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Potential benefits of IEPR application for Parkinson Disease in Italy

Potential benefits of IEPR application for Parkinson Disease in Italy. Silvano CRISTINA, MD Neurorehabilitation Unit. PAVIA - ITALY. COMOESTAS – Meeting Buenos Aires November 26 th , 2010. Research and communication. Information and Communication Technology (ICT)

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Potential benefits of IEPR application for Parkinson Disease in Italy

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  1. Potential benefits of IEPR applicationfor Parkinson Disease in Italy Silvano CRISTINA, MD Neurorehabilitation Unit PAVIA - ITALY COMOESTAS – Meeting Buenos Aires November 26th, 2010

  2. Research and communication • Information and Communication Technology (ICT) • general term that stresses the role of communications (telephone lines and wireless signals) in modern information technology • technical means used to handle information and aid communication, including both computer and network hardware as well as necessary software • merge the telephone network with the computer network system • Interactive Electronic Patient Record (IEPR) • developed by the COMOESTAS Project for monitoring medication overuse in headache

  3. Epidemiology of Parkinson’s Disease in Latin America and in Italy • Junin (Argentina) 1997 • 6,57‰ subjects > 40 years • Habana (Cuba) 2000 • 1,35 ‰ 1/3 patients undiagnosed • Medellin (Colombia) 2004 • 0,31 ‰ • Sicily (Italy) 1992 • 2,57 ‰ • Arcisate- S. Giovanni Rotondo (Italy) 1994 • 1,85 ‰ • L’Aquila (Italy) 2005 • 2,29 ‰ Latin America Italy

  4. Our former experience on Parkinson’s Disease

  5. Unified Parkinson Disease Rating Scale (UPDRS) evaluation

  6. Staging of patient and monitoring of complication

  7. Patient visits and therapy management

  8. The Network in Lombardia

  9. Minimum Data Set for Parkinsonism

  10. Ongoing Italian Projects on ICT in Parkinson’s Disease Toscana - Siena Goals

  11. United Kingdom 2003 Tele Rehabilitation

  12. Telerehabilitation tools in Italy

  13. The term Telerehabilitation indicate a communication/information system with different complexity levels (from phone to advanced remote exercices control) which allows to provide a remote medical-rehabilitative assistance: • Teleconference • Virtual 3D high interactive settings • Sensorized systems Theassociation with ICT technology (wireless, pocket-pc,mobile-phones) allows interactive networks Virtual Reality Rehabilitation System (VRRS) by our Institute and others Institution with this technology and by the patient residence (Home version) will be usefull in different neurological disorders with high social impact, like Parkinson’s Disease

  14. AIMS OF STAR PROJECT • To increase intensity and frequency od Rehabilitation sessions • To reduce displacement of patients into the territory • To reduce the costs of assistance • To propel to do rehabilitation treatment • To assure continuity on the assistance • To evaluate and to prove the cheapness and effectiveness of telerehabilitation

  15. New Horizons • Use IEPR in management of Parkinson’s Disease Patients • Advanced alert system usefull for the physician in decision making • Therapy and treatment management and medical supervision • Replacing paper on-off chart in computerized one • Using electronic monitoring bottles (Aardex1) to control patient’s therapeutic compliance

  16. Computerizable charts for IEPR

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