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What Happens in Parkinson’s Disease?

  • Reduced amplitude of motor output
  • Produce small, slow movements
  • Problem in self-perception/awareness – do not recognize that movements are small or slow
  • Self cueing deficits – continue scaling reduced amplitude of movement patterns

What Happens in Treatment?

  • Increase amplitude of motor output
  • Produce larger movements
  • Improve self-perception/awareness of amplitude required to produce normal movement amplitude
  • Improve self-cuing/attention to action – habitually scale increased amplitude of movement patterns

Lee Silverman Voice Treatment (LSVT)

  • Developed in 1987
  • Studied over the past 25 years
  • Proven for participants to maintain benefits over a 2 year period

What’s Involved?

  • 16 sessions: 4 days/week x 4 weeks
  • Individual 1 hour sessions
  • Daily homework practice
  • Daily carryover exercises
  • Lifelong habit of practice

What Is The Goal?

  • To have patients use their bigger movements automatically in everyday living
  • As big as you can – within a pain free range of motion
  • •Improve walking, self-care and other tasks by helping people “recalibrate” how they perceive their movements with what others actually see.
  • Teach patients how and when to apply extra effort to produce bigger motions – more like the movements of everyone around them.

Clinics that offer LSVT/BIG:

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