Universität zu Köln

Schaible, Fabian, Maier, Franziska ORCID: 0000-0002-9335-9594, Buchwitz, Timo Marcel, Schwartz, Frank, Hoock, Marius, Schoenau, Eckhard, Libuda, Miriam, Hordt, Anke, van Eimeren, Thilo ORCID: 0000-0002-6951-2325, Timmermann, Lars and Eggers, Carsten (2021). Effects of Lee Silverman Voice Treatment BIG and conventional physiotherapy on non-motor and motor symptoms in Parkinson's disease: a randomized controlled study comparing three exercise models. Ther. Adv. Neurol. Disord., 14. LONDON: SAGE PUBLICATIONS LTD. ISSN 1756-2864

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Abstract

Background: Parkinson's disease (PD) patients experience disabling motor dysfunctions as well as non-motor symptoms (NMSs) that can highly impact their perceived quality of life. Besides pharmacological treatment options, active intervention programs have set some attention in managing these symptoms. However, previous studies mainly assessed the effectiveness of active intervention programs on functional mobility and motor symptoms. Objective: This study aimed to investigate the effect of Lee Silverman Voice Treatment (LSVT) BIG, an intensified and personalized physiotherapy (INTENSIVE), and a conventional physiotherapy (NORMAL) on NMSs in PD. Method: Forty-four patients with mild to moderate PD were randomly assigned to one of the three treatment groups. LSVT BIG and INTENSIVE were delivered one-on-one in 16 1-hour sessions within 4 weeks (4x/week). Patients assigned to NORMAL received 16 individual 1-hour sessions within 8 weeks (2x/week). The primary outcome measure was the difference in change from baseline in the non-motor symptom assessment scale for Parkinson's disease (NMSS) between treatment groups to follow up at week 8. Patients were blinded for the NMSS being the primary outcome, but not the different treatment groups. Results: ANCOVA (Analysis of Covariance) showed reduced NMSS scores for all groups, with INTENSIVE being superior to NORMAL (p = 0.033). For secondary outcome measures (stride length, gait velocity and chair rising test) LSVT BIG and INTENSIVE were both superior to NORMAL. Conclusions: The study provides evidence that all three exercise programs are effective techniques to improve NMSs as well as motor function in PD. DRKS registration number: DRKS00008732

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schaible, Fabian UNSPECIFIED UNSPECIFIED UNSPECIFIED Maier, Franziska UNSPECIFIED orcid.org/0000-0002-9335-9594 UNSPECIFIED Buchwitz, Timo Marcel UNSPECIFIED UNSPECIFIED UNSPECIFIED Schwartz, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoock, Marius UNSPECIFIED UNSPECIFIED UNSPECIFIED Schoenau, Eckhard UNSPECIFIED UNSPECIFIED UNSPECIFIED Libuda, Miriam UNSPECIFIED UNSPECIFIED UNSPECIFIED Hordt, Anke UNSPECIFIED UNSPECIFIED UNSPECIFIED van Eimeren, Thilo UNSPECIFIED orcid.org/0000-0002-6951-2325 UNSPECIFIED Timmermann, Lars UNSPECIFIED UNSPECIFIED UNSPECIFIED Eggers, Carsten UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-581699
DOI:	10.1177/1756286420986744
Journal or Publication Title:	Ther. Adv. Neurol. Disord.
Volume:	14
Date:	2021
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1756-2864
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Clinical Neurology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58169