Other components included sit-to-stands, hierarchy tasks of car transfers, and gait. Sessions included 7 maximal daily exercises with large-amplitude movements in multidirectional planes. Methods :The patient completed the 4-weeks LSVT-BIG training protocol for four 1-hour PT and OT sessions weekly. Following completion of LSVT and reevaluation, the patient was approved for 12 sessions of PWR! program. Initial evaluation revealed the following outcomes: Mini-BEST of 13/28, Five Times Sit to Stand (5xSTS) of 12.9 s, Timed Up and Go (TUG) of 13.21 s, TUG-Cognitive of 24.11 s, and TUG Manual of 14.7 s. PT treatment began on Octowith 16 sessions of LSVT-BIG by certified SPT and OT. The patient fell twice recently and reported no changes in function with medication. Purpose: The primary purpose of this case report is to determine the effects of LSVT-BIG and PWR! programs on gait impairments, balance deficits, and participation restrictions in a patient with PD.Ĭase Description: A 74-year old male with PD attended PT with a referral for LSVT-BIG, given PD progression. Thus, LSVT-BIG and PWR! should be explored in tandem as standardized treatment for patients with PD. While LSVT-BIG and high-intensity training improve gait speed and balance deficits, only limited research exists on the impact of the Parkinson's Wellness Recovery (PWR!) program on PD symptoms. Background : The prevalence of Parkinson’s Disease (PD) drives the search for effective interventions.
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