Lee Silverman’s Voice Treatment

When speaking is a struggle, everyday things – like talking on the phone, or being understood by family and friends – become incredibly important.

LSVT Big is a research-based exercise approach developed from principles of the effective Parkinson’s specific speech treatment Lee Silverman Voice Training Loud.

LSVT BIG is a program performed by certified PTs or OTs to help improve faster walking with bigger steps, improve balance and quality of movement, all areas with which patients with PD struggle. Researchers suggest that you should not wait until you begin to experience disability, impaired function or loss of balance to start exercise-based physical and occupational therapy.

LSVT BIG can be delivered by a physical or occupational therapist. Treatment is administered in 16 sessions over a single month (four individual 60 minute sessions per week). This protocol was developed specifically to address the unique movement impairments for people with Parkinson disease. The protocol is both intensive and complex, with many repetitions of core movements that are used in daily living. This type of practice is necessary to optimize learning and carryover of your better movement into everyday life!

Specifically, training has been shown to improve ratings on tests of motor functioning in people with Parkinson Disease following treatment

Types of patients that could benefit:

  • Parkinson’s
  • Stroke
  • Multiple sclerosis
  • Ataxia
  • Cerebral palsy

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