Appropriate Use Recommendations for digital technology and cognitive telerehabilitation in Parkinson's disease

Cognitive impairment is a common symptom in Parkinson’s disease. Social distancing during the COVID-19 pandemic has accelerated use of telerehabilitation –further stimulating development and implementation of digital rehabilitation technology. For telerehabilitation, it is critical that rapidly developing technologies are implemented in appropriate ways. The NDNG Parkinson’s and Related Disorders Task Force (PRDTF) has developed a preliminary set of appropriate use recommendations (AUR) for use of digital technology in cognitive telerehabilitation in Parkinson’s. We will describe our multi-stage approach to establish our final set of AUR. The approach included a SWOT appraisal conducted during the ACRM 2021 virtual conference, followed by a modified Delphi survey to ascertain the most relevant recommendations. This provides the first AUR for cognitive telerehabilitation specific for Parkinson’s. It will guide clinicians and researchers to implement the technology in the most appropriate way for the correct indications and stage of cognitive impairment in Parkinson’s.