Emerging Paradigms in Exercise-Based Neuro-Physiotherapy for Holistic Motor and Cognitive Rehabilitation in Parkinson’s Disease DOI

Sumbal Imama,

Zulekha Zameer

THE THERAPIST (Journal of Therapies & Rehabilitation Sciences), Journal Year: 2024, Volume and Issue: unknown, P. 02 - 10

Published: Dec. 31, 2024

Parkinson’s Disease (PD) is a progressive neurodegenerative disorder that affects motor and non-motor functions, including cognitive, emotional autonomic systems, severely impacting quality of life. The symptoms PD are successfully treated by traditional physiotherapy, but such treatments often fail to address the complexity variety PD. Advancements in exercise-based neuro-physiotherapy reviewed, with focus on innovative multimodal approaches combining cognitive rehabilitation. Technology driven interventions like virtual reality, robotics AI add real time feedback personalized care therapy, while strategies dual task training mindfulness practice impairments. Comprehensive benefits exercise programs include aerobic, strength flexibility exercises targeted achieve both physical mental health. Comparative analysis traditional, emerging shows their strengths weaknesses, highlights need for tailored interventions. Future directions directed at longitudinal research, combination pharmacological surgical treatments, use biomarkers design therapy enhance outcomes life patients

Language: Английский

The effects of standard and modified LSVT BIG therapy protocols on balance and gait in Parkinson's disease: A randomized controlled trial DOI Creative Commons
Sefa Eldemir, Kader Eldemir, Fettah Saygılı

et al.

Brain and Behavior, Journal Year: 2024, Volume and Issue: 14(3)

Published: March 1, 2024

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

Language: Английский

Citations

7
Special Issue: Non-Pharmacological Interventions for People with Parkinson’s Disease: Are We Entering a New Era? DOI Creative Commons
Elke Kalbe,

B.R. Bloem,

Lorraine V. Kalia

et al.

Journal of Parkinson s Disease, Journal Year: 2024, Volume and Issue: 14(s1), P. S1 - S4

Published: Aug. 13, 2024

Language: Английский

Citations

4
Evaluating the Impact of Adding Lee Silverman Voice Treatment BIG into Routine Physiotherapy on Both Motor and Nonmotor Functions in Individuals with Parkinson’s Disease DOI Creative Commons

Zahra Sadaghiani,

Nahid Tahan,

Soheila Ganjeh

et al.

Dubai Medical Journal, Journal Year: 2025, Volume and Issue: 8(1), P. 12 - 22

Published: March 24, 2025

Introduction: Parkinson’s Disease (PD) is a disorder that causes both motor and nonmotor symptoms. While PD typically appears in older adults, it can also affect individuals the later stages of middle age. Traditional drug therapies have side effects diminishing returns. Exercise, particularly high-intensity programs like Lee Silverman Voice Treatment BIG (LSVT BIG), enhance skills overall quality life by recalibrating sensory system. Method: This research included 40 with PD, who were separated into control group (standard physiotherapy) an intervention (physiotherapy + LSVT-BIG). Participants from local hospital, aged between 35 70, stable medication Montreal Cognitive Assessment (MoCA) scores > 20. Exclusions active exercise severe mental disorders. evaluated LSVT BIG-certified physical therapist completed surveys on medical history current issues. Tests Timed Up & Go (TUG), TUG manual, cognitive. Both groups received 16 one-hour sessions over 4 weeks. Statistical analyses Kolmogorov-Smirnov for normality, independent t-test baseline values, paired-sample within-group comparisons, ANCOVA post-test differences. Results: Demographic clinical attributes consistently normally distributed across (p 0.05). demonstrated notable improvements all outcomes < 0.05); however, experimental had notably greater improvement cognitive comparison to No occurred. Discussion: manual tests highlighted LSVT-BIG’s effectiveness enhancing dual-task performance. Conclusion: Improvements various indicate enhanced mobility performance, which are crucial daily activities PD.

Language: Английский

Citations

0
Effectiveness of Lee Silverman Voice Treatment (LSVT)-BIG for Neurological Diseases Other than Parkinson’s Disease: Mini Review DOI Creative Commons
Chul‐Ho Won, Wooyoung Jang, Sun-Wook Park

et al.

Brain Sciences, Journal Year: 2025, Volume and Issue: 15(4), P. 367 - 367

Published: March 31, 2025

Background: Lee Silverman Voice Treatment-BIG (LB) was developed for Parkinson's disease patients to improve patients' movement amplitude and accuracy through large movements enhance self-awareness recalibration. This study aimed review studies on LB neurological diseases other than examine its potential as an intervention tool. Method: The main search databases included Google Scholar, PubMed, ScienceDirect. 'Neurological disease', 'LSVT-BIG', 'Treatment or Rehabilitation', 'Intervention', 'Therapy' were used keywords until December 2024, eight articles finally selected. Results: As a result of analyzing studies, there four stroke (all conducted by occupational therapists) diseases, including two progressive supranuclear palsy, one idiopathic normal pressure hydrocephalus, Huntington's physical therapists). Conclusions: had positive effect improving function overall motor control in with disease, indicating In the future, that have high-level evidence-based designs complement small sample sizes are needed demonstrate effectiveness LB.

Language: Английский

Citations

0
Non-Pharmacological Interventions for People with Parkinson’s Disease: Are We Entering a New Era? DOI Creative Commons
Elke Kalbe,

B.R. Bloem,

Lorraine V. Kalia

et al.

Journal of Parkinson s Disease, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 4

Published: June 25, 2024

Language: Английский

Citations

1
Benefits of Rhythmic Auditory Stimulation and Lee Silverman Voice Treatment in a Parkinson’s Disease Patient With Meningoencephalitis: A Case Report DOI Open Access

Aditi Dandekar,

Pallavi Harjpal,

Disha S Songire

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 28, 2024

Parkinson's disease (PD) is a neurological disorder characterized by motor and non-motor symptoms that significantly impact patients' quality of life. Meningoencephalitis, an inflammation the brain its surrounding membranes, exacerbates features PD, leading to considerable disability. This case report describes 73-year-old female with five-year history PD who presented meningoencephalitis. She exhibited pyrexia, dyspnea, consistent meningeal irritation. Diagnostic investigations indicated viral Following medical management, patient completed four-week physical therapy program, including Lee Silverman voice treatment, rhythmic auditory stimulation, proprioceptive neuromuscular facilitation exercises. These physiotherapy interventions focused on mobilization improve range motion, muscle strength, coordination, functional ability. Quantitative outcome measures - such as Unified Disease Rating Scale, Modified Hoehn Yahr stage, Questionnaire-39 showed positive changes following intervention. The outcomes highlight benefits multifaceted rehabilitation approach for patients concurrent underscores importance initiating early enhance life in complex conditions.

Language: Английский

Citations

0
Emerging Paradigms in Exercise-Based Neuro-Physiotherapy for Holistic Motor and Cognitive Rehabilitation in Parkinson’s Disease DOI

Sumbal Imama,

Zulekha Zameer

THE THERAPIST (Journal of Therapies & Rehabilitation Sciences), Journal Year: 2024, Volume and Issue: unknown, P. 02 - 10

Published: Dec. 31, 2024

Parkinson’s Disease (PD) is a progressive neurodegenerative disorder that affects motor and non-motor functions, including cognitive, emotional autonomic systems, severely impacting quality of life. The symptoms PD are successfully treated by traditional physiotherapy, but such treatments often fail to address the complexity variety PD. Advancements in exercise-based neuro-physiotherapy reviewed, with focus on innovative multimodal approaches combining cognitive rehabilitation. Technology driven interventions like virtual reality, robotics AI add real time feedback personalized care therapy, while strategies dual task training mindfulness practice impairments. Comprehensive benefits exercise programs include aerobic, strength flexibility exercises targeted achieve both physical mental health. Comparative analysis traditional, emerging shows their strengths weaknesses, highlights need for tailored interventions. Future directions directed at longitudinal research, combination pharmacological surgical treatments, use biomarkers design therapy enhance outcomes life patients

Language: Английский

Citations

0