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LSVT Big
At Voltex Physical Therapy, we are proud to offer LSVT BIG therapy, a highly effective and evidence-based program tailored to improve movement and quality of life for individuals living with Parkinson’s disease (PD) and other neurological conditions. This intensive program is designed to empower patients, helping them regain control of their movements and navigate life with reduced symptoms and greater confidence.
What Is LSVT BIG Therapy?
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.
How Is LSVT BIG Different From Traditional Physical Therapy?
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:
- Motor symptoms: Improving movement size, speed, and efficiency.
- Sensory symptoms: Helping patients identify and overcome movement deficits.
- Non-motor symptoms: Addressing emotional and cognitive changes to support overall well-being.
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.
Conditions Treated with Dry Needling
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:
- Scar tissue, contractures, muscle strains causing neck, jaw, back, and shoulder pain
- Tendon dysfuction causing arm pain (e.g., tennis elbow, carpal tunnel syndrome)
- Acute or chronic headaches (including migraines and tension-type headaches)
- Acute or chronic low back pain with or without radiating symptoms (e.g., sciatica, hamstring strains)
- Overtraining, burnout related to athletic demands, muscle tension and muscle deficiency.
Benefits of LSVT BIG Therapy
Scientific research has shown that LSVT BIG therapy leads to significant improvements for individuals with Parkinson’s disease, including:
- Faster, more confident walking with larger strides.
- Enhanced balance and trunk rotation for stability.
- Increased independence in daily tasks such as eating, dressing, and writing.
- Improved overall quality of life and sense of empowerment.
What Does an LSVT BIG Program Look Like?
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.
Who Can Benefit From LSVT BIG?
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.
Why Choose Voltex Physical Therapy for LSVT BIG?
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.
Take the First Step Toward Better Movement
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!
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WHAT OUR CLIENTS SAY
EXCELLENT Based on 140 reviews Juwan Javers2025-05-31Trustindex verifies that the original source of the review is Google. Mr. Hector isn’t a good PT, he also lectures, teaches, educates, & very knowledgeable about his craft especially focuses on the details to improve your well-being. I specifically reach out to Hector regarding pec muscle strain, lower back pain & tight hip flexors. Scheduled multiple sessions of dry needling to reduce muscle tension, improve mobility, now feeling great. I recommend anyone to have a session with him. He’s normally fully booked so please make sure you contact him ahead of time & book with him for treatment Agatha Ng2025-05-29Trustindex verifies that the original source of the review is Google. We’re not gatekeeping Hector, people. I’ve been plagued with a hyper specific injury in my shoulder region for nearly a year. I’ve gone to different specialists, and sought multiple perspectives on how to address it. It's like throwing darts into the dark, and hoping to see what sticks. This plan of attack hasn't been working well as my injury has started a domino affect: Other parts of me have been compensated and I'm generally have been falling apart. One consultation with Hector gave me the most clarity, and concrete results that I’m annoyed at myself at how long it took me to find him! What makes him different: - Beyond knowledgeable - Programs NON-cookie cutter exercises that are catered to your specific needs - Dry needling alleviates symptoms, which speeds up the healing/recovery process - Amazing, warm, and welcoming personality. - He follows up with you after your sessions and makes sure you feel confident and assured on your road to recovery! 1+ year update: - I'm still with Hector because he is divine. I look forward to our monthly check ins <3. - We've past the rehab stage, and am in the strengthening stage where I've been relearning mind/body muscle connections I *thought* I had. - I've recommended him my other close friends because he is D-I-V-I-N-E. Leila Wood2025-05-20Trustindex verifies that the original source of the review is Google. Dr. Hector is amazing. He helped me decrease pain and increase mobility through dry needling and exercise. I was scared at first of dry needling but it was not a big deal at all, and Dr. Hector made it easy and it reduce my pain. He has excellent bedside manner and made me feel so comfortable. Best PT experience! Raquel Varas Martin2025-05-08Trustindex verifies that the original source of the review is Google. Dr. Hector at Voltex Physical Therapy is amazing. I came in with knee pain that had been misdiagnosed by an orthopedic surgeon. Dr. Hector figured out it was actually coming from my hip. With functional exercises and dry needling, he got me back to running pain-free. Highly recommend if you're an athlete dealing with injuries! James Garbo2025-05-07Trustindex verifies that the original source of the review is Google. Hector and his treatments are a gamechanger. My only regret is not trying this earlier. My partner was telling me how much of an improvement it had for her and bc I was a bit hesitant with needles, I held off. Def doesn't hurt and I've come to look forward to my appts bc of how much better I feel when I leave. Would def recommend. Hector is the best! Walker McKenzie2025-04-27Trustindex verifies that the original source of the review is Google. Hector is an extremely personable clinician and a great listener. At first I was scared/skeptical of dry needling, but I became a believer when the method gave me immediate relief the day after a knee injury. I would recommend Voltex to anyone (and I do!) Kimberly Gerstacker2025-04-23Trustindex verifies that the original source of the review is Google. Dr. Hector is the best- I’ve had knee and hip issues for a while now and the needling procedure works beautifully. I recommend it for anybody that is tired of having constant pain in their body. Miracle worker !!!! Colton Ward2025-04-16Trustindex verifies that the original source of the review is Google. Hector is hands down the most invested physical therapist I’ve ever worked with. From the very first session, it was clear how deeply he cares about his patients’ recovery. He takes the time to listen, ask thoughtful questions, and tailor treatment in a way that shows he’s genuinely committed to helping you heal. His knowledge of the body is impressive, but what really sets him apart is the compassion and attention he brings to every appointment. I'm still in the middle of treatment, and my specific issue has not completely gone away, but I feel that I am on a good recovery path and that I will have the tools in my belt to help prevent the issue in the future. Highly recommend!