Webinar-Handout_Exer-V-Therapy_How-do-I-decide_8-32-17

Exercise is VITAL in PD!Needs to be sufficiently intensive, specific, challenging, consistent, ongoing and meaningful www.womeninneuroscience.org Beall, et al.. Our work – LSVT Protocols

Contact Us:

Phone: 1-888-438-5788 (toll free), 1-520-867-8838 (direct)

Exercise versus Therapy for PD:

How do I decide?

Supported by NIH grants: NIH-NIDCD R01 DC-01150, R21 DC-006078, R21 NS-0437111,

SBIR R43 DC-010956, SBIR R43 DC-010498, SBIR R45 DC-010956, OE-NIDRR, Michael

J Fox Foundation, Davis Phinney Foundation, Parkinson Alliance, Family of Lee Silverman

• Then ask your question out loud

3.  Email info@lsvtglobal.com if you think of questions 

later

Exercise is VITAL in PD!

Needs to be sufficiently intensive, specific, challenging, consistent, ongoing and meaningful

www.womeninneuroscience.org Beall, et al. 2013, Petzinger et al, 2010

Exercise-based rehabilitation (ST, PT, OT) is

becoming a routine part of management in PD

To provide symptomatic relief; improve function

Pharmacological (L‐dopa)

Speech, Physical Occupational Tx (Empower)

Neurosurgical (DBS‐STN)

Therapy – Physical & Occupational

Skilled Services – PT, OT, SLP

What are the Barriers to

Movement and Communication in PD? 

What about Music Therapy?

What we do to our bodies outside

promotes brain change on the inside!

Our work – LSVT Protocols:

based on 25 years of NIH funded research

and clinical experience

• Intensive and challenging EXERCISE, specific to the unique features of PD 

• Personalized and specific functional training of voice, mobility and activities 

in everyday living.

Your louder voice and  bigger movements will last over time. 

LSVT BIG and LSVT LOUD

LSVT BIG Treatment Session

Homework

Includes all daily exercises and hierarchy exercises Assigned all 30 days

Carryover Exercises

Use loud voice in real life situations outside of the  treatment room

Build complexity across 4 weeks of  treatment towards your long‐term  communication goal 

Homework

Includes all daily exercises and hierarchy  exercises

Assigned all 30 days

Carryover Exercises

Use loud voice in real life situations  outside of the treatment room Assigned all 30 days

How do the Daily Exercises help you?

The Daily Exercises in LSVT Protocols

(e.g long ahs, rock and reach exercises)

are tools to facilitate improved loudness and

What are Functional Phrases/

Component Tasks?

Everyday phrases and tasks chosen by YOU Their purpose is: 

Mental Sticky Think LOUD, Think BIG!!!

Hierarchy Task Examples

• Shopping

• Transportation: train/bus/car

• Getting the mail

• Cleaning the house

LSVT BIG Sessions including

can and will

continue on their own

Homework during treatment

• Functional Component  Tasks

Carryover Exercises

Daily assignments to use Loud voice or Big movements 

After treatment, keep your daily

dose of LSVT LOUD and LSVT BIG

Is any type regular, intensive  exercise (voice or general)  adequate for people who have 

completed  LSVT LOUD and LSVT BIG ?   

CAN exercise improve your

function?

• Include task specificity

• Incorporates your individual goals 

• Requires sufficient repetition and  intensity

• Addresses sensory mismatch to  increase likelihood of carryover

•Should be a part of your daily program

•Addresses your PD‐specific and  functional needs

How to get started with

LSVT BIG and LSVT LOUD

Further Learning Opportunities