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

Kleppang, Tale Tangen; Jørgensen, Lone

doi:10.1080/21679169.2018.1551420

Cited by 3 publications

(5 citation statements)

References 33 publications

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“…Eight participants had improvements in gait speed at one or more assessment time point, and four of those met MCID and two met MDC at EOT+4 (see Figure 2 and Table 3). These same six participants also met MCID in the UPDRS III Motor score which suggests that external cueing and task-based strategies may potentially decrease the impact of disability in PwPD through reduction in falls and impact on gait speed which is consistent with other similar studies [26,29,51].…”

Section: Outcome Measuressupporting

confidence: 88%

“…The positive impact of external cueing and task-based strategies on dynamic balance assessed by the MiniBEST has been supported by two studies [51,52], both with very small samples sizes (n = 2 and n = 1, respectively). Previous work identified two subcomponents of the MiniBEST, (1) "anticipatory control" and (2) "sensory orientation," as not sensitive to improvements.…”

Section: Outcome Measuresmentioning

confidence: 83%

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Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention

Clarkin,

Ward-Ritacco,

Mahler

2024

Rehabilitation Research and Practice

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Introduction. The purpose of this study was to evaluate change in motor function, gait speed, dynamic balance, balance confidence, and quality of life (QoL) in nine participants with Parkinson’s disease (PwPD) completing Lee Silverman Voice Treatment BIG (LSVT-BIG), an external cueing and task-based intervention. Although supported as an efficacious treatment in PwPD, there is limited research examining clinically meaningful change in outcome measures related to external cueing and task-based interventions. Materials and Methods. This was a case series of nine PwPD (age range 64-76 years, 55% male) who completed the LSVT-BIG protocol. Disease duration ranged from 1 to 17 years and was classified as moderate in all participants (Hoehn and Yahr=2 or 3). Outcome measures included motor function (MDS-UPDRS Part III Motor), gait speed, dynamic balance (MiniBEST), Activities-specific Balance Confidence (ABC), and Summary Index for PD Quality of Life 39 (PDQ-SI). Assessments were completed at baseline (BASE), end of treatment (EOT), and 4 weeks after EOT (EOT+4). Results. Minimal detectable change (MDC) or minimal clinical important difference (MCID) was observed in one or more outcome measures in 8 of 9 participants at EOT and EOT+4 across domains of motor function (67%, 78%), gait speed (78%, 67%), balance confidence (44%, 33%), quality of life (44%, 78%), and dynamic balance (22%, 22%). Discussion. In this case series, 8 of 9 participants showed MDC or MCID changes across multiple functional domains. Improvements were observed immediately post (EOT) and 4-week post-treatment (EOT+4) suggesting a temporal component of the LSVT-BIG impact on functional change. Future research should include clinical trials to examine additional external cueing and task-based intervention efficacy with consideration of intensity, frequency, and mode of delivery across disease severity.

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Section: Outcome Measuressupporting

confidence: 88%

Section: Outcome Measuresmentioning

confidence: 83%

Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention

Clarkin,

Ward-Ritacco,

Mahler

2024

Rehabilitation Research and Practice

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“…Previous studies, mostly case studies (Fishel et al., 2020 ; Hirakawa et al., 2022 ; Iwai et al., 2021 ; Janssens et al., 2014 ; Kleppang & Jørgensen, 2020 ; Millage et al., 2017 ; Pascal et al., 2018 ), have shown that LSVT BIG training improves functional balance (Choi & Kim, 2022 ; Fishel et al., 2020 ; Hirakawa et al., 2022 ; Janssens et al., 2014 ; Kleppang & Jørgensen, 2020 ; Millage et al., 2017 ; Pascal et al., 2018 ) and PS (Iwai et al., 2021 ). The results of our study, which was a rater‐blinded randomized controlled trial, confirm the existing literature that LSVT BIG training improved balance.…”

Section: Discussionmentioning

confidence: 99%

“…They also found that all three exercise programs were effective in improving motor symptoms. Additionally, a lot of case studies found that LSVT BIG training improved functional mobility (Fishel et al, 2020;Flood et al, 2020;Hirakawa et al, 2022;Janssens et al, 2014), gait speed (Flood et al, 2020;Kleppang & Jørgensen, 2020;Millage et al, 2017), stride length (Flood et al, 2020), and motor symptoms (Fırat et al, 2023;Hirakawa et al, 2022;Iwai et al, 2021;Janssens et al, 2014;McDonnell et al, 2018;Millage et al, 2017;Ueno et al, 2017 (Fox et al, 2012). A review found results supporting that the online modified version of LSVT LOUD is not inferior to the standard protocol (Herd et al, 2012).…”

Section: Pretestmentioning

confidence: 99%

The effects of standard and modified LSVT BIG therapy protocols on balance and gait in Parkinson's disease: A randomized controlled trial

Eldemir,

Saygili

et al. 2024

Brain and Behavior

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BackgroundLee Silverman voice treatment (LSVT) BIG is an exercise program developed for patients with Parkinson's disease (PwPD), consisting of sets of exercises performed for 4 consecutive days a week for 4 weeks. However, the standard protocol suggests a treatment frequency difficult to follow for most patients who have difficulties reaching rehabilitation clinics. Our aim was to compare the standard LSVT BIG protocol with a modified LSVT (m‐LSVT) BIG protocol (twice a week in the clinic for 4 weeks and twice a week at home for 4 weeks).MethodsIn this randomized controlled trial, 16 PwPD (aged 18–80 years, Hoehn and Yahr stages I–III) were recruited into two groups. The LSVT group received standard LSVT BIG training (four times per week for 4 weeks at the clinic). The other group was given m‐LSVT BIG exercises, but unlike the LSVT group, the m‐LSVT group exercised twice a week at the clinic and twice a week at home for 4 weeks. The Berg Balance Scale was used to assess functional balance. Biodex Balance System was used to assess laboratory balance measures. Timed Up and Go test and G‐Walk sensor system were used to assess functional mobility and spatiotemporal gait analysis.ResultsSignificant group‐by‐time interactions on the eyes open‐firm surface score of the modified clinical test of sensory integration of balance (F = 10.138, p = .007) and gait cycle symmetry index (F = 10.470, p = .010) were found to be in favor of the LSVT group. Additionally, post hoc analyses revealed that both groups significantly improved postural stability, gait speed, motor symptoms, and functional mobility (p < .05).ConclusionThe results revealed the beneficial effects of the modified protocol on balance and gait in PwPD, as well as the superiority of the standard LSVT BIG protocol. The m‐LSVT BIG protocol may be an effective intervention method, especially for PwPD who have difficulty adapting to the treatment frequency of the standard protocol.

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“…3 In addition, balance has been defined as the ability to maintain a (static) base of support and perform a task while maintaining a (dynamic) stable position. 13…”

Section: Introductionmentioning

confidence: 99%

The effect of proprioceptive training on technical soccer skills in female soccer

Souglis

Travlos

Andronikos

2022

International Journal of Sports Science & Coaching

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Development of perceptual-cognitive motor skills is a crucial factor influencing soccer training and competition. The aim of the study was to examine the effects of neuromuscular coordination, proprioceptive and balance exercises on physiological attributes and technical skills in female soccer. Female soccer players competing in Greek A Division (N = 48) were assigned to intervention (N1 = 24) and control groups (N2 = 24). The Proprioceptive Training Intervention Program (PTIP) lasted approximately 20 min and was implemented five times per week for 16 weeks. It was hypothesized that the PTIP in addition to a regular training programme would significantly affect female soccer player perceptual-cognitive-motor capability as it was estimated with physiological attributes ([Formula: see text]O2max and agility) and motor performance soccer technical skills (juggling, heading, shooting, passing, and dribbling). All performance variables were measured prior and after the 16-weeks PTIP. Groups by Measures (2 × 2) ANOVAs with repeated measures on the second factor revealed that the intervention group decreased percent body fat and improved [Formula: see text]O2max and all technical skills in comparison to the control group after the PTIP ( p < 0.05). The findings demonstrate the beneficial role of a proprioceptive training programme on both physiological attributes and technical skills in female soccer. Practical implications include the application of the intervention programme for monitoring and developing soccer players while also the use of the assessment tests to evaluate players.

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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

Cited by 3 publications

References 33 publications

Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention

Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention

The effects of standard and modified LSVT BIG therapy protocols on balance and gait in Parkinson's disease: A randomized controlled trial

The effect of proprioceptive training on technical soccer skills in female soccer

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