What is LSVT BIG?

LSVT BIG is provided by a Doctor of Physical Therapy. Research on LSVT BIG has documented improved mobility following treatments that perform movements that are hesitant (akinesia), slow (bradykinesia), and with reduced amplitude (hypokinesia). Some examples are:

• smaller motor tasks like buttoning a shirt

• larger motor tasks like getting up from a chair

• enhancing balance while walking

• walking faster with larger steps

• multi-tasking with walking

While this is a treatment that is primarily done with patients with Parkinson's Disease, it can be used to treat other neurological conditions, as well. It is based on the principle of neuroplasticity, meaning that nervous system is capable of change in response to signals – essentially, the brain is capable of learning and changing. LSVT BIG uses a large amplitude training (also known as Be BIG!) in order to elicit improved and healthy movement as a new normal for patients.

The holistic approach also takes into account non-motor symptoms including emotional changes and congitive changes. Patients will need to tolerate one hour of activity per day, for four times per week, for four weeks.