-
Je něco špatně v tomto záznamu ?
mHealth-assisted expiratory muscle strength training in Parkinson's disease patients: A proof-of-concept study
M. Srp, ÁS. Ferro, J. Ferreira, R. Cacho, L. Antunes, R. Bouça-Machado, O. Gál, M. Hoskovcová, R. Kliment, J. Mužík, TA. Mestre, DP. Rangel, E. Růžička, IP. Consortium
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie
- MeSH
- adherence pacienta * MeSH
- dechová cvičení metody MeSH
- lidé středního věku MeSH
- lidé MeSH
- mobilní aplikace * MeSH
- odporový trénink metody MeSH
- ověření koncepční studie * MeSH
- Parkinsonova nemoc * rehabilitace patofyziologie terapie MeSH
- sebeuplatnění MeSH
- senioři MeSH
- svalová síla fyziologie MeSH
- telemedicína * MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
BACKGROUND: Expiratory muscle strength training (EMST) is acknowledged for its therapeutic benefits in Parkinson's disease (PD), yet long-term adherence remains a challenge. OBJECTIVE: The primary aim of this study was to assess the preliminary effects of EMST coupled with a mobile health app (SpiroGym) on self-efficacy and exercise adherence in PD patients. The secondary aim was to assess the usability of the SpiroGym app. METHODS: This single-group, multicenter, multinational proof-of-concept study involved 63 PD patients across four tertiary PD centers. Participants were enrolled in either a 1-week (n = 35) or 24-week (n = 28) EMST program coupled with SpiroGym app. Self-efficacy was assessed using the Self-Efficacy for Home Exercise Program scale (SEHEPS) and exercise adherence was monitored by SpiroGym app. Usability was evaluated using the System Usability Scale. RESULTS: Post-intervention, significant improvements in SEHEPS were observed in 1-week group (d = 0.48; p = 0.02) and 24-week group (d = 0.57; p = 0.002). Adherence rates in the 24-week PD patient group were high throughout the course of the study. Post-training SEHEPS was found to correlate (rho = 0.55; adjusted p = 0.016) with adherence to EMST during the non-supervised maintenance phase. The SpiroGym app exhibited high usability (>85th percentile score), with no significant differences noted between short-term and long-term use, indicating sustained user satisfaction. CONCLUSIONS: The results of our study suggest a promising role for SpiroGym app in supporting adherence to home-based EMST in PD patients. Nevertheless, future comparative studies are required to confirm SpiroGym's effectiveness.
CNS Campus Neurológico Torres Vedras Portugal
Faculty of Biomedical Engineering Czech Technical University Prague Czech Republic
HM CINAC Hospital Universitario HM Puerta del Sur Universidad CEU San Pablo Madrid Spain
Movement Disorders Unit Neurology Department Hospital Universitario 12 de Octubre Madrid Spain
Citace poskytuje Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc25010594
- 003
- CZ-PrNML
- 005
- 20250429135526.0
- 007
- ta
- 008
- 250415s2024 xxu f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1177/1877718X241296013 $2 doi
- 035 __
- $a (PubMed)39957190
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a xxu
- 100 1_
- $a Srp, Martin $u Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic $1 https://orcid.org/0000000322150272
- 245 10
- $a mHealth-assisted expiratory muscle strength training in Parkinson's disease patients: A proof-of-concept study / $c M. Srp, ÁS. Ferro, J. Ferreira, R. Cacho, L. Antunes, R. Bouça-Machado, O. Gál, M. Hoskovcová, R. Kliment, J. Mužík, TA. Mestre, DP. Rangel, E. Růžička, IP. Consortium
- 520 9_
- $a BACKGROUND: Expiratory muscle strength training (EMST) is acknowledged for its therapeutic benefits in Parkinson's disease (PD), yet long-term adherence remains a challenge. OBJECTIVE: The primary aim of this study was to assess the preliminary effects of EMST coupled with a mobile health app (SpiroGym) on self-efficacy and exercise adherence in PD patients. The secondary aim was to assess the usability of the SpiroGym app. METHODS: This single-group, multicenter, multinational proof-of-concept study involved 63 PD patients across four tertiary PD centers. Participants were enrolled in either a 1-week (n = 35) or 24-week (n = 28) EMST program coupled with SpiroGym app. Self-efficacy was assessed using the Self-Efficacy for Home Exercise Program scale (SEHEPS) and exercise adherence was monitored by SpiroGym app. Usability was evaluated using the System Usability Scale. RESULTS: Post-intervention, significant improvements in SEHEPS were observed in 1-week group (d = 0.48; p = 0.02) and 24-week group (d = 0.57; p = 0.002). Adherence rates in the 24-week PD patient group were high throughout the course of the study. Post-training SEHEPS was found to correlate (rho = 0.55; adjusted p = 0.016) with adherence to EMST during the non-supervised maintenance phase. The SpiroGym app exhibited high usability (>85th percentile score), with no significant differences noted between short-term and long-term use, indicating sustained user satisfaction. CONCLUSIONS: The results of our study suggest a promising role for SpiroGym app in supporting adherence to home-based EMST in PD patients. Nevertheless, future comparative studies are required to confirm SpiroGym's effectiveness.
- 650 _2
- $a lidé $7 D006801
- 650 12
- $a Parkinsonova nemoc $x rehabilitace $x patofyziologie $x terapie $7 D010300
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a senioři $7 D000368
- 650 _2
- $a lidé středního věku $7 D008875
- 650 12
- $a telemedicína $7 D017216
- 650 12
- $a ověření koncepční studie $7 D000075082
- 650 12
- $a mobilní aplikace $7 D063731
- 650 12
- $a adherence pacienta $7 D010349
- 650 _2
- $a sebeuplatnění $7 D020377
- 650 _2
- $a odporový trénink $x metody $7 D055070
- 650 _2
- $a dechová cvičení $x metody $7 D001945
- 650 _2
- $a svalová síla $x fyziologie $7 D053580
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a multicentrická studie $7 D016448
- 700 1_
- $a Ferro, Álvaro Sánchez $u HM CINAC, Hospital Universitario HM Puerta del Sur, Universidad CEU-San Pablo, Madrid, Spain $u Movement Disorders Unit, Neurology Department, Hospital Universitario 12 de Octubre, Madrid, Spain $1 https://orcid.org/0000000324612485
- 700 1_
- $a Ferreira, Joaquim $u CNS - Campus Neurológico, Torres Vedras, Portugal $1 https://orcid.org/0000000339505113
- 700 1_
- $a Cacho, Ricardo $u CNS - Campus Neurológico, Torres Vedras, Portugal
- 700 1_
- $a Antunes, Laura $u CNS - Campus Neurológico, Torres Vedras, Portugal
- 700 1_
- $a Bouça-Machado, Raquel $u CNS - Campus Neurológico, Torres Vedras, Portugal
- 700 1_
- $a Gál, Ota $u Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
- 700 1_
- $a Hoskovcová, Martina $u Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic $1 https://orcid.org/0009000368194104
- 700 1_
- $a Kliment, Radim $u Faculty of Biomedical Engineering, Czech Technical University, Prague, Czech Republic $1 https://orcid.org/0000000264189434
- 700 1_
- $a Mužík, Jan $u Faculty of Biomedical Engineering, Czech Technical University, Prague, Czech Republic $1 https://orcid.org/0000000248517899
- 700 1_
- $a Mestre, Tiago A $u Parkinson's Disease and Movement Disorders Center, Division of Neurology, Department of Medicine, The Ottawa Hospital Research Institute, University of Ottawa Brain and Mind Institute, Ottawa, Canada
- 700 1_
- $a Rangel, Daniel Pérez $u Movement Disorders Unit, Neurology Department, Hospital Universitario 12 de Octubre, Madrid, Spain $1 https://orcid.org/0009000796274602
- 700 1_
- $a Růžička, Evžen $u Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
- 700 1_
- $a Consortium, iCARE-Pd $u Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic $1 https://orcid.org/0000000248939661 $7 jo20000074065
- 773 0_
- $w MED00208289 $t Journal of Parkinson's disease $x 1877-718X $g Roč. 14, č. 8 (2024), s. 1623-1630
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/39957190 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y - $z 0
- 990 __
- $a 20250415 $b ABA008
- 991 __
- $a 20250429135521 $b ABA008
- 999 __
- $a ok $b bmc $g 2311773 $s 1247675
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2024 $b 14 $c 8 $d 1623-1630 $e 20250114 $i 1877-718X $m Journal of Parkinson's disease $n J Parkinsons Dis $x MED00208289
- LZP __
- $a Pubmed-20250415
