LSVT BIG© as a non-drug therapy

Part 1 

A contribution by Jürgen Zender


LSVT BIG is a special therapy program for Parkinson's patients.

LSVT stands for “Lee Silverman Voice Treatment,” a program originally developed to improve the voice of people with Parkinson’s disease. The “BIG” component of the program focuses on exercise and physical activity.

LSVT BIG was developed to counteract the movement problems typical of Parkinson's, such as stiffness, tremors and slowness

The program consists of specific exercises and activities aimed at the Mobility to improve, increase balance and improve the speed of movement.

There are several benefits for Parkinson's patients participating in the LSVT BIG program:

1. Improve mobility: The exercises help strengthen muscles and improve joint mobility.

2. Increased balance: Training balance exercises can reduce the risk of falls.

3. Improved speed of movement: The program helps to increase the speed of movements, which is important for everyday activities such as walking, getting up from a chair and other daily tasks.

4. Improved posture: The exercises also aim to improve posture, which can help Pain and reduce discomfort.

5. Better overall functionality: By improving the areas mentioned above, the LSVT BIG program can help improve the overall functionality and quality of life of Parkinson's patients.

LSVT BIG is offered by many physiotherapists and occupational therapists. The program is part of the complex therapy at most neurological specialist clinics and is also standard in many neurological rehabilitation clinics. If there is a corresponding regulation, the costs will be covered by the health insurance companies.

Typically, LSVT BIG begins with a four-week “course” that is conducted four days a week for approximately 45 minutes under the guidance of a licensed therapist.

You should then be able to incorporate the exercises into your daily exercise program, even without the guidance of a therapist. 

For me personally, LSVT BIG is an integral part of my daily exercise routine because, in addition to its long-term effect, it has the invaluable advantage of efficiently standing up to the usual morning stiffness. 

Jürgen Zender, September 2023

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