Purpose: The aim of this study was to investigate if an LSVT Big treatment approach would result in improved functional outcomes in patients with traumatic brain injuries compared to a conventional treatment approach. Methods: Implement LSVT Big intervention with 41 year old male with traumatic brain injury for 6-weeks. Conducted an in depth literature search/review of current articles pertaining to the use of an LSVT Big intervention in the treatment of patients with TBI. Results: The studies by Plautz, E., et al., Perez,M., et al. Remple, M.S., et al., demonstrated that task-related training and skill acquisition are critical to encouraging neuroplasticity within the motor cortex. In order to perform LSVT BIG treatment correctly, a patient must perform a considerable amount of movements requiring skill. It has been shown that LSVT BIG is a superior intervention compared to Nordic walking, and an unassisted home exercise program (Ebersbach 1908). Sit-to-stands are a substantial component of the LSVT BIG treatment. An article by Canning, C., et al., examined the effectiveness of intensive practice of sit-to-stand on motor performance, exercise capacity, and exercise efficiency in traumatic brain-injured patients during early inpatient rehabilitation. This study found that an intense sit-to-stand program increased motor performance in TBI subjects. Through this article it can be speculated that sit-tostand component of LSVT BIG would be an effective intervention for TBI patients. Future research needs to be done to answer this question and provide evidence in guiding clinical decisions into the implementation of LSVT BIG treatment with certain patient populations Conclusion: LSVT BIG intervention may improve functional outcomes in TBI patients compared to a conventional treatment. Future improvements would include increasing the frequency and complexity of treatment. This could be accomplished by educating the family on the administration of LSVT BIG treatment and utilizing the assistance of another individual to execute more complex LSVT BIG exercises. Future research needs to be done to provide evidence in guiding clinical decisions, into the implementation of LSVT BIG treatment with certain patient populations. In conclusion the article review was sufficient in answering the PICO question proposed.
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big treatment, brain injury, functional outcomes
Perea, Jason. "Does an LSVT Big treatment approach result in improved functional outcomes in patients with traumatic brain injuries compared to a conventional treatment approach." (2014). http://digitalrepository.unm.edu/dpt/34
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