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LSVT BIG & PWR! © for Parkinson's

LSVT BIG Program

LSVT BIG (Lee Silverman Voice Treatment BIG) is a specialized physical and occupational therapy program designed specifically for individuals with Parkinson's disease (PD). It focuses on improving movement amplitude, speed, and quality to address the motor symptoms associated with PD.

Key Features & Goals of LSVT BIG:

Individualized Approach: LSVT BIG is tailored to each person's specific needs and abilities. Therapists assess the individual's movement patterns and design a personalized program to address their limitations.

Intensive and Repetitive Exercises: The program emphasizes intensive and repetitive exercises that focus on large-amplitude movements across multiple joints. These exercises help counteract the common PD symptoms of reduced movement range (hypokinesia), stiffness (rigidity), and slowness of movement (bradykinesia).

Focus on Daily Functional Movements: LSVT BIG concentrates on enhancing movements relevant to daily activities. This includes exercises related to walking, reaching, standing up from a chair, and other functional tasks.

Attention to Quality of Movement: The program places emphasis not just on the size of movements but also on their quality. This involves training individuals to make movements more efficient and purposeful.

Cueing and Feedback: Therapists use verbal cues and feedback to encourage and guide individuals to perform larger and more intentional movements.

Home Exercise Practice: Individuals are encouraged to practice the exercises at home to reinforce the benefits gained during therapy sessions.

The primary objective of LSVT BIG is to retrain the sensorimotor system affected by PD, leading to improved movement patterns and increased functional independence. Research has shown positive outcomes, including improvements in walking, balance, posture, and overall motor function following LSVT BIG therapy.

It's important to note that LSVT BIG should be administered by certified therapists trained in this specific protocol. The therapy typically involves multiple sessions per week over several weeks, and consistency and adherence to the program are crucial for achieving optimal results.


Before starting any new therapy program, individuals with PD should consult with their healthcare provider to determine if LSVT BIG is appropriate for their specific needs and condition.

PWR! © for Parkinson's

PWR! (Parkinson Wellness Recovery) is an exercise program designed for individuals with Parkinson's disease (PD). It's an approach that focuses on enhancing physical function, mobility, and overall well-being through a series of exercises targeting specific movement impairments commonly seen in PD.

Key Aspects of PWR! for Parkinson's:

Exercise-Based Approach: PWR! utilizes a variety of exercises that target motor symptoms associated with PD, including rigidity, bradykinesia (slowness of movement), and reduced amplitude of movement. These exercises aim to promote more fluid and larger movements, addressing issues like balance, gait, posture, and flexibility.

Functional Movement Training: The program emphasizes exercises that mimic daily activities and movements. This functional training approach aims to improve the ability to perform everyday tasks by practicing movements relevant to daily living.

Intensity and Progression: PWR! incorporates exercises with varying levels of intensity and complexity. As individuals progress, the exercises are modified to challenge balance, coordination, and strength further.

Cognitive Engagement: Some exercises in the PWR! program involve cognitive engagement, such as performing dual tasks or incorporating cognitive challenges, which can benefit individuals with PD who might experience cognitive changes.

Multi-Disciplinary Approach: PWR! often involves a multi-disciplinary team, including physical therapists, occupational therapists, and fitness professionals, to provide a comprehensive approach to exercise and wellness for individuals with PD.

Education and Empowerment: The program also includes education about Parkinson's disease and strategies for self-management, empowering individuals with knowledge and tools to better manage their condition.

Research on PWR! has shown positive outcomes, including improvements in balance, mobility, flexibility, and overall quality of life for individuals with PD.

As with any exercise program for PD, it's essential for individuals to consult with healthcare professionals before starting PWR! to ensure it aligns with their specific needs, abilities, and stage of the disease.


Certified trainers or therapists trained in the PWR! approach can provide guidance on appropriate exercises, progression, and safety considerations. Consistency and regular practice are key to reaping the benefits of the program.

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