BACKGROUND AND PURPOSE There is no literature exploring physical therapy interventions for individuals with idiopathic normal pressure hydrocephalus (iNPH). There are parallels between symptoms of iNPH and Parkinson disease (PD), suggesting that similar interventions may be beneficial. An approach that promotes recalibration of movements to produce bigger motions (Lee Silverman Voice Treatment BIG [LSVT BIG]) is an evidence-based intervention for individuals with PD, which could potentially improve function in individuals with iNPH. This case report documents functional outcomes of LSVT BIG in an individual with iNPH. CASE DESCRIPTION The participant was a 62-year-old man with a 16-year history of iNPH. He demonstrated hypokinesia, impaired balance, and cognitive deficits. These resulted in frequent falls and limited community ambulation. INTERVENTION The participant completed the standardized 4-week LSVT BIG program in addition to 5 tune-up sessions 7 months later. Outcome measures included the Berg Balance Scale (BBS), Timed Up and Go (TUG), TUG cognitive and manual, Activities-Specific Balance and Confidence (ABC) scale, Five Times Sit to Stand (5TSTS) test, and a timed floor transfer. OUTCOMES Improvements, exceeding minimal detectable change values, were noted on the BBS and the ABC scale immediately following intervention. Scores declined at 4-month follow-up, but BBS scores increased again after the tune-up sessions. Quicker floor transfer times were also noted. There were no changes in TUG, TUG cognitive and manual, or 5TSTS times. DISCUSSION Therapists may wish to consider the use of the LSVT BIG program in persons with iNPH; however, a longer program and/or regular tune-up sessions may be necessary for best outcomes.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A315).

中文翻译：

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特发性正常压力脑积水患者 LSVT BIG 后的结果：病例报告

背景和目的 没有文献探讨特发性正常压力脑积水 (iNPH) 患者的物理治疗干预措施。iNPH 和帕金森病 (PD) 的症状之间存在相似之处，这表明类似的干预措施可能是有益的。一种促进运动重新校准以产生更大运动的方法（Lee Silverman Voice Treatment BIG [LSVT BIG]）是一种针对 PD 患者的循证干预措施，可能会改善 iNPH 患者的功能。本病例报告记录了 iNPH 患者 LSVT BIG 的功能结果。病例描述 参与者是一名 62 岁的男性，有 16 年的 iNPH 病史。他表现出运动机能减退、平衡受损和认知缺陷。这些导致频繁跌倒和社区活动受限。干预 除了 7 个月后的 5 次调整课程外，参与者还完成了标准化的 4 周 LSVT BIG 计划。结果测量包括伯格平衡量表 (BBS)、定时起立 (TUG)、TUG 认知和手动、特定活动平衡和信心 (ABC) 量表、五次坐立 (5TSTS) 测试和定时地板转移. 结果 干预后立即在 BBS 和 ABC 量表上注意到改善，超过了最小的可检测变化值。在 4 个月的随访中分数下降，但在调整会议后 BBS 分数再次增加。还注意到更快的楼层转移时间。TUG、TUG认知和手动、或5TSTS时间没有变化。讨论 治疗师可能希望考虑在 iNPH 患者中使用 LSVT BIG 计划；然而，