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!

"A2 has been a game changer for me. I’ve had back problems my entire life from high impact sports and now sitting at a desk for work. Dr. Antone’s wellness program has nearly eliminated my stiffness and soreness that use to bother me throughout the day. I’d highly recommend him and his team for turning your health around. Thank you A2!!"

− Tony

"My name is Irvin Markham. I am a member of A2 Physical Therapy and Fitness. I have been a member of several gyms but never had a personal trainer. With no schedule or workout plan, I would always eventually quit. My wife suggested to go see her personal trainer Kristi Cruz. What a difference the experience has made in helping me get the most out of my workouts. Kristi has not only helped me get 71 year old body back in shape physically, but mentally as well. She has put me on a set schedule and encourages me to do all the things I need to do to stay healthy. I cannot thank Kristi and the entire staff at A2 for all of the support they have shown me."

− Irvin

"William and I have been working out with Kristi on Saturday mornings for months now and we love it! We find the couples training so beautiful physically, mentally and relationally. Kristi not only challenges us with cardio and lifting but has introduced us to exercises that relate to balance and stretching. As we enter our 60’s we appreciate these balance routines and can see how it benefits our daily lives. I can’t tell you how many times I’ve heard William say, “I am not doing that, that’s a girl exercise!” and then later he’ll say “wow that was harder than I thought” or sometime that week he’ll bring up an exercise we do on Saturday and how it benefited him that day! Most importantly we have blast encouraging each other, competing with each other and having fun! We appreciate A2 and Kristi for providing a space for us to stay fit and have fun. We wish you all much success! Thank you"

− Pam and William