Department of Occupational Therapy, Cheongju Samsung Hospital, Cheongju, Republic of Korea.
Department of Occupational Therapy, College of Health & Medical Sciences, Cheongju University, Cheongju, Republic of Korea.
Occup Ther Int. 2022 Sep 10;2022:1700306. doi: 10.1155/2022/1700306. eCollection 2022.
Previous studies have demonstrated that the Lee Silverman Voice Treatment-BIG (LSVT-BIG) program can improve motor functions such as balance and gait in Parkinson's disease (PD) patients. However, no study has investigated the effects of a task-based LSVT-BIG intervention on hand function, psychological function, and quality of life in PD patients. Herein, we investigate the effects of a task-based LSVT-BIG intervention, which reflects the needs of PD patients, on hand function, activity of daily living (ADL), psychological function, and quality of life. A total of 14 PD patients were enrolled and randomly assigned to the experimental or control group. The experimental group performed 30 minutes of conventional occupational therapy and 40 minutes of the task-based LSVT-BIG program. The control group performed 30 minutes of conventional occupational therapy and 40 minutes of relaxation and stretching. Both groups underwent the respective interventions once a day 5 times a week for 4 weeks. As a result of the study, the experimental group showed improvement in hand function in both the dominant and nondominant hand, and the control group showed improvement only in the nondominant hand ( < .05). ADL was significantly improved in both groups, but the experimental group showed a more statistically significant difference than the control group ( < .05). Depression and anxiety were significantly decreased in both the experimental group and the control group, and in particular, in the case of anxiety, there was a more statistically significant difference in the experimental group ( < .05). In the case of the experimental group, there was a significant improvement in quality of life in all items, and in the control group, except for the social function item ( > .05), there was a significant improvement in other items ( < .05). The results of this study suggest that the task-based LSVT-BIG program, which consists of activities desired by the participants, may be an effective intervention to improve hand function, ADL, psychological function, and quality of life in PD patients.
先前的研究已经证明，李·西尔曼语音治疗-大（LSVT-BIG）计划可以改善帕金森病（PD）患者的运动功能，如平衡和步态。然而，没有研究调查基于任务的LSVT-BIG 干预对 PD 患者手部功能、心理功能和生活质量的影响。在此，我们研究了基于任务的 LSVT-BIG 干预，它反映了 PD 患者的需求，对手部功能、日常生活活动（ADL）、心理功能和生活质量的影响。共有 14 名 PD 患者入组并随机分为实验组和对照组。实验组进行 30 分钟常规职业治疗和 40 分钟基于任务的 LSVT-BIG 计划。对照组进行 30 分钟常规职业治疗和 40 分钟放松和伸展。两组患者每天接受一次治疗，每周 5 次，共 4 周。研究结果表明，实验组在优势手和非优势手的手部功能均有改善，而对照组仅在非优势手方面有所改善（<0.05）。两组 ADL 均显著改善，但实验组与对照组相比差异更具有统计学意义（<0.05）。实验组和对照组的抑郁和焦虑均显著减轻，特别是在焦虑方面，实验组的差异更具有统计学意义（<0.05）。实验组在所有项目的生活质量都有显著改善，而对照组除社会功能项目外（>0.05），其他项目均有显著改善（<0.05）。本研究结果表明，由参与者期望的活动组成的基于任务的 LSVT-BIG 计划可能是改善 PD 患者手部功能、ADL、心理功能和生活质量的有效干预措施。
