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The impact of LSVT BIG therapy on postural control for individuals with Parkinson disease: A case series.
Physiother Theory Pract. 2020 Jul; 36(7):834-843.PT

Abstract

BACKGROUND AND PURPOSE

LSVT BIG therapy may improve motor function and gait in those with early Parkinson disease (PD), but its impact on postural control for those with moderate PD has not been investigated. The purpose of this case series is to describe the impact of LSVT BIG therapy on postural control and gait in three individuals with moderate PD.

INTERVENTION

Three individuals with moderate PD, classified as stage 3 on the Hoehn and Yahr Scale, participated in the LSVT BIG therapy program. Intervention included 16-18 individual physical therapy sessions, provided within 4 weeks, focused on increasing amplitude of movement and a daily home exercise program. Outcomes, including balance, gait, dual-task performance, quality of life, and balance confidence, were examined after program completion, 1- and 4-months later.

OUTCOMES

Clinically meaningful improvements in balance and gait, including performance under dual-task conditions, were achieved by all patients and many of these improvements were maintained up to 4 months later. Changes in quality of life were not observed during the length of the intervention.

CONCLUSION

LSVT BIG therapy may improve postural control, gait, and dual-task performance, and therefore reduce fall risk for individuals with moderate PD.

Authors+Show Affiliations

Department of Physical Therapy, Ithaca College - Center for Health Sciences , Ithaca, New York, USA.Department of Physical Therapy, Ithaca College - Center for Health Sciences , Ithaca, New York, USA.Department of Physical Therapy, Ithaca College - Center for Health Sciences , Ithaca, New York, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30118624

Citation

Fishel, Sarah C., et al. "The Impact of LSVT BIG Therapy On Postural Control for Individuals With Parkinson Disease: a Case Series." Physiotherapy Theory and Practice, vol. 36, no. 7, 2020, pp. 834-843.
Fishel SC, Hotchkiss ME, Brown SA. The impact of LSVT BIG therapy on postural control for individuals with Parkinson disease: A case series. Physiother Theory Pract. 2020;36(7):834-843.
Fishel, S. C., Hotchkiss, M. E., & Brown, S. A. (2020). The impact of LSVT BIG therapy on postural control for individuals with Parkinson disease: A case series. Physiotherapy Theory and Practice, 36(7), 834-843. https://doi.org/10.1080/09593985.2018.1508260
Fishel SC, Hotchkiss ME, Brown SA. The Impact of LSVT BIG Therapy On Postural Control for Individuals With Parkinson Disease: a Case Series. Physiother Theory Pract. 2020;36(7):834-843. PubMed PMID: 30118624.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of LSVT BIG therapy on postural control for individuals with Parkinson disease: A case series. AU - Fishel,Sarah C, AU - Hotchkiss,Megan E, AU - Brown,Samantha A, Y1 - 2018/08/17/ PY - 2018/8/18/pubmed PY - 2018/8/18/medline PY - 2018/8/18/entrez KW - LSVT BIG KW - Parkinson disease KW - balance KW - dual task performance KW - falls KW - postural control SP - 834 EP - 843 JF - Physiotherapy theory and practice JO - Physiother Theory Pract VL - 36 IS - 7 N2 - BACKGROUND AND PURPOSE: LSVT BIG therapy may improve motor function and gait in those with early Parkinson disease (PD), but its impact on postural control for those with moderate PD has not been investigated. The purpose of this case series is to describe the impact of LSVT BIG therapy on postural control and gait in three individuals with moderate PD. INTERVENTION: Three individuals with moderate PD, classified as stage 3 on the Hoehn and Yahr Scale, participated in the LSVT BIG therapy program. Intervention included 16-18 individual physical therapy sessions, provided within 4 weeks, focused on increasing amplitude of movement and a daily home exercise program. Outcomes, including balance, gait, dual-task performance, quality of life, and balance confidence, were examined after program completion, 1- and 4-months later. OUTCOMES: Clinically meaningful improvements in balance and gait, including performance under dual-task conditions, were achieved by all patients and many of these improvements were maintained up to 4 months later. Changes in quality of life were not observed during the length of the intervention. CONCLUSION: LSVT BIG therapy may improve postural control, gait, and dual-task performance, and therefore reduce fall risk for individuals with moderate PD. SN - 1532-5040 UR - https://www.unboundmedicine.com/medline/citation/30118624/The_impact_of_LSVT_BIG_therapy_on_postural_control_for_individuals_with_Parkinson_disease:_A_case_series_ L2 - https://www.tandfonline.com/doi/full/10.1080/09593985.2018.1508260 DB - PRIME DP - Unbound Medicine ER -