Mobile health interventions in Parkinson’s Disease: A Paradigm shift in patient Care: A review

Introduction: Parkinson's disease (PD) is a progressive neurological condition that affects both motor and non-motor skills. The emergence of mHealth paradigm provides “freshwaters” to Parkinson's disease care by allowing for remote monitoring, self-management, patient education, among others. This study does an evaluation of the available literature on mHealth therapies for Parkinson's disease, focusing on their efficacy, usability, and research gaps. 

Results: The review revealed a variety of mHealth therapies for Parkinson's disease, including symptom tracking, medication adherence, and rehabilitation tools. The SpiroGym app increased self-efficacy and exercise adherence, and mKinetikos demonstrated good feasibility for continuous symptom monitoring. Study indicated that virtual reality is helpful in improving mobility and balance. Studies by Memedi et al among others identified limitations in cost-effectiveness, user uptake, and healthcare integration.

Discussion: While mHealth therapies show potential for improving Parkinson's disease management, further large-scale RCTs are needed to evaluate their effectiveness and provide implementation frameworks. Direct comparisons are limited due to the variability of study designs and outcome measures.

Conclusion
mHealth therapies offer novel approaches to PD management, but their inclusion into routine practice necessitates additional study to create standardized recommendations and solve existing constraints. Future research should look into long-term efficacy, user acceptability, and economic feasibility to enable widespread use in clinical settings.