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What is LSVT BIG®?

LSVT (Lee Silverman Voice Treatment) BIG is a globally recognized physical or occupational therapy protocol that improves mobility and function in people with Parkinson’s disease (PD) or other neurological conditions.

Supported by over 20 years of published research, LSVT BIG uses intensive “big” exercises and specialized therapy techniques to train individuals how to override the slow, small movements characteristic of PD. LSVT BIG therapy also integrates practice of personalized functional skills that are important to you!

What is LSVT BIG treatment like?
  • LSVT BIG is a standardized treatment protocol that is customized to the unique goals of each person.
  • Treatment can be adapted or progressed to match each person’s abilities across a range of disease severity and impairments.
  • The goal of LSVT BIG is to restore more normal movement patterns in everyday activities by “recalibrating” sensorimotor system so that results are lasting.
  • LSVT BIG treatment always consists of:
  • 7 large amplitude exercises for the whole body
  • Practice of personalized functional skills
  • 60-minute one-on-one therapy sessions
  • 16 treatment sessions, 4 days a week for 4 weeks
  • Daily home exercise practice
  • It is essential that LSVT BIG treatment is only delivered by physical and/or occupational therapists who are certified in this method by LSVT Global.
    • What types of benefits can I expect?
    Treatment benefits vary among individuals, but can relate to:

    • Ability to walk faster with better balance, longer steps, and greater arm swing.
    • Better balance and reduced risk of falls with daily activities.
    • Faster speed and efficiency with dressing, buttoning, zipping, putting on shoes and socks, and more.
    • Better efficiency and safety with activities like bathing, showering, grooming or using the toilet.
    • Enhanced ability to participate in work, hobbies or other activities that you enjoy.
    Frequently Asked Questions
    I was just diagnosed with Parkinson’s Disease, should I start treatment now or should I wait until I see my symptoms change?
    With a progressive condition such as Parkinson’s Disease, a PT and/or OT evaluation should ideally be performed as early as possible. LSVT BIG helps to fight the progressive effects of PD and will be most effective in the earlier stages of the disease and can also be used as a preventative measure.
    Is this program helpful for advanced stage Parkinson’s?
    It is never too late! LSVT BIG therapy can improve mobility and function, keeping people healthy and engaged for improved quality of life and reduced caregiver burden.
    While the degree of improvement may be more limited than with early PD, improvements in the ability to complete daily activities and walking with less assistance are possible. In individuals with cognitive changes or significant physical limitations, a caregiver may be needed to help with exercises and carryover at home.
    What makes LSVT BIG different from other Parkinson’s therapies or treatments?

    1. LSVT BIG is functional and fun!! It does not require medication, equipment or invasive treatments to get BIG results that are continued even after the month of therapy.
    2. While intensive exercise is key to the success of LSVT BIG treatment, this therapy program goes beyond exercise by also focusing on functional skills which are unique to each individual.
    3. The research. Take confidence in knowing this is a treatment supported by over 20 years of research. We know it works! Research on LSVT BIG has documented improved mobility following treatment in many things, such as:

    • Faster walking with bigger steps
    • Improved multi-tasking with walking
    • Improved balance and reduced risk of falling
    • Increased speed moving from sitting to standing
    • Improvements in activities of daily living and tasks requiring hand and arm function
    • Improved UPDRS Motor Score
    What happens after LSVT BIG?
    1. Your therapist will discuss when they would like to see you back for a checkup. This could be anywhere from three to twelve months after therapy completion depending on your needs.
    2. You will do your LSVT BIG home exercise program, which takes about 15 minutes, every day. Just like brushing your teeth every day keeps the cavities away, practicing moving BIG every day keeps you at your peak function!
    3. Join a BIG for LIFE class in your community or the Virtual BIG for LIFE Class by LSVT Global! These group exercise classes are exclusively for people who have completed LSVT BIG treatment. They are FUN and can help you to stay motivated!
    4. Your therapist can help you to get engaged in other community-based exercise following the American College of Sports Medicine recommendations.
    What makes LSVT BIG different from other Parkinson’s therapies or treatments?

    1. LSVT BIG is functional and fun!! It does not require medication, equipment or invasive treatments to get BIG results that are continued even after the month of therapy.
    2. While intensive exercise is key to the success of LSVT BIG treatment, this therapy program goes beyond exercise by also focusing on functional skills which are unique to each individual.
    3. The research. Take confidence in knowing this is a treatment supported by over 20 years of research. We know it works! Research on LSVT BIG has documented improved mobility following treatment in many things, such as:

    • Faster walking with bigger steps
    • Improved multi-tasking with walking
    • Improved balance and reduced risk of falling
    • Increased speed moving from sitting to standing
    • Improvements in activities of daily living and tasks requiring hand and arm function
    • Improved UPDRS Motor Score

    Ready to Begin Your Healing
    Journey?

    Contact us

    Contact Us

    Phone: 908-681-5045

    Fax: 908-681-5029

    Email: hillsborough@fyzical.com

    Address:  220 Triangle Road, Unit 229

    Hillsborough, NJ 08844 (next to CVS)

    Reach Out to Us for Your Therapy Needs