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

Authors

  • Arnold Fredrick D'Souza Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India; Symbiosis College of Physiotherapy, Symbiosis International (Deemed University), Pune, India https://orcid.org/0000-0002-5207-1009
  • Manikandan Natarajan Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India
  • Dushyanth Babu Jasti Department of Neurology, Star Hospitals, Banjara Hills, Hyderabad, Telangana, India https://orcid.org/0000-0002-7649-6538
  • Auwal Abdullahi Department of Physiotherapy, Federal University Wukari, Wukari, Nigeria; Department of Physiotherapy, Bayero University Kano, Kano, Nigeria
  • Mohammad Al-Wardat Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
  • Mohan Ganesan Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, California, USA
  • Divyani Garg Department of Neurology, All India Institute of Medical Sciences, New Delhi, India
  • Sudhir Prabhu Haladi Department of Community Medicine, Father Muller Medical College, Mangaluru, India
  • Pawan Raj Pulu Ishwara Division of Neurology, Sheikh Shakhbout Medical City, Abu Dhabi, UAE
  • Violaine Lavoie Centre de recherche du Centre Intégré de Santé et Services Sociaux de Chaudiere-Appalaches, Québec, Canada
  • Francesco Lena Department of Medicine and Health, University of Molise, Campobasso, Italy; IRCCS INM Neuromed, Pozzilli, Italy
  • Selva Ganapathy Velayutham Department of Physiotherapy, National Institute of Mental Health and Neurosciences, Bengaluru, India
  • Susan L. Whitney Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania, USA

DOI:

https://doi.org/10.63144/ijt.2026.6711

Keywords:

Balance, Delphi technique, Parkinson's disease, Resource-limited settings, Telerehabilitation

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.

  

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Published

2026-06-24

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D'Souza, A. F., Natarajan, M., Jasti, D. B., Abdullahi, A., Al-Wardat, M., Ganesan, M., … Whitney, S. L. (2026). 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. International Journal of Telerehabilitation, 18(1). https://doi.org/10.63144/ijt.2026.6711

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Vol. 18 No. 1 (2026)

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Clinical Research

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Copyright (c) 2026 Arnold Fredrick D'Souza, Manikandan Natarajan, Dushyanth Babu Jasti, Auwal Abdullahi, Mohammad Al-Wardat, Mohan Ganesan, Divyani Garg, Sudhir Prabhu Haladi, Pawan Raj Pulu Ishwara, Violaine Lavoie, Francesco Lena, Selva Ganapathy Velayutham, Susan L. Whitney

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