Everything You Need To Know About LSVT Big Program

LSVT Big is an exercise program based on research that has been developed from the principles of the LSVT LOUD program. It has been designed especially for people who have Parkinson’s disease. The program aims to help those people who are suffering from Parkinson’s disease. Individuals with Parkinson’s disease or other neurological conditions often seem to move differently with more minor gestures and actions. These people face various troubles in performing their day-to-day activities, in getting dressed, etc. 

People with Parkinson’s disease don’t know what the problem is and how to manifest it. The condition occurs where there is a loss of brain cells, leading to the production of a chemical called dopamine. 

Working Of LSVT Big Program

The LSVT Big program helps train people with Parkinson’s disease to improve their physical performance so that the movements that feel so significant to them may appear to be expected after this. A certified physical therapist may use specific techniques for improving bradykinesia, hypokinesia, and kinesthetic awareness. 

The LSVT Big program involves treating people with Parkinson’s disease with the concept of neuroplasticity, which refers to the ability of the brain to recognize itself by the formation of new neural connections throughout life. It is a relatively new approach which aims to address the internal aspects of the symptoms shown because of Parkinson’s disease, which leads to significant functional improvements. 

The patient needs to tolerate one or two hours of activity for about four days a week with the program. The patients who face difficulty getting out of a bed or a chair are the ones who benefit the most from LSVT’s big program. 

The pathologist who deals with speech or language problems uses LSVT Loud programs to target those problems related to speech in Parkinson’s disease, such as difficulty in forming clear sounds and softness of sounds. 

Exercises To Be Done In LSVT Big Program

The LSVT big program usually comprises seven minimal exercises to be done daily. It also includes five functional tasks and two to three hierarchy tasks. The minimal exercises are those standard exercises that every patient performs. It generally comprises five standing and two seated exercises. These exercises usually focus upon sustained posture, stepping, and maintaining the proper balance of the body. 

The five functional tasks are personalized tasks designed as per the patient’s needs, including one-stepping tasks such as sit-to-stand, backward turning, etc. The hierarchy tasks are also designed specifically depending on a patient’s needs, which includes more complex tasks such as getting in and out of bed and getting on and off the floor and may also include getting in and out of a car, etc. 

Benefits Of LSVT Big Program

The LSVT big program involves the exercise of the whole body, a personalized program designed for each individual built around the guiding principle of “Think Big.” LSVT Big program helps by reteaching you about how a normal movement would feel. It is often seen that these movements seem to be strange at first and too big compared to the people you may be around. But with time, you may be able to recognize the new movements as well. 

Research has proven that the LSVT Big Program leads to faster walking with more giant steps and arm swings with better ability. It also improves the ability to twist at the waist and helps them button their clothes, write, and do other smaller movements. 

Parkinson’s disease makes it hard to remember consistently using the bigger movements, so LSVT treatment involves lots of repetition and progressive challenges and daily home assignments and practices for remembering to use bigger movements in your day-to-day life. Ultimately, the LSVT Big program helps improve the mismatch between what you feel you are doing and what you are doing, making you more comfortable, confident, and empowered.

After LSVT Big Treatment

One month is the standard time required to complete an LSVT Big treatment program for treating Parkinson’s disease in a patient. After completing the initial treatment, you would at least practice the exercises once a day for about 10 to 15 days. It would help make you ready for using the new movement skills you have learned during the program while at home and while at work. 

A patient needs to know that the LSVT program is a long journey. A few essential things that a person should know are as follows: 

  • LSVT Homework Helper Videos – You must follow the videos to help you to practice the LSVT exercises at home. You may buy those videos or rent them for a few days as required and feasible for you.


  • Tune-Up Sessions – After completing the LSVT program, you, along with your therapist, need to decide when you should return for an assessment. It is always recommended that you take up periodic sessions, which would help to keep you motivated and help maintain the benefits of the hard work. 


  • Community-Based Exercise Groups – Community-based groups for exercises are being created for those people who have already completed the LSVT Big program. These groups are made to help you stay fit and enjoy while doing exercise with others in the community group. 

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