LSVT LOUD® and LSVT BIG®:   Therapy for Parkinson’s disease

Sports Plus Rehab Centers Speech, Physical and Occupational therapists are helping patients with Parkinson’s disease improve function and slow motor deterioration by retraining sensory, motor and cognitive functions through intensive exercise and patient empowerment with the LSVT LOUD® and LVST BIG® treatment protocols. 


The LSVT LOUD® AND LVST BIG® treatment protocolsare evidence-based therapy treatment approaches for individuals with Parkinson disease and other neurological disorders.  These treatment methods are different from traditional therapy in that they provide the patient with the tools necessary to prevent a decline in function after they have stopped coming for therapy. These programs serve to improve the patients’ perception of their movements so they don’t fall back into previous patterns of impaired speech and small movements which decrease their functional abilities.

What is LSVT LOUD®?

LSVT LOUD® is an intensive, amplitude-based program for the speech motor system.   This method has been shown to improve vocal loudness, speech intelligibility and facial expression.
LSVT LOUD® therapy can only be deliveredby a speech-language pathologist certified in the LSVT LOUD® program.  Therapy consists of one month of intense treatment including 16 one hour treatment sessions, four times a week for four weeks. The patient also has daily homework of specifically assigned exercises and activities. Therapy includes increasing intensity, increasing breath support, increasing pitch range and improving vocal quality. Additional improvements that have been noted include improvement in swallowing and the masked facial expression which often accompanies Parkinson’s disease.

The LVST BIG® treatment protocolapplies the principles and approach of LSVT LOUD® to improve gross and fine motor skills needed for  walking, activities of daily living, , and balance. Use of the principles taught during this program also helps to improve fine motor impairments that can make it difficult for many people with Parkinson’s disease to care for themselves.  LVST BIG® focuses on increasing the size of limb and body movement (“bigness”) in people with Parkinson’s disease, which leads to improvements in the quality and speed of movement, balance, and quality of life. The program utilizes many repetitions of movements that are used in daily living with varying complexity and intensity to improve carryover once patients complete the program.

LVST BIG® therapy can only be delivered by a physical or occupational therapist certified in LVST BIG®. Treatment is administered in 16 sessions over a single month (four individual one hour sessions per week for four weeks). This protocol was developed specifically to address the unique movement impairments for people with Parkinson’s 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!

LSVT LOUD® and LVST BIG® programs are offered through the PT, OT and Speech services at Sports Plus DyersburgSports Plus Milan, Sports Plus Lexington and Lift Therapy. Call your doctor for a referral if you think you or a family member may benefit from these programs. To learn more, call Sports Plus Rehab Centers at 1-800-427-0957.

Certified Therapist
Ben Harper, PT Sports Plus Rehab@ West TN Neurosciences
Lana Hoke, OT  Sports Plus Milan
Jeff Johnson, SLP , Lift Therapy
Eddie Sidwell, PT Lift Therapy
Megan Stovall, PT Sports Plus Lexington
Matt Coleman, DPT Sports Plus Dyersburg
Jo Beth Cook, SLP Sports Plus Dyersburg


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