[Purpose] The aim of this study was to test the hypothesis that Lee Silverman Voice Treatment-BIG decreases the negative impact of hypokinesia on dual task performance in persons with Parkinson’s disease. [Subjects and Methods] The records of 114 patients with Parkinson’s admitted to outpatient rehabilitation at a suburban hospital were reviewed. Demographics and data for 8 outcome measures were extracted for subjects that completed 14 of 16 sessions of BIG. 93 of these subjects had records of pre and post-test Timed Up and Go, Timed Up and Go Motor, and Timed Up and Go Cognitive scores. Average age was 68.4 years (SD=10.6) and average disease duration was 4.9 years (SD=5.3). [Results] Subjects demonstrated statistically significant improvements for Timed Up and Go (3.3 SD=4.5), Timed Up and Go Motor (4.4 SD=5.8) and Timed Up and Go Cognitive (4.7 SD=5.4). Concurrent motor and cognitive performance remained stable. Dual task cost decreased at a statistically significant level for Timed Up and Go Cognitive (7% SD=31%) but not Motor (4% SD=32%). [Conclusion] These findings suggest that cueing strategies associated with LSVT BIG become internalized and decrease the negative impact of hypokinesia on mobility and cognitive performance while performing two tasks simultaneously in persons with Parkinson’s.

The P300 is an event-related potential component that reflects attention to motivationally salient stimuli and may be a promising tool to examine individual differences in cognitive-affective processing very early in development. However, the psychometric properties of the P300 in infancy are unknown, a fact that limits the component's utility as an individual difference measure in developmental research. To address this gap, 38 infants completed an auditory three-stimulus oddball task that included frequent standard, infrequent deviant, and novel stimuli. We quantified the P300 at a single electrode site and at region of interest (ROI) and examined the internal consistency reliability of the component, both via split-half reliability and as a function of trial number. Results indicated that the P300 to standard, deviant, and novel stimuli fell within moderate to high internal consistency reliability thresholds, and that scoring the component at an ROI led to slightly higher estimates of reliability. However, the percentage of data loss due to artifacts increased across the course of the task, suggesting that including more trials will not necessarily improve the reliability of the P300. Together, these results suggest that robust and reliable measurement of the P300 will require designing tasks that minimize trial number and maximize infant tolerability.