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What is LSVT BIG?


Recently principles of LSVT LOUD® were applied to limb movement in people with Parkinson disease (LSVT BIG®) and have been documented to be effective in the short term. Specifically, training increased amplitude of limb and body movement (Bigness) in people with Parkinson disease has documented improvements in amplitude (trunk rotation/gait) that generalized to improved speed (upper/lower limbs), balance, and quality of life. In addition, people were able to maintain these improvements when challenged with a dual task.

LSVT BIG can be delivered by a physical or occupational therapist. Treatment is administered in 16 sessions over a single month (four individual 60 minute sessions per week). This protocol was developed specifically to address the unique movement impairments for people with Parkinson disease.


The protocol is both intensive and complex, with many repetitions of core movements that are used in daily living. This type of practice is necessary to optimize learning and carryover of your better movement into everyday life!

Start exercising NOW – as soon as possible. Physicians rarely refer their patients to health and fitness programs at diagnosis because medications are very effective early on at alleviating most of the symptoms, and patients experience little change in function.


Yet, according to a recent survey it is at the time of diagnosis that patients often begin to consider lifestyle changes and seek education about conventional and complementary/alternative treatment options.


Thus referrals to exercise, wellness programs and physical/occupational therapy would be best initiated at diagnosis, when it may have the most impact on quality of life.

Don't wait to get started on therapy 


It  is our goal at Integrative Therapeutic Solutions, to reach the YOUNG-ONSET, EARLY-STAGE, and RECENTLY DIAGNOSED PARKINSON'S Patients who are not well-served by the traditional rehab settings that treat Parkinson's. 

We provide a thorough and comprehensive physical and psycho-social evaluation and develop a plan of care that is patient goal-oriented and outcomes driven. We attempt to eliminate as many barriers to success as possible because we are passionate and committed to helping our patients to achieve their highest rehab potential and assure the efficacy of the LSVT-Big movement disorder therapy program.

At Integrative Therapeutic Solutions, we offer our patients hope and motivation to live healthier and active lifestyles. Many of our patients start or return to  cycling, walking, and skiing.

It is crucial to stay active and be proactive with Parkinson's. We are honored to be your healthcare partner on your journey to wellness.


Please click on the links below for a patient testimonial and sample of how LSVT works!

For more information:

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