What is LSVT BIG?

LSVT BIG (Lee Silverman Voice Treatment – BIG) is a specialised, research-based physiotherapy programme designed to help people with Parkinson’s disease and other neurological conditions improve their movement, balance, and quality of life. It focuses on retraining the brain and body to move with bigger, more purposeful actions—counteracting the small, slow movements that often develop with Parkinson’s.

Originally developed to address speech and swallowing difficulties (LSVT LOUD), the BIG programme adapts these principles to whole-body movement.

Who is it for?

LSVT BIG is ideal for individuals with:

Parkinson’s disease (early to mid-stage)
Atypical Parkinsonism
Other neurological conditions affecting movement and coordination

It’s especially effective for those who are noticing:

Smaller, slower steps
Difficulty with balance or posture
Reduced arm swing or trunk rotation
Hesitation or freezing when walking

What to Expect

The LSVT BIG programme is:

Intensive: 4 sessions per week for 4 weeks (16 sessions total)
Individualised: Tailored to your specific goals and daily challenges
Functional: Focused on real-life tasks like walking, dressing, reaching, and turning

Each session includes:

Repetitive, high-effort movements
Core exercises to improve posture, balance, and coordination
Practice of everyday tasks using “BIG” movements
A home exercise programme to reinforce progress

Benefits of LSVT BIG

Improved walking speed and stride length
Better balance and stability
Increased confidence and independence
Reduced risk of falls
Enhanced quality of life

Why Choose Us?

At Access Physio, we are trained in delivering LSVT BIG and passionate about helping people with Parkinson’s stay active, mobile, and independent. We’ll work with you to build a programme that fits your needs and supports your goals—whether that’s walking to the shop, playing with grandchildren, or simply moving with more ease.