Impact of COVID‐19 on Patient Care, Training, and Research in Movement Disorders in MDS‐AOS Region (original) (raw)
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Global Survey on Telemedicine Utilization for Movement Disorders During the COVID ‐19 Pandemic
Movement Disorders, 2020
Background: The COVID-19 pandemic restricted usual healthcare management for movement-disorders patients, with a consequent upsurge in telemedicine to bridge the gap. Objective: To assess global telemedicine usage in the context of the pandemic. Methods: The Movement Disorder Society (MDS) Telemedicine Study Group surveyed telemedicine experts from 40 countries across all continents in March-April 2020. Four domains of telemedicine were assessed: legal regulations, reimbursement, clinical use, and barriers; comparing emerging responses to the pandemic versus the baseline scenario. Results: All forms of telemedicine for movement disorders increased globally, irrespective of country income categorization, as an immediate response to the pandemic. This was aided by widespread availability of technology and updated government regulations. However, privacy concerns, lack of reimbursement, limited access, and lack of telemedicine training were barriers highlighted worldwide. Conclusions: Questions remain about the longevity and extent of changes in regulations and reimbursement regarding telemedicine in the aftermath of the pandemic.
Movement Disorder Specialists Survey Regarding Use of Telemedicine During the COVID-19 Pandemic
Telemedicine and e-Health, 2022
Aim: To assess the overall satisfaction level of movement disorder specialists using a virtual platform during the COVID-19 pandemic. Methods: This was a multicenter cross-sectional survey for a 6-month period during the beginning of the COVID-19 pandemic. Movement disorder specialists, who utilized telehealth visits from March 2020 to August 2020, were included. The study surveys, including provider's satisfaction with the care that they were able to provide and visit quality, were completed by the provider after each visit. Results: A total of 206 visits, provided by movement disorder specialists, were analyzed. Zoom was the most popular platform used for remote visits (70, 34%). A backup platform was not needed in the majority of movement disorder visits (171, 83%). The majority of physicians were very satisfied or satisfied with the care provided (72.9%) and visit quality (61%). Conclusions: The satisfaction level of specialists using telemedicine during COVID-19 was high despite having encounters with elderly patients with cognitive impairment or lacking advanced skills with technology.
Movement Disorders Associated with COVID-19
Parkinson's Disease
As neurological complications associated with COVID-19 keep unfolding, the number of cases with COVID-19-associated de novo movement disorders is rising. Although no clear pathomechanistic explanation is provided yet, the growing number of these cases is somewhat alarming. This review gathers information from 64 reports of de novo movement disorders developing after/during infection with SARS-CoV-2. Three new cases with myoclonus occurring shortly after a COVID-19 infection are also presented. Treatment resulted in partial to complete recovery in all three cases. Although the overall percentage of COVID-19 patients who develop movement disorders is marginal, explanations on a probable causal link have been suggested by numerous reports; most commonly involving immune-mediated and postinfectious and less frequently hypoxic-associated and ischemic-related pathways. The current body of evidence points myoclonus and ataxia out as the most frequent movement disorders occurring in COVID-1...
Paediatrics & Child Health
Objectives This study examined the acute and longer-term impacts of the COVID-19 pandemic on the movement behaviours and health of children and youth with disabilities (CYD) in Canada. Methods Eighty-six parents of CYD completed an online survey twice (May 2020 and November 2020). Interviews were completed with seven families in March 2021. Results At both time points, <20% of CYD met the physical activity and sedentary behaviour guidelines, and >50% of CYD met the sleep guideline. No CYD met all three movement guidelines. Nearly one-quarter of CYD reported declines in health from pre-pandemic levels. Interview themes revealed that shifting of routines, unoccupied time, reduced physiotherapy opportunities, parental capacity, and the social and built environment all impacted the movement behaviours of CYD. Conclusions Movement behaviours and health of CYD must be prioritized in COVID-19 recovery efforts through quality programming, highly trained instructors, accessible and inc...
Post-acute COVID-19 functional movement disorder
SAGE Open Medical Case Reports, 2021
Movement disorders are rare compared to other neurological manifestations of COVID-19. Patients who have recovered from acute severe acute respiratory syndrome coronavirus-2 infection continue to have multiple debilitating symptoms months later. We report a case of 54-year-old man who presented with repetitive flexion movement of head which started 2 months after severe acute respiratory syndrome coronavirus-2 infection. Extensive work-up including neurological examination, neuroimaging, cerebrospinal fluid analysis, and electroencephalogram were normal. The self-reported questionnaires for depression and anxiety were suggestive of severe anxiety and depression. The patient continued to have the jerky movements besides cognitive impairment, frequent headaches, intermittent shortness of breath, sleeping difficulties, fatigue, and dizziness at 1-year follow-up. This case highlights the presentation of functional movement disorder as one of the manifestations of underlying neuropsychia...
Changes in Clinical Practice in Physiotherapy as Repercussions of COVID-19 Pandemic
https://www.ijhsr.org/IJHSR\_Vol.11\_Issue.3\_March2021/IJHSR-Abstract.01.html, 2021
Background: World Health Organization declared COVID-19 a pandemic. This led to change in the health care facilities and steps were taken to make the system safe. Physiotherapy profession faced many challenges to provide clinical care to patients and making their setup safe. This study aimed to view how this pandemic had changed physiotherapy clinical practices in Ahmedabad. Method: An observational study was conducted among 52 physiotherapists who owned or worked in private clinics. They were asked to fill a self-developed questionnaire containing 20 questions on the clinical setup, Tele-rehabilitation, Therapist and patient related question. Statistical analysis was done using Microsoft Excel2013. Results: After COVID-19 there is a decrease in the number of patients visiting clinics for treatment. The patients were apprehensive about clinical visit. There was decrease in income. There is increase in number of cases of Tele-rehabilitation with increase in the cost of video conference software. There is increase in cost of protective equipment and sanitization of clinics, used to protect patients and therapist. There was fear among the therapist of being infected from virus and both patients and therapist suffered from anxiety, depression, stress. Conclusion: After COVID-19 pandemic physiotherapy clinical practice experienced many challenges. There is decrease in number of patients and average time spent on each patient. There is increase in use of tele-rehabilitation, cost for protective equipment and software technology. Therapist spent long time working in PPE kit and had fear of getting infected thus experiencing anxiety, stress, pain, and fatigue.
International Journal of Environmental Research and Public Health, 2020
The COVID-19 pandemic has resulted in a Movement Control Order (MCO) in Malaysia and the subsequent closure of all educational institutions. We aimed to examine the psychological impact of the MCO among clinical undergraduates. A cross-sectional study was conducted using self-reported questionnaires that were distributed online using the Depression, Anxiety and Stress Scale-21 (DASS 21), Short Warwick Edinburgh Mental Well-Being Scale (SWEMWBS), and the newly designed MCO effect questionnaire. Seven hundred seventy-two students completed the survey. The prevalence of psychological distress was 52.8%, with around 60% of respondents reporting disruption to their daily lives. Older (p = 0.015) and more senior students (p < 0.001) were less likely to be anxious than their younger and junior counterparts, respectively. A greater number of social support (three or more) was linked to a lower score of depression (p = 0.005) and stress (p = 0.045). Undergraduates who received family supp...
COVID-19 and its impact on human motor control
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COVID-19 is affecting people differently worldwide with its impact ranging from pneumonia, acute respiratory distress syndrome to death. The direct and indirect effects of COVID-19 on a person’s motor control including on the execution of balance and gait tasks varies. This paper outlines why this may occur and explores neurological complications, mental health, cardiorespiratory complications, hospitalization and reduced physical activity level from COVID-19, and how these issues might affect human motor control. This paper also suggests how these issues may be minimised through strategies such as telehealth and physical exercise programs.