What is LSVT BIG Program?

Category: Physical Therapy

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Generic name: LSVT - Lee Silverman Voice Treatment

LSVT Big is an intensive exercise program focusing on Parkinson’s disease and other neurological conditions. This program uses the philosophy that larger amplitude, whole body, functional movements will train the individual for carryover of faster walking, bigger steps and improved balance.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Parkinson's disease 9 14
Improve mobility 7 14
Improve communication 2 5
Improve flexibility/strength 1 1
Limited range of motion 1 0
Loss of balance 1 2

Show all 9 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations
Severe 0
Moderate 6
Mild 1
None 7

Commonly reported side effects and conditions associated with LSVT BIG Program

Side effect Patients
Pain 1

Dosages

Based on patients currently going to LSVT BIG Program

Dosage Patients
weekly 2
45 min weekly 1
240 min weekly 1

Why patients stopped taking LSVT BIG Program

Multiple reasons could be selected

Reason Patients
Other 3
Course of treatment ended 2
Doctor's advice 1
See all 4 patients who've stopped going to LSVT BIG Program

Duration

Currently going to LSVT BIG Program

Duration Patients
1 - 6 months 1
6 months - 1 year 1
2 - 5 years 3

Stopped going to LSVT BIG Program

Duration Patients
1 - 6 months 4
Adherence
Adherence Evaluations
Always 7
Usually 6
Sometimes 1
Never taken as prescribed 0
Burden
Burden Evaluations
Very hard to take 5
Somewhat hard to take 3
A little hard to take 4
Not at all hard to take 2
Cost per month
Cost per month Evaluations
$200+ 1
$100-199 0
$50-99 0
$25-49 0
< $25 11
Not specified 2
Last updated:

2 patient evaluations for LSVT BIG Program

Sep 20, 2017 (Started May 19, 2016)

  • Effectiveness
    None (for Parkinson's disease)
  • Effectiveness
    Slight (for Improve mobility)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    Somewhat hard to take
Dosage: 240 min Weekly
Advice & Tips: I have now introduced a friend (who does NOT have PD) to these exercises & she does them with me about 3 x per week. I do about 20 reps of each exercise now, an increase from the 8 that are required. My balance is better while I am doing them but I still have PD symptoms as before. But perhaps I am not getting any worse.
Cost: < $25 monthly

Jan 12, 2017 (Started May 19, 2016)

  • Effectiveness
    Slight (for Parkinson's disease)
  • Effectiveness
    Slight (for Improve mobility)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    Somewhat hard to take
Dosage: 240 min Weekly
Advice & Tips: I continue these exercises almost every morning and I have even increased the number of reps from 8 each to 10 each & 2 of the exercises to 15. I still don't notice any improvement in anythingn , except that I am able to do these few more reps. I still forget them on occasion but not often. I plan to continue doing them forever and hope for an obvious change for the better.
Cost: < $25 monthly

Nov 29, 2016 (Started May 19, 2016)

  • Effectiveness
    Can't tell (for Parkinson's disease)
  • Effectiveness
    Can't tell (for Improve mobility)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    A little hard to take
Dosage: 240 min Weekly
Advice & Tips: I am now doing these exercises on my own.  Some days I don't want to do them but I have a routine when I arise in the morning that includes LSVT Big.  It takes me all of 15 minutes to do the exercises and I am getting better at doing them, but I am still very clumsy and almost lose my balance often.  I remember the exercises without looking at my paperwork.  I can usually complete the exercises w/o stopping to catch my breath.  At first this was not the case!  I would like to build my stamina but this has not happened yet.  I will keep it up hoping that it will slow the progression of PD.
Cost: < $25 monthly

Jul 9, 2016 (Started May 19, 2016)

  • Effectiveness
    Slight (for Parkinson's disease)
  • Effectiveness
    Slight (for Improve mobility)
  • Side effects
    None
  • Adherence
    Usually
  • Burden
    A little hard to take
Dosage: 240 min Weekly
Advice & Tips: I did the exercises faithfully during the program but now that it is over I skipped 2 days. The exercises are not difficult (I do tend to lose my balance, though) so I have no excuse for slacking off. I find that I am able to execute the exercises much better now than at first, but there has been no earth shattering improvement in my PD symptoms. And the reduction in back pain that I so eagerly awaited never happened. I still experience disabling low back pain after being on my feet for 20 min to 1/2 hour. That has not changed much. My Physical Therapist did teach me many other little things to do beyond the LSVT Program: use ear plugs to block out my husband's snoring (HUGE help to me!); stretching exercises; pelvic tilts & Bridge (yoga pose) to strengthen my low back; A wheeled walker (rollator) when going for long walks (remarkably helpful-I got it because it had a seat so I could sit during a long walk, but it turned out that all I really needed was the handle bars to help keep me upright and to lean on. I can now walk the 6/10th mile trip to the mailbox and back w/o needing to sit); she has encouraged me to return to belly dancing, doing the steps I am still able to execute. I had given it up completely due to my clumsiness. But I have found several steps I can still manage and those I will continue with. I had belly danced for over 25 years and loved it. I guess overall the LSVT Program was worth the effort, but I am disappointed that I didn't see more improvement.
Cost: < $25 monthly

May 26, 2016 (Started May 19, 2016)

  • Effectiveness
    None (for Parkinson's disease)
  • Effectiveness
    Slight (for Improve mobility)
  • Side effects
    Mild (temporary increased pain)
  • Adherence
    Usually
  • Burden
    Somewhat hard to take
Dosage: 240 min Weekly
Advice & Tips: It has only been 1 week since I began this new regimen of exercise but I have experienced definite improvement in my ability to get out of a chair & get in & out of my car. I also learned a better way to get my jacket on without help. I am trying to increase my stamina by just plain walking. I have noticed a very slight improvement there. I look forward to more.
Cost: < $25 monthly

May 20, 2016 (Started May 19, 2016)

  • Effectiveness
    Can't tell (for Parkinson's disease)
  • Effectiveness
    Can't tell (for Improve mobility)
  • Side effects
    Moderate (temporary increased pain)
  • Adherence
    Sometimes
  • Burden
    A little hard to take
Dosage: 240 min Weekly
Advice & Tips: I am not sure how well I will do at following the regimen (1 hr x 4days/wk x 4 weeks). I hate exercise. But I improved my movement immediately after doing the exercises the first time. That is a good incentive. Also, the therapist will come to my home for every session. You can't beat that for handy! And my insurance covers it! If I can reduce the pain in my back so that I can cook more & do more housework faster, it will make an enormous difference in my life.
Cost: < $25 monthly

  • 1 helpful mark

Oct 21, 2013 (Started Jun 07, 2010)

  • Effectiveness
    Major (for immobiity)
  • Effectiveness
    Major (for homebound)
  • Effectiveness
    Major (for Parkinson's disease)
  • Side effects
    Moderate (pain)
  • Adherence
    Always
  • Burden
    Very hard to take
Advice & Tips: The LSVT Program is one of the most amazing programs that all Parkinson's patients should go through. I have had further health problems which has caused me not be complete my daily exercises; but when I could do all of them, I felt like I almost didn't have PD, which was the greatest feeling in the world!!
Cost: < $25 monthly

Aug 27, 2010 (Started Jun 07, 2010)

  • Effectiveness
    Major (for homebound)
  • Effectiveness
    Major (for immobiity)
  • Effectiveness
    Major (for Parkinson's disease)
  • Side effects
    Moderate (pain)
  • Adherence
    Always
  • Burden
    Very hard to take
Cost: < $25 monthly

Jul 30, 2010 (Started Jun 07, 2010)

  • Effectiveness
    Major (for homebound)
  • Effectiveness
    Major (for immobiity)
  • Side effects
    Moderate (pain)
  • Adherence
    Always
  • Burden
    Very hard to take
Cost: < $25 monthly

Jul 20, 2010 (Started Jun 07, 2010)

  • Effectiveness
    Major (for Parkinson's disease)
  • Effectiveness
    Major (for Improve mobility)
  • Side effects
    Moderate (pain)
  • Adherence
    Always
  • Burden
    Very hard to take
Dosage: 480 min Weekly
Cost: < $25 monthly

Jul 1, 2010 (Started Jun 07, 2010)

  • Effectiveness
    Major (for homebound)
  • Effectiveness
    Major (for immobiity)
  • Side effects
    Moderate (pain)
  • Adherence
    Always
  • Burden
    Very hard to take
Dosage: 480 min Weekly
Advice & Tips: I was almost immobile and homebound. My neurologist suggested LSVT BIG because it was specifically made for PD patients. It is a very INTENSE program. It is 4 weeks, 4 days a week, 2 hours each visit. They exercise & push you to the max. You have to do homework: wrist exercises, speech exercises, writing exercises, facial exercises. You have to exercise EVERY morning & EVERY night. It is excruciating, it is painful, it is exhausting, BUT IT WORKS! I can now walk without my walker, I can go up & down stairs, I can lift heavy things without dropping them, and I CAN DO JUMPING JACKS!! This program took me, a 52-year-old almost immobile PD patient & turned me in to an almost completely functioning person. The journey was amazing & overwhelming. I am doing things I haven't done in the 7 years that I have had PD. EVERYONE NEEDS THIS PROGRAM!!!!
Cost: < $25 monthly

  • 1 helpful mark
Last updated:
Showing 2 of 2 patient evaluations for LSVT BIG Program