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Effect of LSVT® BIG on standing balance in a Parkinson's patient: A case report.
Physiother Res Int. 2021 Oct; 26(4):e1921.PR

Abstract

BACKGROUND AND PURPOSE

There are no reports regarding the effect of Lee Silverman Voice Treatment® BIG (LSVT® BIG) on standing balance ability evaluated using quantitative assessment. This case report aimed to describe and evaluate the influence of LSVT® BIG on the center of pressure (COP) trajectory in a patient with Parkinson's disease (PD).

METHODS

Although this paper focused on one case, quantitative assessment on the effect of LSVT® BIG on standing balance ability was performed. A 67-year-old woman patient diagnosed with PD at age 59, with a Hoehn and Yahr stage 3 disability severity, underwent a 4-weeks supervised LSVT® BIG program. The total distances of the COP trajectory (two-dimensional [2D] horizontal plane, anterior-posterior [AP] direction, and medial-lateral [ML] direction), and the mean COP velocity for each direction, postural stability, and posture subsections of the Unified Parkinson's Disease Rating Scale (UPDRS) Part 3 were assessed at pre- and post-intervention.

RESULTS

The total distances of the COP trajectory, mean COP velocities, and scores of postural stability and posture subsections of the UPDRS Part 3 improved after intervention (from 124.6 to 76.6 cm [2D], 89.4 to 57.7 cm [AP], 77.4 to 38.5 cm [ML]; 4.0 to 2.6 cm/s [2D], 3.0 to 1.9 cm/s [AP], 2.6 to 1.3 cm/s [ML]; and 3 to 0, and 3 to 2, respectively).

DISCUSSION

LSVT® BIG may be effective in improving the total distance of the COP trajectory, mean COP velocity, and both postural stability and posture subsections of the UPDRS Part 3 in the presented PD case.

Authors+Show Affiliations

Department of Rehabilitation, Kawamura Hospital, Gifu, Japan.Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.Comprehensive Community Care Core Center, Fujita Health University, Toyoake, Japan.Department of Rehabilitation, Kawamura Hospital, Gifu, Japan.Department of Rehabilitation, Kawamura Hospital, Gifu, Japan.Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.Department of Neurology, Kawamura Hospital, Gifu, Japan.Department of Neurology, Kawamura Hospital, Gifu, Japan.Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

34482577

Citation

Iwai, Masanobu, et al. "Effect of LSVT® BIG On Standing Balance in a Parkinson's Patient: a Case Report." Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy, vol. 26, no. 4, 2021, pp. e1921.
Iwai M, Koyama S, Takeda K, et al. Effect of LSVT® BIG on standing balance in a Parkinson's patient: A case report. Physiother Res Int. 2021;26(4):e1921.
Iwai, M., Koyama, S., Takeda, K., Hirakawa, Y., Motoya, I., Kumazawa, N., Sakurai, H., Kanada, Y., Kawamura, N., Kawamura, M., & Tanabe, S. (2021). Effect of LSVT® BIG on standing balance in a Parkinson's patient: A case report. Physiotherapy Research International : the Journal for Researchers and Clinicians in Physical Therapy, 26(4), e1921. https://doi.org/10.1002/pri.1921
Iwai M, et al. Effect of LSVT® BIG On Standing Balance in a Parkinson's Patient: a Case Report. Physiother Res Int. 2021;26(4):e1921. PubMed PMID: 34482577.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of LSVT® BIG on standing balance in a Parkinson's patient: A case report. AU - Iwai,Masanobu, AU - Koyama,Soichiro, AU - Takeda,Kazuya, AU - Hirakawa,Yuichi, AU - Motoya,Ikuo, AU - Kumazawa,Nobuhiro, AU - Sakurai,Hiroaki, AU - Kanada,Yoshikiyo, AU - Kawamura,Nobutoshi, AU - Kawamura,Mami, AU - Tanabe,Shigeo, Y1 - 2021/09/05/ PY - 2021/07/16/received PY - 2021/08/21/accepted PY - 2021/9/6/pubmed PY - 2021/10/14/medline PY - 2021/9/5/entrez KW - exercise KW - outcome measure KW - stroke SP - e1921 EP - e1921 JF - Physiotherapy research international : the journal for researchers and clinicians in physical therapy JO - Physiother Res Int VL - 26 IS - 4 N2 - BACKGROUND AND PURPOSE: There are no reports regarding the effect of Lee Silverman Voice Treatment® BIG (LSVT® BIG) on standing balance ability evaluated using quantitative assessment. This case report aimed to describe and evaluate the influence of LSVT® BIG on the center of pressure (COP) trajectory in a patient with Parkinson's disease (PD). METHODS: Although this paper focused on one case, quantitative assessment on the effect of LSVT® BIG on standing balance ability was performed. A 67-year-old woman patient diagnosed with PD at age 59, with a Hoehn and Yahr stage 3 disability severity, underwent a 4-weeks supervised LSVT® BIG program. The total distances of the COP trajectory (two-dimensional [2D] horizontal plane, anterior-posterior [AP] direction, and medial-lateral [ML] direction), and the mean COP velocity for each direction, postural stability, and posture subsections of the Unified Parkinson's Disease Rating Scale (UPDRS) Part 3 were assessed at pre- and post-intervention. RESULTS: The total distances of the COP trajectory, mean COP velocities, and scores of postural stability and posture subsections of the UPDRS Part 3 improved after intervention (from 124.6 to 76.6 cm [2D], 89.4 to 57.7 cm [AP], 77.4 to 38.5 cm [ML]; 4.0 to 2.6 cm/s [2D], 3.0 to 1.9 cm/s [AP], 2.6 to 1.3 cm/s [ML]; and 3 to 0, and 3 to 2, respectively). DISCUSSION: LSVT® BIG may be effective in improving the total distance of the COP trajectory, mean COP velocity, and both postural stability and posture subsections of the UPDRS Part 3 in the presented PD case. SN - 1471-2865 UR - https://www.unboundmedicine.com/medline/citation/34482577/Effect_of_LSVT®_BIG_on_standing_balance_in_a_Parkinson's_patient:_A_case_report_ L2 - https://doi.org/10.1002/pri.1921 DB - PRIME DP - Unbound Medicine ER -