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!

"Two words…WOW! Amazing! These two words encompass everything that is A2 Physical Therapy is. Put aside the beauty of the business, the immaculate cleanliness and exquisite equipment. More important is the quality of care that you revive here. The extensive knowledge and the actual sure care that provide is fantastic. You will be, as I have been, in great hands as the work to achieve the goals you will set together. It is a true joy to be a part of this “family”! Thank you A2!"

− Sean

"Thanks so much - from the front desk, to my therapist Danny, to the owners. I felt supported by caring professionals while I recovered from my work related injuries. I felt encouraged to work hard to fully recover, and I feel like I have. Negotiating health care services can be overwhelming, but A2 made getting the care I needed straight forward. Thanks again for everything."

− David

"I started at A2 about mid-July and I am in the 9:00 am Friday class. A2 has opened me up to new levels of a workout. There is no “golden Standard”. Everyone goes to the best of their abilities. I feel like I can workout without being judged. In my class there are my mom, dad, aunt Lori, aunt Amber, my cousin Mandy and our newest addition Randy. Kristi is always encouraging us to give our all. She is never telling us that we aren’t doing the workout right. Instead she helps us grow by kindly telling us if we do it this way we will get more out of it and she always helps us get there. I decided to do cross country this year and I feel like I can go and be successful and strong because of my A2 workout. Thank you so much for helping me grow in my health."

− Genevieve