Development of a Low-resource TELE-assisted Home Exercise Program for Balance and Functional Mobility in Parkinson’s Disease (TELEPORT-PD): An International e-Delphi Consensus

AI Summary

Identified a critical gap: few telerehabilitation programmes for people with Parkinson's disease in low-resource settings.
Used an international, interprofessional e-Delphi to evaluate 99 candidate exercises drawn from 473 sources across three rounds.
Consensus produced a 42-exercise TELEPORT-PD programme with specified dosage, progression and safety considerations, adaptable for low-resource settings worldwide.

Int J Telerehabil. 2026 Jun 1;18(1):6711. doi: 10.63144/ijt.2026.6711. eCollection 2026.

ABSTRACT

Despite the recent surge in the use of telerehabilitation (TR) for neurological disorders, there is a lack of TR programs tailored to persons with Parkinson’s disease (PwPD), particularly in low-resource settings. To address this gap, we aimed to develop a tele-assisted home exercise program for improving balance and functional mobility in PwPD (TELEPORT-PD). An e-Delphi process was conducted with an international, interprofessional team of experts involved in rehabilitation of PwPD. A comprehensive pool of exercises was compiled and evaluated across three rounds of e-Delphi process. Out of 473 exercises pooled from literature and experts, 99 exercises entered the e-Delphi process after deduplication and were categorized under six domains. After consensus, the final program included 42 exercises along with dosage, progression, and safety considerations. The TELEPORT-PD protocol developed through an international, e-Delphi consensus could be adapted for its use in low-resource settings worldwide.

PMID:42389621 | PMC:PMC13321864 | DOI:10.63144/ijt.2026.6711

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