LSVT Big program is a treatment designed from parkinson's disease. A short overview of the exercise

1. LSVT Program-
LSVT BIG

2. Treatment Protocol
 4 consecutive days a week for 4
weeks.
 16 sessions in 1 month
 60 minutes sessions
 Daily carryover assignments(30
days/entire month)

3. Maximal Daily
Exercises
 Floor to ceiling – 8 reps.
 Side to side – 8 reps each side.
 Forward step – 8 reps each side.
 Sideways step – 8 reps each side.
 Backward step – 8 reps each side.
 Forward Rock and Reach – 10 each side.
 Sideways Rock and Reach – 10 each side.

4. Floor to Ceiling

5. Side to Side

6. Forward Step

7. Sideways Step

8. Backward Step

9. Forward/Backward Rock and
Reach

10. Sideways Rock and Reach

11. Functional
Component Tasks
5 EVERYDAY TASKS (Patient Driven) – 5
reps each. For e.g.
 Rolling
 Floor to stand
 Getting in or out of bed
 Sit to stand
 Sit and reach
 Walk and reach
 Walk and turn
 Stand and turn

12. Hierarchy Tasks
 In/Out of car
 Walk and talk
 Writing
 Tennis
 Golf
 Gardening
 Laundry
 Shopping
 Going to restaurant
 Cleaning the house
“Real-World” BIG Tasks – Patient Driven!
Build complexity across 4 weeks of treatment
towards long-term goal.

13. BIG Walking
 BIG arm swings, BIG steps
 This may feel awkward at first, if it
doesn’t , it is probably not BIG
enough!
Normalise amplitude, stride length,
posture, arm swing overtime.

14. Carryover Exercises
Daily assignments to use
BIG movements
in real life situations outside of the
treatment room.
Difficulty of the assignment progresses
across the 4 weeks of treatment.
Carryover exercises are specific and you
are made accountable for doing them

15. LSVT BIG Treatment Goal
People with Parkinson disease will
use their bigger movements
“automatically” in everyday
living – and there will be long-
term carryover of increased
amplitude use!

16. Thank You