What is LSVT BIG?
Retrain your body. Reclaim Your movement.
LSVT BIG helps individuals address common motor challenges such as:
Akinesia (hesitation or freezing of movement)
Bradykinesia (slowness of movement)
Hypokinesia (small or reduced movements)
By training patients to make bigger, more purposeful movements, LSVT BIG aims to “reset” how the body moves, replacing slow and small movements with stronger, more functional ones.
Examples of Goals LSVT BIG Can Help With:
Walking faster with larger steps
Improving balance and stability while walking
Getting up from a chair or bed more easily
Managing dual tasks (e.g., walking while talking)
Improving fine motor skills like buttoning a shirt
The Science Behind It
LSVT BIG is based on the principle of neuroplasticity—the brain and nervous system’s ability to rewire and adapt through targeted, repetitive training. With consistent, high-effort movement practice, patients can establish a new “normal” in how they move, think, and feel.
The program also addresses non-motor symptoms of neurological conditions, including:
Cognitive challenges
Emotional changes
Motivation and confidence
Program Format
To achieve the best outcomes, the standard LSVT BIG program includes:
4 sessions per week
1 hour per session
Over 4 consecutive weeks
Treatment is customized and adapted to your individual needs, goals, and physical capacity—even as you progress.
Who Can Benefit?
While LSVT BIG is best known for its impact on individuals with Parkinson’s Disease, it is also effective for those with other neurological conditions affecting movement and coordination.
If you or a loved one is experiencing difficulty with mobility, coordination, or daily tasks due to a neurological condition, LSVT BIG may be the right solution.
LSVT BIG (Lee Silverman Voice Treatment – BIG) is a specialized, research-based physical therapy program designed for individuals with Parkinson’s Disease and other neurological conditions. Delivered by certified clinicians—including Doctors of Physical Therapy—LSVT BIG focuses on restoring larger, more functional movements to improve everyday mobility, safety, and independence.
Originally developed over 20 years ago to treat speech impairments through LSVT LOUD, the program has since expanded to target the motor system with LSVT BIG, helping patients move more freely and confidently.
LSVT BIG THERAPY
Rock Steady Boxing for Parkinson’s Disease
Fight Back with Movement.
There is growing evidence that regular exercise plays a powerful role in managing Parkinson’s Disease. In fact, increasing physical activity to at least 150 minutes per week has been shown to slow functional decline, improve mobility, and enhance quality of life.
Even more important than frequency? Intensity.
Studies show that individuals with Parkinson’s respond best to high-intensity exercise—and one of the most effective (and empowering) ways to achieve this is through non-contact boxing training.
Rock Steady Boxing
Led by Doug Johnson, a Certified Rock Steady Boxing Clinician, this program offers a dynamic, high-energy workout designed specifically for people with Parkinson’s Disease.
Rock Steady Boxing combines:
Boxing drills
Strength and resistance training
Footwork and agility exercises
Balance and coordination training
Cognitive and vocal exercises
All in a safe, supportive environment tailored to individual needs and abilities.
Benefits of Boxing for Parkinson’s Disease
Improved balance and coordination
Increased strength and endurance
Enhanced mobility and flexibility
Better reaction time and agility
Greater confidence and mental focus
Reduced risk of falls
Improved mood and motivation
