Abstract
Telemedicine is the use of electronic communication technology to facilitate healthcare between distant providers and patients. In addition to synchronous video conferencing, asynchronous video transfer has been used to support care for neurology patients. There is a growing literature on using telemedicine in movement disorders, with the most common focus on Parkinson’s disease. There is accumulating evidence for videoconferencing to diagnose and treat patients with hyperkinetic movement disorders and to support providers in remote underserviced areas. Cognitive testing has been shown to be feasible remotely. Genetic counseling and other counseling-based therapeutic interventions have also successfully performed in hyperkinetic movement disorders. We use a problem-based approach to review the current evidence for the use of telemedicine in various hyperkinetic movement disorders. This Viewpoint attempts to identify possible telemedicine solutions as well as discussing unmet needs and future directions.
Highlights
Technological advancements have expanded the application of information technology in the field of medicine, changing the landscape and enabling medical practice, research and education without the encumbrance of geographical barriers.[1]
Baseline and longitudinal reliability of the modified Unified Parkinson’s Disease Rating Scale (UPDRS) compared to standard UPDRS
At the Centre for Movement Disorders in Toronto, organized telemedicine visits are adjunct to regional outreach clinics or for patients with Huntington’s disease for ongoing care after the initial face-to-face visit
Summary
Technological advancements have expanded the application of information technology in the field of medicine, changing the landscape and enabling medical practice, research and education without the encumbrance of geographical barriers.[1]. To study the feasibility of conducting the Montreal Cognitive Assessment remotely in patients with movement disorders Excellent agreement between clinical and telemedicine visit when assessing cervical dystonia motor severity with high feasibility and satisfaction.
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