Clinical Study
Effect on Gait Speed, Balance, Motor Symptom Rating, and Quality of Life in Those with Stage I Parkinson’s Disease Utilizing LSVT BIG®
Table 6
LSVT BIG interventions described.
| Task | Exercises | Progression |
| Maximal sustained exercises | Exercise 1: 8 repetitions floor to ceiling Exercise 2: 8 repetitions side to side | Finger weights, flicks |
| Repetitive standing movements | Exercise 3: 16 repetitions forward step Exercise 4: 16 repetitions sideways step Exercise 5: 16 repetitions backward step Exercise 6: 20 repetitions rock and reach forward Exercise 7: 20 repetitions reach and twist sideways | Starting with external support chair working towards no assistive device, adding cuff weights to limbs, larger weight shifts |
| Functional components and hierarchy task | All did sit/stand and then 4 other functional components selected based on chief complaints | Adding cuff weights to limbs, reducing cues and shaping, increasing reps, increasing speed, changing support surface dynamics |
| Hierarchy task | A sequence of functional components | Increasing reps, increasing speed, adding more complexity with props or functional items for the task |
| BIG walking/gait training | Distance varied from 110′ to 825′, focus on longer strides with reciprocal arm swing and upright posture | Decrease use of AD, longer distances, outdoor surfaces, hiking poles, metronome, treadmill training, and reciprocal arm swing |
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