LSVT BIG and LOUD
Specialized rehabilitation for Parkinson’s disease and movement disorders
What is LSVT?
Lee Silverman Voice Treatment (LSVT) is a specialized approach to rehabilitation designed specifically for people with Parkinson’s disease and related movement disorders. Backed by over 25 years of research, LSVT programs are grounded in principles of neuroplasticity — the brain’s ability to change and adapt.
At Bryan Outpatient Rehabilitation, we offer advanced therapy for individuals with Parkinson’s disease through LSVT BIG and LSVT LOUD — evidence-based programs proven to help improve movement, speech and overall quality of life. These intensive, one-on-one therapies are designed to address the unique motor and communication challenges of Parkinson’s and other neurological conditions, helping individuals maintain independence and confidence in daily life.
Benefits of LSVT BIG and LOUD
LSVT BIG and LOUD are most effective for individuals in the early to middle stages of Parkinson’s disease, but patients at many stages can benefit. These programs may also be helpful for individuals with other movement disorders or neurological conditions that affect speech, movement or posture.
If you’re noticing symptoms such as voice changes, shuffling gait, reduced arm swing, or trouble with fine motor skills, don’t wait — early therapy is key to long-term outcomes.
Why Choose Bryan?
At Bryan Outpatient Rehabilitation, our therapists are LSVT-certified and experienced in working with patients with Parkinson’s and other neurological conditions. We provide personalized, one-on-one sessions tailored to your current level of function and therapy goals. Our collaborative team works closely with your physician to ensure continuity of care and help you build lifelong habits that support independence.
How to Get Started
LSVT therapy requires a physician referral and prescription.
Ask your doctor to write a referral for:
- Speech therapy for LSVT LOUD or Occupational or physical therapy for LSVT BIG
- Be sure the prescription is for evaluation as well as treatment
What to Expect with LSVT BIG
LSVT BIG will help you relearn everyday movement with strength and purpose. Parkinson’s disease can affect posture, walking, balance and fine motor skills — making everyday tasks like dressing, writing or getting up from a chair more difficult. LSVT BIG is a standardized program that uses large, purposeful movements to “retrain” the body and improve functional mobility.
Through high-effort, high-amplitude exercises, LSVT BIG helps you:
- Walk with bigger steps and better balance
- Improve posture and trunk rotation
- Regain independence in daily living activities
This program is typically structured as:
- 4 sessions per week
- 1 hour per session
- 4 consecutive weeks (16 sessions total)
- Daily 10–15 minute home exercises to maintain progress
What to Expect with LSVT LOUD
LSVT LOUD will help you regain confidence and clarity in your communication. Parkinson’s often causes speech and voice changes that make communication difficult, such as:
- A soft or hoarse voice
- Monotone or mumbled speech
- Trouble being heard in group settings
LSVT LOUD is delivered by a certified speech-language pathologist and works to retrain the brain’s perception of loudness. The goal is not to teach you to shout — rather, it helps you speak at a healthy, clear volume without strain, improving social interactions and confidence. This program is typically structured as:
- 4 sessions per week
- 1 hour per session
- 4 consecutive weeks (16 sessions total)
- Daily 10–15 minute exercises at home to reinforce skills
