LSVT Treatment Options


LSVT treatments can only be delivered by certified Physical, Occupational, and Speech Therapists. These providers use a single target of amplitude to address each area of function with a specialized approach. The approach is individualized to each patient’s limitations. LSVT BIG and LOUD are standardized treatment protocols, but they are also customized to the unique goals of each patient to include both gross and fine motor skills.

Patients in all stages of Parkinson’s Disease (PD) may benefit from LSVT BIG treatment. Those patients in Hoehn and Yahr stages 1-3 are the best candidates for LSVT BIG.  

Research shows that after LSVT BIG treatments, people with Parkinson’s Disease showed improvement on motor function testing. Improvements include:


  •     Decreased fall risk

  •     Increased independence with self-care

  •     Faster walking with bigger steps

  •     Improved balance

  •     Increased trunk rotation

  •     Improvements in activities of daily living such as bed mobility

  •     Improved Motor Score


LSVT Program 


The LSVT BIG program consists of 16 sessions, led by a LSVT Certified Physical or Occupational Therapist — four days a week for four weeks. Treatment sessions run for one hour and include assigned home program practice for carryover of skills. The program focuses on high amplitude and repetitive motions performed with maximal effort, which helps produce bigger and more functional movements for daily activities. LSVT BIG is available at all five St. Elizabeth’s Physical Therapy locations. 

Call any of our convenient therapy locations for more information on this program. A referral from a physician or health care practitioner is required. 



O’FALLON HEALTH CENTER                         
Three St. Elizabeth’s Blvd., Suite 3700, O’Fallon    
618-607-5103   Fax 618-641-5814            

1512 N. Green Mount Rd., O’Fallon
618-624-3668   Fax 618-624-8478

BELLEVILLE - DOWNTOWN                       
180 S. Third St. Suite 30, Belleville            
618-234-9152   Fax 618-222-4661            

739 N. Jefferson St., Mascoutah
618-566-4900   Fax 618-566-4257

Physical therapy vestibular rehabilitation treatment options:

  • Canal repositioning maneuvers.

  • Exercises to improve balance and walking.

  • Vision stability exercises.