Dynamic balance and gait speed improve in persons with Parkinson´s disease after Lee Silverman Voice Treatment (LSVT)-BIG training: a single subject experimental design study.

Background: Parkinson ́s disease (PD) is characterised by small, slow movements affecting balance and gait. Lee-Silverman-Voice-Treatment-(LSVT)-BIG is an intensive intervention aiming to restore normal amplitudes of movements. This study aimed to examine whether LSVT-BIG influences dynamic balance...

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Publicado en:European Journal of Physiotherapy Vol. 22; no. 2; pp. 86 - 97
Autores principales: Kleppang, Tale Tangen, Jørgensen, Lone
Formato: clinical trial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
      vid: 22
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/21679169.2018.1551420
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        atl: Dynamic balance and gait speed improve in persons with Parkinson´s disease after Lee Silverman Voice Treatment (LSVT)-BIG training: a single subject experimental design study.
      aug:
        au:
          Kleppang, Tale Tangen
          Jørgensen, Lone
        affil: Fysioklinikken DA, Sandefjord, Norway
      sug:
        subj:
          Parkinson Disease Rehabilitation
          Balance, Postural
          Walking Speed
          Treatment Outcomes
          Therapeutic Exercise
          Human
          Clinical Trials
          Clinical Assessment Tools
          Exercise Test
          Norway
          Aged
          Male
          Funding Source
          Descriptive Statistics
          Aged: 65+ years
          Male
      ab: Background: Parkinson ́s disease (PD) is characterised by small, slow movements affecting balance and gait. Lee-Silverman-Voice-Treatment-(LSVT)-BIG is an intensive intervention aiming to restore normal amplitudes of movements. This study aimed to examine whether LSVT-BIG influences dynamic balance and gait in persons with PD. Methods: We used a Single-Subject-Experimental-Design with three phases; phase A (2 weeks) with no treatment, phase B (4 weeks) with LSVT-BIG-treatment and LSVT-BIG-home-training, and phase C (7–8 weeks) with LSVT-BIG-home-training. Two persons with PD participated. Outcome measures included the Mini-Balance-Evaluation-Systems-Test (Mini-BESTest) with its four subcomponents ('anticipatory postural adjustments', 'postural responses', 'sensory orientation', 'balance during gait'), the Step-Test (ST) and 10-Meter-Walk-Test-fast (10MWT-fast). The participants were assessed 6, 4 and 8 times during phase A, B and C, respectively. During phase B, they received 16 individual 1-hour LSVT-BIG-treatment sessions and completed between 28 and 39 1-hour sessions LSVT-BIG-home-training. During phase C, they were encouraged to complete one session of home-training every day. Results: The Mini-BESTest-total-score, 'balance during gait', ST and 10MWT-fast improved significantly in both participants. One participant demonstrated improved 'postural responses'. Two of the Mini-BESTest subcomponents were not sensitive to possible improvements. Conclusion: LSVT-BIG may have a positive effect on dynamic balance and gait-speed in persons with PD.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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