LSVT BIG CERTIFICATION QUESTIONS WITH
VERIFIED ACCURATE ANSWERS
What is LOUD? - Answers -an intensive amplitude-based exercise program for the
speech motor system
LSVT BIG - Answers -an intensive, amplitude based exercise program for the limb-
motor system
What are these programs intended for? - Answers -adults and children with
neurological disorders, with a speciality in PD
Some principles of LSVT: - Answers -a. intensity (high effort)
b. reps (high reps)
c. complexity
d. meaningful to pt
e. single focus on amplitude
Remedial approach : - Answers -treatment consists of mechanisms underlying brady
and hypokinesia
What does BIG target? - Answers -it targets brady and hypokinesia specific to PD
Exercise based - Answers -promotes neuroplasticity
inhibits neuronal death
stimulates neurogensis
everyday occupations become exercise
BIG protocol Four Focus: - Answers -1. single focus on amplitude first
2. sensory calibration -what feels too big is normal mvmt
3.Intensive exercise program
4. Empowerment
The primary efficacy measure to assess effectiveness of LSVT, use the: - Answers -
Unified Parkinson's Disease Scale UPDRS motor score from baseline to follow-up.
LSVT Big Training is characterized by: (3) - Answers -1) Multiple repetitions
2) High Intensity
3) Increasing Complexity
What is the goal of LSVT BIG? - Answers -Improve movement perception and to
recalibrate scaling of movement amplitudes
What is schedule for delivery of Treatments? - Answers -4x/week for 4 weeks
, What are the two types of exercises done in LSVT BIG? - Answers -1) 50% of
exercises are standardizes whole body movements with maximal amplitude, repetitive
multidirectional movements (like stepping and reaching) and stretching.
2) 50% goal directed ADLs according to individual needs.
Patients are encouraged to work at ? % of their maximal energy with every rep? -
Answers -80%
In studies LSVT BIG led to improved? - Answers -Motor performance in patients with
PD
Most current PT for PD relies on... - Answers -Compensatory behavior and external
cueing to bypass deficient basal ganglia function - including treadmill training
compensatory steps, walking and muscle strengthening
What does LSVT train by - amplitude or speed? - Answers -AMPLITUDE - it results in
bigger, faster, and more precise movement
What is used in LSVT Big to counteract reduced gain in motor activities as a result of
disturbed sensory processing? - Answers -Continuous feedback on motor performance
and training of movement perception
The goal of training BIG - Answers -Teach patients to use bigger movements in routine
activities to provide sustained training in everyday movements
How long can improvements for LSVT LOUD remain in place? - Answers -Up to 2
years
LSVT programs include: - Answers -1) Target on increasing amplitude
2) Focus on sensory recalibration to help patients recognize that movements with
increased amplitude are normal, even if they feel "too big"
3) Training self-cueing and attention to action to facilitate long-term maintenance of
treatment outcomes
What feature (neurologically) does exercise impact? - Answers -Activity-dependent
neuroplasticity
What two features are important to maintain longterm treatment effects with LSVT? -
Answers -1) Self-cueing
2) Attention to action
What speech disorders are associated with PD? - Answers -Reduced loudness
Monotone
Hoarseness
VERIFIED ACCURATE ANSWERS
What is LOUD? - Answers -an intensive amplitude-based exercise program for the
speech motor system
LSVT BIG - Answers -an intensive, amplitude based exercise program for the limb-
motor system
What are these programs intended for? - Answers -adults and children with
neurological disorders, with a speciality in PD
Some principles of LSVT: - Answers -a. intensity (high effort)
b. reps (high reps)
c. complexity
d. meaningful to pt
e. single focus on amplitude
Remedial approach : - Answers -treatment consists of mechanisms underlying brady
and hypokinesia
What does BIG target? - Answers -it targets brady and hypokinesia specific to PD
Exercise based - Answers -promotes neuroplasticity
inhibits neuronal death
stimulates neurogensis
everyday occupations become exercise
BIG protocol Four Focus: - Answers -1. single focus on amplitude first
2. sensory calibration -what feels too big is normal mvmt
3.Intensive exercise program
4. Empowerment
The primary efficacy measure to assess effectiveness of LSVT, use the: - Answers -
Unified Parkinson's Disease Scale UPDRS motor score from baseline to follow-up.
LSVT Big Training is characterized by: (3) - Answers -1) Multiple repetitions
2) High Intensity
3) Increasing Complexity
What is the goal of LSVT BIG? - Answers -Improve movement perception and to
recalibrate scaling of movement amplitudes
What is schedule for delivery of Treatments? - Answers -4x/week for 4 weeks
, What are the two types of exercises done in LSVT BIG? - Answers -1) 50% of
exercises are standardizes whole body movements with maximal amplitude, repetitive
multidirectional movements (like stepping and reaching) and stretching.
2) 50% goal directed ADLs according to individual needs.
Patients are encouraged to work at ? % of their maximal energy with every rep? -
Answers -80%
In studies LSVT BIG led to improved? - Answers -Motor performance in patients with
PD
Most current PT for PD relies on... - Answers -Compensatory behavior and external
cueing to bypass deficient basal ganglia function - including treadmill training
compensatory steps, walking and muscle strengthening
What does LSVT train by - amplitude or speed? - Answers -AMPLITUDE - it results in
bigger, faster, and more precise movement
What is used in LSVT Big to counteract reduced gain in motor activities as a result of
disturbed sensory processing? - Answers -Continuous feedback on motor performance
and training of movement perception
The goal of training BIG - Answers -Teach patients to use bigger movements in routine
activities to provide sustained training in everyday movements
How long can improvements for LSVT LOUD remain in place? - Answers -Up to 2
years
LSVT programs include: - Answers -1) Target on increasing amplitude
2) Focus on sensory recalibration to help patients recognize that movements with
increased amplitude are normal, even if they feel "too big"
3) Training self-cueing and attention to action to facilitate long-term maintenance of
treatment outcomes
What feature (neurologically) does exercise impact? - Answers -Activity-dependent
neuroplasticity
What two features are important to maintain longterm treatment effects with LSVT? -
Answers -1) Self-cueing
2) Attention to action
What speech disorders are associated with PD? - Answers -Reduced loudness
Monotone
Hoarseness
