Telerehabilitation Based Exercise Training in Parkinson's Patients

Parkinson's disease (PD) is the second most common progressive disease after Alzheimer's disease.It is a progressive, multisystemic and neurodegenerative disease. The prevalence of Parkinson's disease increases with age. increases together. In industrialized countries, people over the age of 60 account for 0.3% of the entire population.It affects about 1% of people and 3% of people over the age of 80 .Patient management with telerehabilitation (TR), chronic heart disease, neurological dysfunction.It is as effective as face-to-face treatment in different clinical conditions such as musculoskeletal and musculoskeletal disorders proven . In addition, TR will increase accessibility and create a less restrictive environment. comparable to traditional rehabilitation as it provides new opportunities to create not only can it be more effective than it . Intense exercise and long-term training In cases where it is necessary, it is accepted to continue exercise therapy with TR programs at home.may be a viable solution.When telerehabilitation-based studies are examined, communication, swallowing and walking are generally focused on parameters. Treatment with telerehabilitation method in PD, Studies investigating the effects on respiratory and postural instability parameters are quite is limited . The aim of this study is to improve telerehabilitation-based exercise training in PD. respiratory muscle strength, cough capacity, dynamic balance, participation in activities of daily living and to investigate its effect on walking parameters. also online physiotherapist.Comparing the effects of supervised exercises and offline video-based exercise training intended.

Inclusion Criteria:Having been diagnosed with PH by a neurologist,Being between 45 and 85 years old,Being between I and III according to the modified Hoehn & Yahr Staging (29)To have a score of 24 or higher in the Mini Mental State Assessment (30),To be taking their medication regularly.Exclusion Criteria:Having an orthopedic disability that will affect balance and mobility,Those with serious chronic diseases that will significantly affect their quality of life (congestive heart failure, myocardial infarction),Severe dyskinesia, cognitive problem that prevents cooperation,Not having internet access with a smart phone or computer,