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Parkinson’s LSVT BIG Program

LSVT BIG a training program for individuals with Parkinson’s Disease and other neurological conditions to improve both gross and fine motor skills. The treatment can be customized to the specific needs and goals of each patient, and it can be adapted or progressed as indicated. It can be used to treat a vast variety of impairments and limitations, which may fluctuate in severity from patient to patient. For more information regarding LSVT BIG treatments and how they may benefit you, contact Bay State Physical Therapy today.

What exactly is LSVT BIG?

LSVT BIG is a standardized form of treatment that may be unknown to most. LSVT stands for “Lee Silverman Voice Treatment” and has two branches that come off of it – “BIG” and “LOUD.” LSVT LOUD is provided by a speech therapist and is not currently available at Bay State Physical Therapy.

While this is a treatment that is primarily done with Parkinson’s patients, it can be used to treat other neurological conditions, as well. It is based on the principle of neuroplasticity, meaning that nervous system is capable of change in response to signals – essentially, the brain is capable of learning and changing. In fact, scientific research done on the results of LSVT BIG has reported significant progress in several categories that typically impact individuals with Parkinson’s Disease, including improvements in:

  • Balance
  • Trunk rotation range of motion
  • Speed of walking and step size
  • Activities of daily living, such as dressing, bathing, eating, and writing

LSVT BIG uses a large amplitude training (also known as Be BIG!) in order to elicit improved and healthy movement as a new normal for patients.

These treatments are typically administered in 16 individual sessions over the course of one month, which equals out to four 60-minute sessions per week. This intensive mode of administration is consistent with theories of motor learning and skill acquisition, as well as the principle of neuroplasticity. Because of this, intensive treatments are critical in attaining optimal results.

However, LSVT BIG treatments not only stimulate the motor system – they also incorporate sensory awareness training, in order to help patients with Parkinson’s Disease or other neurological conditions recognize when their movements are too small. This helps with the perception that bigger movements are within normal limits, and it also increases the level of comfort with new bigger, faster, and safer movements when walking, dressing, or eating.

How do I know if I’m eligible for LSVT BIG treatments?

Your eligibility for LSVT BIG treatments will be determined by one of our LSVT BIG certified physical therapists. You will undergo a physical evaluation to test your movements and examine both your gross and fine motor skills. You will likely be asked to participate in several diagnostic tests, such as movement investigation or gait analysis. Once a functional diagnosis has been determined, your physical therapist will begin designing an individualized treatment plan based on your needs.

It is likely that anyone with motor skill impairments will be eligible for LSVT BIG treatments, unless a physical therapist recommends otherwise. Sometimes, issues can be treated with other methods of physical therapy. Either way, your physical therapist will make sure that you are receiving the best quality care for your condition.

If you are suffering from a condition that is impairing your motor skills and you would like to learn more about the LSVT BIG treatments contact one of the Bay State Physical Therapy offices listed below that offer this treatment. We will make sure you get the treatment and care you need!

Available at: