Parkinson Exercise

Question 1

LSVT Big

Answer 1

• Lee Silverman Voice Treatment
• large amplitude of whole body movements
• the Largest ROM with the highest effort with the most maximally efficient biomechanics

Question 2

What are the key features of LSVT Loud and big

Answer 2

• Target: bigness or loudness (amplitude)
• mode: intensive and high effort
• calibration: solutions of lasting sucess

Question 3

LSVT big for motor learning

Answer 3

• intensity
• key to motor learning and neuroplasticity
• intensive practice is important for maximal plasticity

Question 4

What does LSVT big treatment consist

Answer 4

• 16 sessions: 4 consecutive days a week for 4 weeks
• individual 1 hour sessions
• daily homework practice
• daily carryover exercises

Question 5

Music and Parkinsons

Answer 5

• studies using auditory cues provided reliable evidence for improved walking speed, stride length and cadence
• the characteristics of the human auditory system make it better therapeutic target for two main reasons:

1. reaction times for auditory cues are 20-50ms shorter than visual and tactile
2. the auditory system has a strong bias to detect temporal patterns of periodicity and structure compared to other sensory systems

Question 6

auditory stimulation

Answer 6

• enables timing of muscle activation to synchronize to the temporal structure of beats
• sounds can exert an influence on the motor pathway via reticulospinal connections => prime and alter timing of spinal motor neuron activity
• motor patterns may require persistent training under conditions adapted for individual patients

Question 7

rhythmic entertainment

picking an auditory stimulus

Answer 7

• preferred tempo is at the middle range of the average gait cadence
• males: 103-150 strides/minute
• females: 100-149 strides/minute