinson's is uncertain. We conducted a randomized controlled feasibility trial of individualised real-time physiotherapy delivered via videoconference.MethodsWe recruited people with early (<4 years' duration) Parkinson's from 2 English NHS hospitals. The TR group had 1 × 60 min, 4 × 30 min video calls and 2 × 10 min calls. These calls occurred within 12 weeks of randomization. Experienced physiotherapists prescribed individualized exercises. The usual care group received standard exercise advice from their physician. Physical activity was measured using Fitbit Inspire. A qualitative process evaluation was undertaken.Results84 people were screened, 64 were eligible and 40 recruited. 21 and 19 were randomized to TR and usual care respectively. 90% of study instruments were completed per protocol.Median [interquartile range; IQR] change in Unified Parkinson's Disease Rating Scale (UPDRS) at six months was -3.5 [-8 to 2.5] for the TR group and 7 [0 to 17] for usual care, effect size (Cohen's D = -0.537). Median [IQR] change in weekly step count was 4215 [-8769 to 19664] for the TR group versus -2185 [-10764 to 3143] for usual care (Cohen's D = 0.198). Participants found the intervention acceptable. Most participants were confident in using the videoconference systems.ConclusionA definitive trial of TR for early Parkinson's is feasible. UPDRS and step count are suitable outcomes.

Indexed as

Exercise TherapyParkinson DiseasePhysical Therapy ModalitiesTelerehabilitationAgedFeasibility StudiesFemaleHumansMaleMiddle AgedVideoconferencingfitbitParkinson'sphysiotherapyrandomised controlled trialtelerehabilitationwearable

Identifiers

PMID41719152
PMCPMC13347594

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.