LSVT BIG


This month, A2 Physical Therapy’s Molly Daugherty was thrilled to attend the LSVT BIG Training and Certification Workshop in Portland, OR. During the two days, she joined seventy other therapists and therapist assistants from around the country who are striving to improve the quality of life for people with Parkinson’s disease by providing effective physical therapy treatments. During this course, therapists gained the hands-on experience and practicum training required to successfully implement the most comprehensive and evidenced-based physical therapy treatment for Parkinson’s disease: LSVT BIG.

LSVT BIG is a physical therapy program based off the highly effective LSVT LOUD program, a speech therapy intervention for people with Parkinson’s disease. Molly is proud to now hold her LSVT BIG certification, and attending this engaging training reiterated her passion for using exercise to help patients manage their Parkinson’s symptoms.

Key principles of LSVT BIG include:

  • Balance focus
  • Individualization of treatment
  • Posture and large-amplitude movement awareness
  • Confidence and self-efficacy improvement
  • Functional task training for safer, more ‘normal’ daily movements outside of treatment time

In addition to taking part in the interactive course and studying the LSVT BIG program specifics, Molly greatly enjoyed learning about new research findings related to Parkinson’s disease:

  • In the US, about one million people are living with Parkinson’s (this is more than those living with multiple sclerosis, muscular dystrophy, and ALS combined). The number of Americans diagnosed with Parkinson’s is expected to double by 2030.
  • For people with Parkinson’s, one-on-one individualized exercise has been found to be more effective than exercising alone. Improvements include increased walking speed, reaction time, balance, coordination, and trunk rotation.  
  • The benefits of beginning an exercise program with a physical therapist during the earlier stages of Parkinson’s may actually slow the disease’s progression. For patients in later stages, LSVT BIG works to improve their ability to accurately monitor their own movements and posture through specific education and cuing.
  • Older adults who exercise intensely benefit from ‘neuro-protection’ (maintenance of dopamine producing cells which help regulate movement) and experience decreased rates of Parkinson’s disease diagnosis. Conversely, in recently diagnosed patients, 20% had reduced their physical activity levels in the past 5 years. Exercise is the best medicine!

Molly has enjoyed her first few months at A2 and is excited to continue training older adults of all physical abilities at our clinic. She’s loved getting to know A2 patients and Wellness members and looks forward to working with many, many more. Come say hi!

"Working with Kristi has been an amazing and rewarding experience. I started with the goal to lose weight and gain strength and after a few months she has helped me to understand what it means to live a healthy and well-rounded life. She not only provides motivation in the gym, but she is a great support system emotionally. She knows her stuff when it relates to exercises and the body. I appreciate how she brings variety to our workouts while also keeping us safe. If I could I would workout with Kristi multiple times per week."

− Sammy

"I found A2 Physical therapy was able to give me the help I needed in the exercises and cupping they gave me to loosen up my stiff joints and muscles that I could hardly move due to surgery, stiffness, and soreness. I think A2 PT are running a top notch business. The therapists that worked with and on me were extremely courteous. Molly was so helpful in my therapy and an absolute delight to work with. She got me back to 100% in just 4 weeks and my visits were 1 day a week. This was my first experience working with PT’s and it was totally a wonderful experience. Thank you A2 Physical Therapy and thank you Ms. Molly Daugherty for working with me and making my recovery and stability improve so quickly. Should I need PT again I will call you. Again many thanks."

− Diane

"Kristi’s weekly bootcamp has truly gotten me out of my comfort zone. I started attending with my family a few months ago. My first couple of times I was so ore! At times I became discouraged, but I just pushed through! I keep coming every week I am available. There’s no shaming if you must miss a week. You can even have someone go on your behalf if you miss a week. Since starting Kristi’s bootcamp I’ve said yes to other fitness opportunities I would have previously turned down. I now workout EVERYDAY and I’ve lost over 20 lbs since I first started coming. Thanks Kristi and to my family for introducing mw to this awesome bootcamp!"

− Amanda