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By GGV Webmaster 0 Comments Physio, Studies, Therapy , ,

LSVT BIG

LSVT BIG is a an intensive, amplitude focused physical and occupational therapy approach
developed from principles of the effective Parkinson’s specific speech treatment LSVT LOUD® .
• The LSVT Programs have been developed and scientifically researched over the past 25 years
with funding from the National Institutes of Health.
• Research on LSVT BIG has documented improved ratings on tests of motor functioning in people
with Parkinson disease following treatment including:
– Faster walking with bigger steps
– Improved balance
– Increased trunk rotation
– Improvements in activities of daily living such as bed mobility
– Improved UPDRS Motor Score


LSVT BIG is a standardized treatment protocol, 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:
1) 16 sessions: 4 consecutive days a week for 4weeks
2) Individual 1 hour sessions
3) Daily homework practice
4) Daily carryover exercises
• It is essential that LSVT BIG treatment is only delivered by physical or occupationaltherapists
who are certified in this method.
• Over 29,000 therapists from 55 countries have been certified in LSVT BIG.
Select References:
1. Ebersbach, G., Ebersbach, A., Edler, D., Kaufhold, O., Kusch, M., Kupsch, A., & Wissel, J. (2010). Comparing
exercise in Parkinson’s disease–the Berlin LSVT®BIG study. Movement Disorders, 25, 2478.
2. Fox, C., Ebersbach, G., Ramig, L., & Sapir, S. (2012). LSVT LOUD and LSVT BIG: Behavioral treatment programs for
speech and body movement in Parkinson disease. Parkinson’s Disease, 2012, Article ID 391946, 12pgs.
3. Isaacson, S., O’Brien, A., Lazaro, J.D., Ray, A., Fluet, F. (2018). The JFK BIG study: the impact of
LSVT BIG® on dual task walking and mobility in persons with Parkinson’s disease. The Journal of
Physical Therapy Science, 30: 636–641.
Research has been funded, in part, by the: National Institutes of Health-National Institutes on-Deafness and Other
Communication Disorders (NID-NIDCD) R01 DC001150 and National Institute of
Neurological Disorders and Stroke (NINDS) R21 NS043711.

By GGV Webmaster 0 Comments Physio, Studies, Work Injury

LSVT LOUD

LSVT LOUD is the first speech treatment with level 1 evidence and established efficacy for treating
voice and speech disorders in people with Parkinson disease (PD) with application to other
neurological disorders.
• The LSVT Programs have been developed and scientifically researched over the past 25 years
with funding from the National Institutes of Health. LSVT LOUD outcome data have been
published in a series of refereed articles in speech, otolaryngology and neurology journals.
• Research on LSVT LOUD has documented improved impact on multiple levels of functioning in
people with PD following treatment including:
– Increased vocal loudness
– Improved articulation and speechintelligibility
– Improved intonation
– Improvements in facial expression
– Changes in neural functioning related to voice andspeech


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:
1) 16 sessions: 4 consecutive days a week for 4weeks
2) Individual 1 hour sessions
3) Daily homework practice
4) Daily carryover exercises
• It is essential that LSVT LOUD treatment is only delivered by speech-language pathologists who
are certified in this method.
• Over 21,000 speech-language pathologists from 78 countries have been certified in LSVT LOUD.
Select References:
1. Ramig, L. O., Halpern, A., Spielman, J., Fox, C., & Freeman, K. (2018). Speech treatment in Parkinson’s Disease:
Randomized Controlled Trial (RCT). Movement Disorders, 1-15. https://doi.org/10.1002/mds.27460
2. Ramig, L., et al. (2001). Intensive voice treatment (LSVT) for individuals with Parkinson disease: A two-year followup. J. Neurology, Neurosurgery, and Psychiatry. 71, 493-498.
3. Mahler LA, Ramig LO, Fox C. (2015). Evidence-based treatment of voice and speech disorders in Parkinson disease.
Curr Opin Otolaryngol Head Neck Surg. 2015 Jun;23(3):209-15. PMID: 2594396615.
Research has been funded, in part, by the: National Institutes of Health-National Institutes on Deafness and Other
Communication Disorders (NID-NIDCD) DC00976 and DC001150; and The Office of Education-National Institute for Disability
and Rehabilitative Research (OE-NIDRR) Grants H133G00079 and H133G40108.

By GGV Webmaster 0 Comments Therapy ,

Benefits of Physical Therapy

Physical therapist services include evaluation and treatments provided by licensed physical therapists.  Physical therapy helps people:

  • Improve and restore movement and function.
  • Manage pain.
  • Reduce the symptoms of many chronic (long-term) conditions and diseases.
  • Recover from and prevent injury.

Here are some of the many benefits of physical therapy:

Maximize Your Movement

Physical therapists identify, diagnose, and treat movement problems. They help people maintain or restore as much function as possible. Physical function and movement are very important to:

  • Health, wellness, and fitness.
  • Managing pain.
  • Earning a living.
  • Independence

Get the Recommended Amount of Physical Activity

Regular physical activity can benefit your physical, mental, and social health. It also helps to prevent or improve many chronic conditions, such as:

  • Heart disease.
  • Diabetes
  • Obesity
  • Depression
  • Some cancers.

Physical therapists help people overcome barriers to physical activity.

Care That Meets Your Specific Needs

Physical therapists design treatment plans specific to each person’s needs, challenges, and goals. They work together with you to develop strategies and help you achieve your goals. Physical therapists care for people of all ages and abilities.

Manage Pain and Avoid Opioids

While doctor-prescribed opioids are suitable for some cases, they only mask pain. Physical therapists help people manage pain without the risks of opioid use. Opioid risks include depression, substance use disorder, overdose, and withdrawal symptoms when stopping use.

To manage long-term pain, the CDC recommends safer options like physical therapy.

Avoid Surgery

Physical therapists help people manage pain and improve movement problems. Some pain and movement problems can become chronic and lead to surgery.

Physical therapy helps to reduce the symptoms of many chronic diseases and conditions. It also can keep many problems from getting worse. Physical therapists can help you avoid the need for, and the costs and risks of, surgery.

Research shows that physical therapy is as effective as surgery for some conditions, including:

  • Meniscal tears and knee osteoarthritis
  • Rotator cuff tears
  • Spinal stenosis
  • Degenerative disc disease

Before you have surgery, try physical therapy.

In some cases, surgery cannot be avoided. Physical therapy helps people prepare for and recover after surgery.

Participate in Your Recovery

Physical therapists empower people to take an active role in their care. They work with each other, and other health care providers, to make sure patients receive the best care.

Care Where You Need It

You can see physical therapists and PTAs almost anywhere, including:

  • Private practices.
  • Outpatient clinics.
  • Home, work, and school.
  • Sports and fitness facilities.
  • Nursing homes and rehab facilities.
  • Communities.

Find a Physical Therapist

You do not need a doctor’s referral for an evaluation by a physical therapist. Physical therapists are movement experts who improve quality of life through hands-on care, patient education, and prescribed movement.