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LSVT BIG trains people with Parkinson disease (PD) to use their body more normally.  People living with PD or other neurological conditions often move differently, with gestures and actions that become smaller and slower. They may have trouble with getting around, getting dressed and with other activities of daily living.

LSVT BIG effectively trains improved movements for any activity, whether “small motor” tasks like buttoning a shirt or “large motor” tasks like getting up from sofa or chair or maintaining balance while walking.

LSVT BIG treatment is customized to each person’s specific needs and goals, it can help regardless of the stage or severity of your condition.

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:

Rock Steady Boxing:

Rock Steady Boxing is a unique exercise program which was adapted for people with Parkinson’s disease. The program involves regular exercises such as stretching, running, jump-roping, push-ups, balancing and a lot of non-contact boxing. Rock Steady Boxing will now be available in Ankeny, IA. It will be led by experienced trainers/coaches and serves both men and women of all ages and levels of ability. The program provides commraderie, friendship and an outlet to fight back against Parkinson’s Disease!

Rock Steady Boxing Will Work To Improve:

  • Strength
  • Flexibility
  • Balance
  • Coordination
  • Mood
  • Strength of voice

What Does The Program Look Like?

  • Non-contact exercise based on boxing
  • Classes offered 2-3 times/week
  • Classes are 60 min in duration
  • Monthly membership fee

Rock Steady is available at our Ankeny, IA location! 

Looking for more resources on Parkinson’s Disease? Check out our Podcast!