LSVT BIG CERTIFICATION TIPS 2027 ANSWERS AND
QUESTIONS SET A+
✔✔performance in calibration means that the patient is able to carryober use of
increased amplitude from the treatment session to his or her day to day life consistently.
- ✔✔false
✔✔during your initial assessment, if you are having trouble identifying the functional
activities that are difficult for the pt you should: - ✔✔-ask what symptoms they noticed
before they starts on medications for their PD
-change the way in which you are asking the question to get a better response
-ask the family or freind in attendancee if they have noted any changed/difficulties
✔✔after your pt completes his functional component task, he lets you know that he
would like to get a drink of water. he reverts to a very slow and labored sit to stand
when he gets up to walk to the water fountain. you should: - ✔✔make him sit back down
immediately and stand up again using his big effort before going to the water fountain.
✔✔if your patient feels that his walking is "too BIG" when praciting BIG walking (when
the amplitude looks WNL) you should: - ✔✔video tape him and show him his walking
pattern both uncued and cued. ask him to give you feedback on what he noticed with
each of way of walking and which one looks more normal.
✔✔your goal with calibration in LSVTB is that your patients will have good cognitive
understanding of the need to move bigger. - ✔✔false
✔✔a carryover assignment is : - ✔✔a daily assignment that you give patients to use
their bigger movements during an activity they will doing that day
✔✔you assign a different carryover assignment for: - ✔✔all 30 days during the month of
treatment
,✔✔the homework requirement for LSVTB program is: - ✔✔once a day on treatment
days, twice a day on non-treatment days
✔✔your patients has some memory issues, and you are concerned about her being
able to do her homework. all of these ideas are good EXCEPT:
-recruiting a family member, friend, or staff person to be responsible to help her with the
homework
-suggesting she use LSVTB homework helper videos to assist follow through the
exercises at home
-providing exercise pictures, handouts, and instructions that are closely monitor. recruite
a helper if she is not getting the homework done - ✔✔not worrying too much about
whether she is doing the homework or not; it will NOT affect the outcome too much
✔✔when involving a spouse or other helper in the homework portion of the program,
you should do all of the following EXCEPT:
-educate the helper on need to give concise cues
-teach the helper how to model exercises
-have helper come to several LSVTB therapy sesions and do the exercises with you to
get a sense of how they feel - ✔✔-trust that they will figute it out
✔✔a sign of successful calibration is when the patient: - ✔✔reports functional impact
and improved movement outside of the treatment sessions
✔✔the expected level of calibration is the same acorss all stages of PD - ✔✔false
✔✔ways to evaluate for successful calibration would include: - ✔✔-adding cognitive
challenges and observing if your pt is able to maintain amplitude
-watching for pt spontaneous movements when they dont know they being watched
-using the first trial of each exercise for the day as test of calibration
✔✔you force calibration by: - ✔✔-holding pt accountable to homework and carryover
assignments
-not letting small movements slip by during any part of your treatment session
-being redundant with cues and repititions of practice to ensure learning takes place
✔✔tune ups are necessary after LSVT BIg because: - ✔✔patients will need periodic re-
scaling of amplitude and enhanced motivation to keep "thinking big" in everyday life and
wit homework pracitce
✔✔criteria for successful discharge from LSVT BIG include which: - ✔✔-pt is consistent
using bigger movements in everyday life
-pt has formed habit of practicing LSVTB exercises daily
, -pt understands the need to THINK BIG at all time and accepts responsbility for lifelong
pracitce
✔✔after completion of LSVTV, recommendations for the pt include all EXCEPT:
-pracitce LSVTB MDE and functional component task daily
-contineu to think big with all movement related to task
-find ways to show off use of bigger movement every day - ✔✔practice of LSVTB MDE
and functional component task once a week
✔✔identify which features are unique to an examination for LSVTB: - ✔✔heightened
focus on amplitude as it related to patients difficultues and goals and patients
performance with mobility related tasks and activites of daily living
✔✔stimulabiltiy testing is: - ✔✔used to assess whether or not a patient can produce
larger amplitude movements with stimulation to move bigger
✔✔it is important to synchronize the timing of anti-PD medication when performing pre
and post LSVTB assessments - ✔✔true
✔✔documenting progress with LSVTB: - ✔✔should be quantifiable in term of
improvements in amplitude and speed of movement with mobility or ADLS, balance,
safety, and fall risk
✔✔reimbursement for LSVTB depends on documentation that: - ✔✔-reflect meidcal
necessity to improve safet,y reduce disability
-shows that the intervention could only be provided by a skilled therapist
-clearly demonstrated ongoing progress toward established goals
✔✔goal that meets LSVTB requirements: - ✔✔the patient will be able to transfer supine
to sitting independently without curing in less than 6 seconda by using greater amplitude
of whole body movements learnedi n treatment
✔✔LSVTB can only be used with people who have idiopathic PD. - ✔✔false
✔✔current published research on LSVTB has included persons who: - ✔✔were in stage
1-3 on the modified H & Y and had bradykinesia/hypokinesia dominant presentation of
PD
✔✔when considering whether provide LSVTB to individuals who has disorder other than
PD: - ✔✔-perform stimulability testing to determine whether cued bigger movements
have a positive impact on function, such as with gait, activities or daily living, transfers
-determine whether the pt has a disorder that has affected sensory process nad muscle
activation
QUESTIONS SET A+
✔✔performance in calibration means that the patient is able to carryober use of
increased amplitude from the treatment session to his or her day to day life consistently.
- ✔✔false
✔✔during your initial assessment, if you are having trouble identifying the functional
activities that are difficult for the pt you should: - ✔✔-ask what symptoms they noticed
before they starts on medications for their PD
-change the way in which you are asking the question to get a better response
-ask the family or freind in attendancee if they have noted any changed/difficulties
✔✔after your pt completes his functional component task, he lets you know that he
would like to get a drink of water. he reverts to a very slow and labored sit to stand
when he gets up to walk to the water fountain. you should: - ✔✔make him sit back down
immediately and stand up again using his big effort before going to the water fountain.
✔✔if your patient feels that his walking is "too BIG" when praciting BIG walking (when
the amplitude looks WNL) you should: - ✔✔video tape him and show him his walking
pattern both uncued and cued. ask him to give you feedback on what he noticed with
each of way of walking and which one looks more normal.
✔✔your goal with calibration in LSVTB is that your patients will have good cognitive
understanding of the need to move bigger. - ✔✔false
✔✔a carryover assignment is : - ✔✔a daily assignment that you give patients to use
their bigger movements during an activity they will doing that day
✔✔you assign a different carryover assignment for: - ✔✔all 30 days during the month of
treatment
,✔✔the homework requirement for LSVTB program is: - ✔✔once a day on treatment
days, twice a day on non-treatment days
✔✔your patients has some memory issues, and you are concerned about her being
able to do her homework. all of these ideas are good EXCEPT:
-recruiting a family member, friend, or staff person to be responsible to help her with the
homework
-suggesting she use LSVTB homework helper videos to assist follow through the
exercises at home
-providing exercise pictures, handouts, and instructions that are closely monitor. recruite
a helper if she is not getting the homework done - ✔✔not worrying too much about
whether she is doing the homework or not; it will NOT affect the outcome too much
✔✔when involving a spouse or other helper in the homework portion of the program,
you should do all of the following EXCEPT:
-educate the helper on need to give concise cues
-teach the helper how to model exercises
-have helper come to several LSVTB therapy sesions and do the exercises with you to
get a sense of how they feel - ✔✔-trust that they will figute it out
✔✔a sign of successful calibration is when the patient: - ✔✔reports functional impact
and improved movement outside of the treatment sessions
✔✔the expected level of calibration is the same acorss all stages of PD - ✔✔false
✔✔ways to evaluate for successful calibration would include: - ✔✔-adding cognitive
challenges and observing if your pt is able to maintain amplitude
-watching for pt spontaneous movements when they dont know they being watched
-using the first trial of each exercise for the day as test of calibration
✔✔you force calibration by: - ✔✔-holding pt accountable to homework and carryover
assignments
-not letting small movements slip by during any part of your treatment session
-being redundant with cues and repititions of practice to ensure learning takes place
✔✔tune ups are necessary after LSVT BIg because: - ✔✔patients will need periodic re-
scaling of amplitude and enhanced motivation to keep "thinking big" in everyday life and
wit homework pracitce
✔✔criteria for successful discharge from LSVT BIG include which: - ✔✔-pt is consistent
using bigger movements in everyday life
-pt has formed habit of practicing LSVTB exercises daily
, -pt understands the need to THINK BIG at all time and accepts responsbility for lifelong
pracitce
✔✔after completion of LSVTV, recommendations for the pt include all EXCEPT:
-pracitce LSVTB MDE and functional component task daily
-contineu to think big with all movement related to task
-find ways to show off use of bigger movement every day - ✔✔practice of LSVTB MDE
and functional component task once a week
✔✔identify which features are unique to an examination for LSVTB: - ✔✔heightened
focus on amplitude as it related to patients difficultues and goals and patients
performance with mobility related tasks and activites of daily living
✔✔stimulabiltiy testing is: - ✔✔used to assess whether or not a patient can produce
larger amplitude movements with stimulation to move bigger
✔✔it is important to synchronize the timing of anti-PD medication when performing pre
and post LSVTB assessments - ✔✔true
✔✔documenting progress with LSVTB: - ✔✔should be quantifiable in term of
improvements in amplitude and speed of movement with mobility or ADLS, balance,
safety, and fall risk
✔✔reimbursement for LSVTB depends on documentation that: - ✔✔-reflect meidcal
necessity to improve safet,y reduce disability
-shows that the intervention could only be provided by a skilled therapist
-clearly demonstrated ongoing progress toward established goals
✔✔goal that meets LSVTB requirements: - ✔✔the patient will be able to transfer supine
to sitting independently without curing in less than 6 seconda by using greater amplitude
of whole body movements learnedi n treatment
✔✔LSVTB can only be used with people who have idiopathic PD. - ✔✔false
✔✔current published research on LSVTB has included persons who: - ✔✔were in stage
1-3 on the modified H & Y and had bradykinesia/hypokinesia dominant presentation of
PD
✔✔when considering whether provide LSVTB to individuals who has disorder other than
PD: - ✔✔-perform stimulability testing to determine whether cued bigger movements
have a positive impact on function, such as with gait, activities or daily living, transfers
-determine whether the pt has a disorder that has affected sensory process nad muscle
activation
