Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention
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...
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description | 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. |
doi_str_mv | 10.1155/2024/6188546 |
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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.</description><identifier>ISSN: 2090-2867</identifier><identifier>EISSN: 2090-2875</identifier><identifier>DOI: 10.1155/2024/6188546</identifier><identifier>PMID: 38283384</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Medical research ; Medicine, Experimental</subject><ispartof>Rehabilitation research and practice, 2024-01, Vol.2024, p.6188546-13</ispartof><rights>Copyright © 2024 Christine M. Clarkin et al.</rights><rights>COPYRIGHT 2024 John Wiley & Sons, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c389t-acca81c6e26aaeba06254ad93c53e75c90492f638731fc09d170551ccf6cf3f73</cites><orcidid>0000-0002-9082-4083 ; 0000-0002-7565-3490</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38283384$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Valè, Nicola</contributor><creatorcontrib>Clarkin, Christine M.</creatorcontrib><creatorcontrib>Ward-Ritacco, Christie L.</creatorcontrib><creatorcontrib>Mahler, Leslie</creatorcontrib><title>Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention</title><title>Rehabilitation research and practice</title><addtitle>Rehabil Res Pract</addtitle><description>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.</description><subject>Medical research</subject><subject>Medicine, Experimental</subject><issn>2090-2867</issn><issn>2090-2875</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><recordid>eNp9kU1vEzEQhi0EolXpjTOyxAWJbuuP9cce25BCpEr0UM6W6x0nphs7rHdJuVT8Df4evwQvCZWQEOPDjGeed2zpReglJaeUCnHGCKvPJNVa1PIJOmSkIRXTSjx9rKU6QMc5fyYlBKmFls_RAddMc67rQ_Qwv4fehQzVIrajgxZfjtENIUXb4dnKxiVkHCK-hrTpAG_DsMLXtr8LMaf48_uPjN8Vsc2Afeq6tA1xief3A_S_9SNMdxtbfGPzXXVRuBYvYhl_hTg98gI987bLcLzPR-jT5fxm9qG6-vh-MTu_qhzXzVBZ56ymTgKT1sKtJZKJ2rYNd4KDEq4hdcO85Fpx6h1pWqqIENQ5L53nXvEj9Ga3d9OnLyPkwaxDdtB1NkIas2ENbVRNhWIFfb1Dl7YDE6JPQ2_dhJtzpYkimta0UKf_oMppYR1ciuBD6f8lONkJXJ9y7sGbTR_Wtv9mKDGTl2by0uy9LPir_YfH2zW0j_Af5wrwdgesQmztNvx_3S_dmqbM</recordid><startdate>20240119</startdate><enddate>20240119</enddate><creator>Clarkin, Christine M.</creator><creator>Ward-Ritacco, Christie L.</creator><creator>Mahler, Leslie</creator><general>Hindawi</general><general>John Wiley & Sons, Inc</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9082-4083</orcidid><orcidid>https://orcid.org/0000-0002-7565-3490</orcidid></search><sort><creationdate>20240119</creationdate><title>Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention</title><author>Clarkin, Christine M. ; Ward-Ritacco, Christie L. ; Mahler, Leslie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-acca81c6e26aaeba06254ad93c53e75c90492f638731fc09d170551ccf6cf3f73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Medical research</topic><topic>Medicine, Experimental</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clarkin, Christine M.</creatorcontrib><creatorcontrib>Ward-Ritacco, Christie L.</creatorcontrib><creatorcontrib>Mahler, Leslie</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Rehabilitation research and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clarkin, Christine M.</au><au>Ward-Ritacco, Christie L.</au><au>Mahler, Leslie</au><au>Valè, Nicola</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention</atitle><jtitle>Rehabilitation research and practice</jtitle><addtitle>Rehabil Res Pract</addtitle><date>2024-01-19</date><risdate>2024</risdate><volume>2024</volume><spage>6188546</spage><epage>13</epage><pages>6188546-13</pages><issn>2090-2867</issn><eissn>2090-2875</eissn><abstract>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.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>38283384</pmid><doi>10.1155/2024/6188546</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-9082-4083</orcidid><orcidid>https://orcid.org/0000-0002-7565-3490</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Medical research Medicine, Experimental |
title | Exercise-Induced Functional Changes in People with Parkinson’s Disease following External Cueing and Task-Based Intervention |
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