PMID- 37332954
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230620
IS  - 2405-8440 (Print)
IS  - 2405-8440 (Electronic)
IS  - 2405-8440 (Linking)
VI  - 9
IP  - 6
DP  - 2023 Jun
TI  - Quantitative assessment of the gait improvement effect of LSVT BIG(R) using a 
      wearable sensor in patients with Parkinson's disease.
PG  - e16952
LID - 10.1016/j.heliyon.2023.e16952 [doi]
LID - e16952
AB  - BACKGROUND: The main effects of Lee Silvermann Voice Treatment-BIG(R) therapy 
      (LSVT-BIG) on gait function are improvements in gait speed and stride length. 
      Considering the mechanism of this improvement, LSVT-BIG may affect joint angles 
      of the lower extremities. Therefore, further investigation of the effect of 
      LSVT-BIG on gait function, especially joint angles, is needed. METHODS: Patients 
      with Parkinson's disease (PD) who were eligible for LSVT-BIG were recruited. We 
      measured the following items pre- and post-LSVT-BIG: MDS-Unified Parkinson's 
      Disease Rating Scale (MDS-UPDRS), Functional Independence Measure (FIM), timed up 
      and go test (TUG), and gait parameters using RehaGait(R). Gait parameters included 
      gait speed, stride duration and length, the standard deviation of stride duration 
      and length, cadence, the ratio of the stance/swing phase, and the flexion and 
      extension angles of the hip, knee, and ankle joints. Range of motion (ROM) was 
      calculated as the difference of values between the maximum flexion and extension 
      angles of each joint. RESULTS: Twenty-four participants completed the LSVT-BIG. 
      Significant improvement was observed in the MDS-UPDRS (mean changes: Part I, -2.4 
      points; Part II, -3.5 points; Part III -8.9 points), TUG (-0.61 s), gait speed 
      (+0.13 m/s), stride length (+0.12 m), flexion and extension angles and ROM of the 
      hip joints (flexion, +2.0 degrees ; extension, +2.0; ROM, +4.0 degrees ). Enlargement in ROM of 
      the hip joint was strongly correlated with increase in gait speed and stride 
      length (r = 0.755, r = 0.804, respectively). CONCLUSIONS: LSVT-BIG enlarged 
      flexion and extension angles and ROM of the hip joint significantly. Change of 
      ROM of the hip joint was directly related to the increase in stride length and 
      gait speed observed in patients with PD after LSVT-BIG.
CI  - (c) 2023 The Authors.
FAU - Matsuno, Atsuhiro
AU  - Matsuno A
AD  - Department of Medicine (Neurology and Rheumatology), Shinshu University School of 
      Medicine, 3-1-1 Asahi, Matsumoto 390-0861, Japan.
FAU - Matsushima, Akira
AU  - Matsushima A
AD  - Department of Medicine (Neurology and Rheumatology), Shinshu University School of 
      Medicine, 3-1-1 Asahi, Matsumoto 390-0861, Japan.
AD  - Department of Neurology, JA Nagano Koseiren Kakeyu Misayama Rehabilitation Center 
      Kakeyu Hospital, 1308 Kakeyu Onsen, Ueda 386-0396, Japan.
FAU - Saito, Masashi
AU  - Saito M
AD  - Department of Rehabilitation, JA Nagano Koseiren Kakeyu Misayama Rehabilitation 
      Center Kakeyu Hospital, 1308 Kakeyu Onsen, Ueda 386-0396, Japan.
FAU - Sakurai, Kazumi
AU  - Sakurai K
AD  - Department of Rehabilitation, JA Nagano Koseiren Kakeyu Misayama Rehabilitation 
      Center Kakeyu Hospital, 1308 Kakeyu Onsen, Ueda 386-0396, Japan.
FAU - Kobayashi, Katsuyuki
AU  - Kobayashi K
AD  - Department of Rehabilitation, JA Nagano Koseiren Kakeyu Misayama Rehabilitation 
      Center Kakeyu Hospital, 1308 Kakeyu Onsen, Ueda 386-0396, Japan.
FAU - Sekijima, Yoshiki
AU  - Sekijima Y
AD  - Department of Medicine (Neurology and Rheumatology), Shinshu University School of 
      Medicine, 3-1-1 Asahi, Matsumoto 390-0861, Japan.
LA  - eng
PT  - Journal Article
DEP - 20230603
PL  - England
TA  - Heliyon
JT  - Heliyon
JID - 101672560
PMC - PMC10272473
OTO - NOTNLM
OT  - Gait analysis
OT  - LSVT-BIG
OT  - Parkinson disease
OT  - Wearable sensor
COIS- The authors declare that they have no known competing financial interests or 
      personal relationships that could have appeared to influence the work reported in 
      this paper.
EDAT- 2023/06/19 06:42
MHDA- 2023/06/19 06:43
PMCR- 2023/06/03
CRDT- 2023/06/19 02:43
PHST- 2022/10/31 00:00 [received]
PHST- 2023/04/15 00:00 [revised]
PHST- 2023/06/01 00:00 [accepted]
PHST- 2023/06/19 06:43 [medline]
PHST- 2023/06/19 06:42 [pubmed]
PHST- 2023/06/19 02:43 [entrez]
PHST- 2023/06/03 00:00 [pmc-release]
AID - S2405-8440(23)04159-2 [pii]
AID - e16952 [pii]
AID - 10.1016/j.heliyon.2023.e16952 [doi]
PST - epublish
SO  - Heliyon. 2023 Jun 3;9(6):e16952. doi: 10.1016/j.heliyon.2023.e16952. eCollection 
      2023 Jun.