Clinical perception and management of Parkinson's disease during the COVID-19 pandemic: A Canadian experience.

TitleClinical perception and management of Parkinson's disease during the COVID-19 pandemic: A Canadian experience.
Publication TypeJournal Article
Year of Publication2021
AuthorsJacquet, Ade Rus, Bogard, S, Normandeau, CP, Degroot, C, Postuma, RB, Dupré, N, Miyasaki, JM, Monchi, O, Martino, D, Fon, EA, Cicchetti, F
JournalParkinsonism Relat Disord
Volume91
Pagination66-76
Date Published2021 10
ISSN1873-5126
KeywordsActivities of Daily Living, Aged, Alberta, Attitude to Health, Canada, Cohort Studies, COVID-19, Disease Management, Exercise, Female, Humans, Male, Middle Aged, Parkinson Disease, Quebec, Residence Characteristics, SARS-CoV-2, Sex Factors, Social Isolation, Telemedicine
Abstract

BACKGROUND: The COVID-19 pandemic has necessitated the social isolation of the population and the rapid implementation of remote care for patients with neurodegenerative diseases. The objective of this study was to explore the perceived impact of confinement in patients with Parkinson's disease and document the effects of gender and living environment.METHODS: We recruited two cohorts from the Canadian provinces of Québec and Alberta, which differed in the dynamics of COVID-19 spreading at the time of the study, and administered a questionnaire on the perceived effects of confinement on daily living and disease management.RESULTS: The data reveals that approximately half of the patients experienced a change in one or more clinical symptoms, with differences observed between gender (e.g. day-to-day changes in slowness in men, aggravated headaches in women) and geographic location (e.g. increased depression in Alberta but reduced sleep quality in Québec). Furthermore, participants identifying as women or living in Alberta implemented more frequently home or online exercise. Lastly, high levels of satisfaction with phone or video consultations did not translate into a sustained interest to pursue this mode of healthcare.CONCLUSIONS: This study suggests that COVID-19-related confinement affected Parkinson's disease manifestation and management. Patients also reported varying levels of interest to continue remote care. A number of differences reported in our study were seemingly related to gender and living environment.

DOI10.1016/j.parkreldis.2021.08.018
Alternate JournalParkinsonism Relat Disord
PubMed ID34536727
PubMed Central IDPMC8407944