LSVT BIG Program is a holistic approach to treat movement, emotional, and cognitive issues and symptoms for those with Parkinson's Disease. This treatment is delivered one-on-one, and can only be prescribed by an LSVT BIG Certified Clinician.
Our physical therapist, Cassie Cochrane, PT, DPT is a Neurologic Certified Specialist and an LSVT BIG Certified Clinician.
Cassie has a passion for treating patients with Parkinson's Disease and has been a certified LSVT BIG therapist since 2012. She is very experienced in treating patients with movement disorders such as Parkinson's Disease and Multiple Sclerosis, vestibular disorders, dizziness, vertigo, balance impairments, post-concussion syndrome, post-stroke, peripheral neuropathy, and spine disorders.
If you have any questions or would like to contact Cassie, feel free to email her at firstname.lastname@example.org
LSVT BIG offers great hope towards improved functional movement and mobility for people with PD. Beyond PD, it can potentially offer help for movement challenges arising from a range of other conditions. Ultimately, an LSVT BIG Certified Clinician is the best person to determine if treatment could help you and, if so, determine the best course of action.
Studies have shown that LSVT BIG can help people in the early to middle stages of PD, but clinical experience indicates that the treatment can also help people with later-stage PD, atypical Parkinsonimis or movement challenges from other neurological conditions.
As part of their certification process, clinicians who use LSVT BIG learn when the treatment might be helpful for other conditions. While research on LSVT BIG has focused on people with PD, LSVT Certified Clinicians can adapt its exercises and functional tasks to help overcome challenges arising from a variety of conditions.
Outcomes for various conditions and circumstances are explained in more detail below. Ultimately, an LSVT BIG Certified Clinician is the best person to determine if treatment could help.
People with Parkinson's disease may not recognize that their posture or movements have changed. If you've been diagnosed, it's a good idea to ask family and friends if they've noticed changes in your posture, balance or the size and speed of your everyday movements.
Even if even if your medications are working well to manage your symptoms and you feel you are moving well, it's never too early to begin LSVT BIG treatment! When PD or other neurological conditions are first diagnosed, significant changes in the brain have already happened. Treatment with LSVT BIG before noticing changes in posture, balance or movement may help you pre-empt problems and maintain optimal movement for years to come.
People with mild to moderate PD typically see improvements in faster walking with bigger steps, more range in trunk rotation and activities of daily living, such as getting in and out of bed or getting up from chairs. For many, using their improved movement skills becomes almost automatic — something they don't have to think much about during everyday activities — and improvements have been documented in research to last four months without any further treatment.
People with more advanced PD (stages 4 – 5) may also see improvements in walking speed, the length of their steps, range of motion and activities of daily living, though possibly to a lesser degree. They may also need periodic reminders from friends and families to “think BIG” and may need more frequent "tune up" treatment sessions. These outcomes are supported by our clinical work.
People with dementia or other cognitive impairments may have difficulty remembering to use the tools learned in treatment, but improvements are still very possible! A single cue (“think BIG”), repetition and intensity in practice during treatment all help people with cognitive impairments learn. Many become more independent and safer in their movements and activities of daily living, but may need friends and family to remind them to “move BIG”.
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