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LSVT® BIG 对帕金森病患者生活质量改善的短期效果及其维持:1 年随访。

Short-term effect and its retention of LSVT® BIG on QOL improvement: 1-year follow-up in a patient with Parkinson's disease.

机构信息

Department of Rehabilitation, Kawamura Hospital, Gifu, Japan.

Faculty of Rehabilitation, School of Health Sciences, Fujita Health University, Toyoake, Japan.

出版信息

NeuroRehabilitation. 2021;49(3):501-509. doi: 10.3233/NRE-210129.

Abstract

BACKGROUND

There are no reports regarding the long-term retention of effects of Lee Silverman Voice Treatment® BIG (LSVT® BIG) on improvements in quality of life (QOL) among patients with Parkinson's disease (PD).

OBJECTIVE

This study aimed to evaluate the short-term effect of LSVT® BIG on QOL improvement and its retention in a patient with PD. Motor symptoms, walking ability, and walking speed were evaluated as factors associated with QOL.

METHODS

A 63-year-old woman who was diagnosed with PD received a 4-week LSVT® BIG program under the supervision of certified LSVT® BIG physical therapists. The participant's disease severity was classified as Hoehn and Yahr stage 2. The Parkinson's Disease Questionnaire-39 (PDQ-39), Movement Disorder Society-sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) part 3, timed up-and-go test (TUG), and 10 m walk test (10 MWT) were evaluated before, after, and 1-year after the intervention.

RESULTS

The results indicated short-term improvements in the PDQ-39, MDS-UPDRS part 3, TUG, and 10 MWT which were retained for up to 1 year.

CONCLUSIONS

This case report suggests the possibility of 1-year retention of improvements in QOL, motor symptoms, walking ability, and walking speed resulting from LSVT® BIG intervention in a patient with mild PD.

摘要

背景

目前尚无关于 Lee Silverman Voice Treatment® BIG(LSVT® BIG)对帕金森病(PD)患者生活质量(QOL)改善的长期效果保留的报告。

目的

本研究旨在评估 LSVT® BIG 对 PD 患者 QOL 改善的短期效果及其保留情况。将运动症状、步行能力和步行速度评估为与 QOL 相关的因素。

方法

一名 63 岁的女性被诊断为 PD,在经过认证的 LSVT® BIG 物理治疗师的监督下接受了为期 4 周的 LSVT® BIG 计划。患者的疾病严重程度被分类为 Hoehn 和 Yahr 2 期。在干预前、干预后和干预后 1 年评估帕金森病问卷 39 项(PDQ-39)、运动障碍协会赞助的统一帕金森病评定量表(MDS-UPDRS)第 3 部分、计时起立行走测试(TUG)和 10 米步行测试(10 MWT)。

结果

结果表明 PDQ-39、MDS-UPDRS 第 3 部分、TUG 和 10 MWT 在短期内均有改善,且可维持长达 1 年。

结论

本病例报告提示 LSVT® BIG 干预可能使轻度 PD 患者的 QOL、运动症状、步行能力和步行速度改善保持 1 年。

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