LSVT LOUD and LSVT BIG: Behavioral Treatment Programs for Speech and Body Movement in Parkinson Disease.
LSVT LOUD and LSVT BIG: Behavioral Treatment Programs for Speech and Body Movement in Parkinson Disease.
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DOI：
10.1155/2012/391946
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Sapir S
中科院分区：
文献类型：
--
作者：
Fox C;Ebersbach G;Ramig L;Sapir S
神经科学的最新进展表明，基于运动的行为治疗可以改善帕金森病（PD）患者的功能，并可能减缓运动症状的进展。针对PD患者的LSVT （Lee Silverman Voice Treatment）项目在过去的20年里得到了发展和研究，从专注于言语运动系统（LSVT LOUD）开始，最近已经扩展到解决肢体运动系统（LSVT BIG）。LSVT项目的独特之处包括：(a)专门针对增加幅度（言语运动系统的响度；肢体运动系统的较大运动），(b)专注于感觉重新校准，以帮助患者认识到振幅增加的运动在正常范围内，即使他们感觉“太大”或“太大”，(c)训练自我暗示和对行动的关注，以促进长期维持治疗结果。此外，密集的交付模式与驱动活动依赖性神经可塑性和运动学习的原则是一致的。本文的目的是对LSVT计划进行综合讨论，包括其基本原理，疗效数据的总结，以及对局限性和未来研究方向的讨论。
Recent advances in neuroscience have suggested that exercise-based behavioral treatments may improve function and possibly slow progression of motor symptoms in individuals with Parkinson disease (PD). The LSVT (Lee Silverman Voice Treatment) Programs for individuals with PD have been developed and researched over the past 20 years beginning with a focus on the speech motor system (LSVT LOUD) and more recently have been extended to address limb motor systems (LSVT BIG). The unique aspects of the LSVT Programs include the combination of (a) an exclusive target on increasing amplitude (loudness in the speech motor system; bigger movements in the limb motor system), (b) a focus on sensory recalibration to help patients recognize that movements with increased amplitude are within normal limits, even if they feel “too loud” or “too big,” and (c) training self-cueing and attention to action to facilitate long-term maintenance of treatment outcomes. In addition, the intensive mode of delivery is consistent with principles that drive activity-dependent neuroplasticity and motor learning. The purpose of this paper is to provide an integrative discussion of the LSVT Programs including the rationale for their fundamentals, a summary of efficacy data, and a discussion of limitations and future directions for research.
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影响因子：
2.4
作者：
FORREST, K;WEISMER, G;TURNER, GS
通讯作者：
TURNER, GS
影响因子：
16.2
作者：
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通讯作者：
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DOI：
10.1016/j.apmr.2008.01.013
发表时间：
2008-07-01
影响因子：
4.3
作者：
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通讯作者：
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影响因子：
11
作者：
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通讯作者：
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影响因子：
14.5
作者：
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通讯作者：
Poewe, W