Objective: This case presentation will outline two clients treated with LSVT –BIG and share some observations of the technique.

Background: It is estimated that seven to ten million people worldwide are living with Parkinson ‘s disease (4). LSVT-BIG is one of the approaches used in the management thereof which has a strong literature base supporting its efficacy (1) (2). Activity dependent neuroplasticity is one of the core concepts in modern neurological rehabilitation (3). LSVT-BIG© is a rehabilitation approach used in patients with Parkinson’s disease (PD) which relies primarily on the therapeutic benefits of exercise in this population to positively affect the movement disorder component of this disease. The approach utilises amplitude as a single goal which translates into gains in other movement domains such as balance, co-ordination and quality of movement through the process of sensory recalibration.

Methods: The case studies cover the clients’ presentation with specific outcome measures and self-determined functional goals pre intervention, post intervention and at a follow-up. How clinical reasoning is applied into the prescriptive base programme shall be illustrated.

Results: In the first case study the client’s timed up and go (TUG) improved by 66s. Maximum ten metre walk test improved by 0.05m/s and improved the number of times he could stand from sitting in 30 seconds from 2 to 3. The second client’s TUG improved by 2s. Maximum ten metre walk test improved by 1.3m/s and Berg Balance Scale by 16 points.

Conclusions: The key to the successful maintenance of clients goals lies in the patients willingness and ability to continue with the home program and implementation of LSVT-BIG© strategies.

These case presentations were presented as an oral presentation at the South African Neurological Rehabilitation Conference. The abstract for poster presentation has been submitted for consideration to the Association of Physiotherapists in Neurology Conference in London, March 2016.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/lsvt-big-case-studies-a-snapshot-of-observations/