LSVT BIG (Lee Silverman Voice Treatment – BIG) was originally developed to address speech challenges in individuals with Parkinson’s through the “Loud” program. It has since evolved to target motor symptoms like hypokinesia (reduced movement) and bradykinesia (slowness of movement) through large-amplitude movements. Named after Mrs. Lee Silverman, a Parkinson’s patient, this therapy is rooted in the principles of neuroplasticity—the brain’s ability to reorganize and form new neural connections.
This program focuses on helping patients “recalibrate” their perception of movement, ensuring that they recognize and feel comfortable with larger, more confident motions. It also addresses the emotional and cognitive challenges associated with PD, offering a holistic approach to care.
Unlike traditional physical therapy, LSVT BIG is designed specifically for the unique challenges of Parkinson’s disease. Its research-based treatment protocols are focused on:
This high-intensity, high-effort therapy is structured to induce lasting changes in how patients move and live, giving them the tools to transfer what they learn in therapy to everyday activities like walking, dressing, and eating.
Dry needling effectively addresses a wide range of musculoskeletal and neurophysiological dysfuctions from mechanical stress, direct trauma, repetitive overuse, faulty movement patterns, and others like:
causing neck, jaw, back, and shoulder pain
causing arm pain (e.g., tennis elbow, carpal tunnel syndrome)
(including migraines and tension-type headaches)
with or without radiating symptoms (e.g., sciatica, hamstring strains)
burnout related to athletic demands, muscle tension and muscle deficiency.
Improve walking, balance, and daily movements while reducing stiffness and slowness.
Including conditions such as progressive supranuclear palsy (PSP), multiple system atrophy (MSA), and corticobasal degeneration (CBD).
Individuals with stroke, multiple sclerosis (MS), or other conditions that affect movement and motor control.
Scientific research has shown that LSVT BIG therapy leads to significant improvements for individuals with Parkinson’s disease, including:
LSVT BIG therapy is an intensive program consisting of:
16 sessions over four weeks: Four 60-minute sessions per week for four weeks.
Daily homework: Patients are encouraged to practice exercises outside of sessions to reinforce progress.
Adaptable exercises: Movements are tailored to each patient’s functional level and can be performed standing, seated, or lying down to ensure safety and success.
This structured, high-frequency approach aligns with the principles of motor learning and neuroplasticity, maximizing outcomes and improving long-term motor function.
While LSVT BIG is most effective in the early to middle stages of Parkinson’s, it can benefit individuals at any stage of the condition. Early intervention allows patients to address symptoms before they significantly impact daily life. However, even those with advanced Parkinson’s can experience meaningful improvements.
If you or a loved one is struggling with reduced mobility, slowed movements, or difficulty with everyday activities, LSVT BIG may be the right choice.
At Voltex Physical Therapy, our Doctors of Physical Therapy are certified in LSVT BIG and dedicated to providing individualized care for each patient. We create a welcoming and supportive environment, empowering you to reach your goals and improve your quality of life.
Our approach ensures that every patient receives:
A personalized treatment plan based on their unique needs and abilities.
Compassionate guidance and support throughout the therapy process.
The tools and confidence to transfer improvements from therapy to real-life activities.
It’s never too early—or too late—to start your LSVT BIG journey. Whether you’re just beginning to notice symptoms or have been living with Parkinson’s for years, this therapy can help you reclaim your independence and enhance your daily life.
Contact Voltex Physical Therapy today (512) 200-4067 to schedule your LSVT BIG evaluation and start moving BIG!
