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dc.contributor.authorKleppang, Tale Tangen
dc.contributor.authorJørgensen, Lone
dc.date.accessioned2020-03-25T14:32:43Z
dc.date.available2020-03-25T14:32:43Z
dc.date.issued2019-01-30
dc.description.abstract<i>Background</i>: 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.<p> <p><i>Methods</i>: 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.<p> <p><i>Results</i>: 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.<p> <p><i>Conclusion</i>: LSVT-BIG may have a positive effect on dynamic balance and gait-speed in persons with PD.en_US
dc.descriptionThis is an Accepted Manuscript of an article published by Taylor & Francis in <i>European Journal of Physiotherapy</i> on 30 Jan 2019, available online: http://www.tandfonline.com/https://doi.org/10.1080/21679169.2018.1551420.en_US
dc.identifier.citationKleppang TT, Jørgensen l. 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. European Journal of Physiotherapy. 2019:1-12en_US
dc.identifier.cristinIDFRIDAID 1692929
dc.identifier.doi10.1080/21679169.2018.1551420
dc.identifier.issn2167-9169
dc.identifier.issn2167-9177
dc.identifier.urihttps://hdl.handle.net/10037/17849
dc.language.isoengen_US
dc.publisherTaylor & Francisen_US
dc.relation.journalEuropean Journal of Physiotherapy
dc.rights.accessRightsopenAccessen_US
dc.rights.holder© 2019 Informa UK Limited, trading as Taylor & Francis Groupen_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Physiotherapy: 807en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Fysioterapi: 807en_US
dc.titleDynamic balance and gait speed improve in persons with Parkinson's disease after Lee Silverman Voice Treatment (LSVT)-BIG training: a single subject experimental design studyen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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