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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
- 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: