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What is LSVT and how does it help in Neurological Disorders

Updated: Feb 24, 2021

Lee Silverman Voice Treatment BIG (LSVT BIG®) is an intensive, effective, one on one form of Physical or Occupational therapy treatment created to help people with Parkinson’s disease and other neurological conditions to address walking, balance and other activities of daily living. In LSVT BIG, you learn how to make your movements bigger, similar to how a person without Parkinson’s moves. We are retraining movement to be normal in amplitude and NOT exaggerated. Because of the sensory deficit, it may “feel” exaggerated, when in reality “big” is just normal.

It’s a way to retrain yourself to address one of the main symptoms of Parkinson’s called hypokinesia, or the increasingly smaller, more shuffling movements that can otherwise worsen as the condition progresses.

LSVT BIG® can be adapted or progressed in order to meet each patient’s needs across a range of disease severity and presenting impairments. Its best to start the LSVT treatment in early or middle stages of your condition, however the movements can be adapted to those with later stages or more physical difficulties.

LSVT BIG® is unique because the principles of LSVT are supported by research and the LSVT protocols have been scientifically studied over the past 25 years. The research shows that LSVT BIG treatment can lead to faster walking with bigger steps and arm swings, better balance and more ability to twist at the waist.

Clinicians also report that LSVT BIG® often helps people with buttoning their clothes, writing and other smaller-movement tasks, as well large movements like dressing, getting up from a seat and getting into bed.

After completing the LSVT BIG® Certification course and treating so many clients with Parkinson’s using this technique, I see a tremendous difference in clients mobility and movement used in everyday function with LSVT BIG® technique versus traditional physical therapy treatments.

“To learn more about the LSVT programs, Please visit .”




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