LSVT BIG®
Parkinson's disease (PD) patients who utilize LSVT BIG learn to move their bodies more normally. People with Parkinson's disease (PD) or other neurological disorders frequently move differently, with smaller and slower motions and actions. They could struggle with regular chores including dressing themselves, moving around, and other daily tasks. LSVT BIG efficiently trains better movements for every activity, whether they are "big motor" duties like getting up from a chair or sofa or "small motor" chores like buttoning a shirt. By assisting patients to "recalibrate" their perception of their movements with what other people actually see, the treatment enhances walking, self-care, and other duties.
LSVT BIG Certified Physical and Occupational Therapists
LSVT BIG is a standardized treatment protocol, delivered by certified clinicians, which is customized to the unique goals of each patient including both gross and fine motor skills. LSVT BIG can be adapted or progressed in order to meet each patient’s needs across a range of disease severity and presenting impairments.
LSVT BIG treatment consists of:
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16 sessions: 4 consecutive days a week for 4 weeks
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Individual 1 hour sessions
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Daily homework practice
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Daily carryover exercises
Research on LSVT BIG has documented improved ratings on tests of motor functioning in people with Parkinson disease following treatment including:
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Faster walking with bigger steps
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Improved balance
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Increased trunk rotation
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Improvements in activities of daily living such as bed mobility
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Improved UPDRS Motor Score

LSVT LOUD®
For persons with Parkinson's disease (PD) and other neurological diseases, LSVT LOUD is a successful speech therapy. It was created by Dr. Lorraine Ramig and named after Mrs. Lee Silverman (Lee Silverman Voice Treatment), a PD patient. With funding from the National Institute for Deafness and Other Communication Disorders at the National Institutes of Health (NIH) and other funding agencies, it has been extensively researched for more than 25 years. LSVT LOUD teaches persons with PD how to speak at a more normal volume at work, at home, or in the community. The treatment's main goal is to assist patients "recalibrate" their perceptions so they can understand how loud or soft they sound to others and feel at ease speaking more forcefully.
LSVT LOUD Certified Speech-Language Pathologist
LSVT LOUD is a standardized treatment protocol that is customized to the unique communication goals of each person across a range of disease severity and communication impairments.
LSVT LOUD treatment consists of:
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16 sessions: 4 consecutive days a week for 4 weeks
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Individual 1 hour sessions
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Daily homework practice
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Daily carryover exercises
Research on LSVT LOUD has documented improved impact on multiple levels of functioning in people with PD following treatment including:
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Increased vocal loudness
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Improved articulation and speech intelligibility
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Improved intonation
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Improvements in facial expression
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Changes in neural functioning related to voice and speech
