exam #2 LSVT BIG Flashcards
What is LSVT BIG
intensive intervention program to improve the function of PD
neuroplasticity based
research-based
Goals of LSVT?
Target: amplitude
Mode: high intensity + effort
Calibration: carryover/generalization
Target: high _________ is important to address which cardinal sign of PD?
amplitude/ bradykinesia
Mode: high _____ is important because it targets which neuroplasticity principles:
intensity
use it or lose it, use it to improve it, intensity matters
Calibration makes PD pt.s aware of ___________ movements.
-targets what symptoms? (2)
-which neuroplasticity principle?
small
-poor implicit knowledge of performance + bradykinesia
-salience, transference*
Note on cuing:
–keep it ______
–your cue is______
–don’t use too many _____
–internal or external?
simple
BIG
words
external
LSVT BIG protocol:
4x/week for 4 weeks
1 hour, one on one treatment
homework including maximal daily exercises, BIG walking, functional component tasks, hierarchy tasks, and carry-over tasks to be completed once a day on therapy days and twice daily on non-therapy days
Training intensity 8/10 effort through session
Maximal Daily Exercises (MDEs) :
Sustained MDEs:
7 exercises completed for 8-12 repetitions
–2 sustained movements
–5 multidirectional repetitive movements
10-sec holds:
floor to ceiling
side to side
Multidirectional MDEs are: (5)
forward step
sideways step
backward step
forward rock and reach
sideways rock and reach
Impairments of body structure and function dont just have to be MSK. For PD what is a non-msk body structure and function impairment?
substania nigra - create DA
BG- motor control
both are impaired with PD
What impairments of PD do the MDEs address:
get out of flexion (multiple planes)
bradykinesia, postural instability, ADLs, limited trunk rotation, ankle /hip strategies
What activity limitations do the MDEs address?
gait, postural instability/balance
Functional Component Task:
–each patient will have ______ FCTs
–1st:
–others:
–each session you will train these and you may progress but they must ______ _____ _______throughout the protocol
5 FCTs
sit to stand
motion of sweeping, rolling in bed, reaching overhead
remain the same
What component of the ICF model do FCTs address?
activity limitations
Hierarchy Tasks (HTs) each patient will have around _______ HTs addressed each session. These are _______ level and more ____ activities.
–examples:
3
higher/complex
fly fishing, loading and unloading the dishwasher, completing a load of laundry, golfing
