Effects of LSVT-BIG via telerehabilitation on non-motor and motor symptoms and quality of life in Parkinson’s disease

Abstract

Background Parkinson's disease (PD) is a neurodegenerative disease with motor and non-motor symptoms affecting the quality of life. This study aimed to investigate the effects of the Lee Silverman Voice Therapy (LSVT)-BIG rehabilitation program via telerehabilitation on quality of life, motor and non-motor symptoms in people with Parkinson's disease (PwPD), and their correlation with each other. Methods Fifteen patients with mild-to-moderate PD (Hoehn and Yahr stages 1-3) were included in the LSVT-BIG exercise program with remote access for 16 sessions over four weeks. Motor and non-motor experiences before and after the program were evaluated with MDS-UPDRS parts 1, 2, and 3 and quality of life with PDQ-39. The correlation between MDS-UPDRS parts and PDQ-39 subgroups was examined. Results Following the application of the LSVT-BIG rehabilitation program with remote access, MDS-UPDRS parts 1, 2, and 3 scores and PDQ-39 summary index (PDQ-39 SI) and subgroup scores (excluding social support) were improved. A moderate-strong correlation was determined between MDS-UPDRS parts 1 and 2 and the PDQ-39 parameters of the patients. Conclusion Both motor and non-motor symptoms may be associated with the quality of life in PD. We have concluded that LSVT-BIG treatment via telerehabilitation can improve motor and non-motor symptoms along with the quality of life in PwPD.

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

“…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).…”

“…Recently, a technique named “LSVT BIG” derived from Lee Silverman Voice Therapy (LSVT LOUD) has been shown to improve motor performance (Ebersbach et al., 2010 , 2015 ; Farley et al., 2008 ; Fırat et al., 2023 ), gait (Ebersbach et al., 2015 ; Farley & Koshland, 2005 ), and reach (Farley & Koshland, 2005 ), ADL (Fırat et al., 2023 ), and QoL (Fırat et al., 2023 ) in PD. LSVT BIG training aims to recalibrate the sensory perception of the normal amplitude of movements while focusing on high‐amplitude movements with multiple repetitions, high intensity, and increasing complexity.…”

Quality of Life in Patients With Parkinson’s Disease: A Cross-Sectional Study

“…There are different treatment modalities available to manage PD-related symptoms that result in improvement of the QOL in this patient group [ 12 , 13 ]. Failure to address QOL issues leads to negative consequences for the individual and their family.…”

Remote Delivery of Allied Health Therapies in Parkinson’s Disease

“…Overall, studies evaluating physical therapy services using telerehabilitation generally include individuals with idiopathic PD aged 50-75, between Hoehn & Yahr stages I-III, within 2-10 years of diagnosis, and without evidence of dementia. The types of exercise with remote delivery or supervision varied significantly (e.g., dance [4], amplitude-based movement training [5,10], postural stability training with virtual reality [6], aerobic exercise via cycling [7], mindfulness yoga [11], coordinated multidisciplinary care [12], Badajuajin Quiigong [13], generalized physiotherapy exercises [8,9]). Safety was demonstrated in remote sessions delivered to either a group [4] or individually [5][6][7]9].…”

“…Seidler et al [4] noted improvements in balance and motor sign severity when comparing a remotelydelivered, group-based dance intervention compared to in-person delivery. A cohort study of remotelydelivered amplitude-based movement training using the LSVT BIG paradigm demonstrated improvements in motor sign severity, subjective activities of daily living (ADL) performance, and quality of life [10]. A case study of the same remotelydelivered intervention reported improvements in gait, endurance, balance confidence, and quality of life in a 67-year-old woman with PD [5].…”