LSVT BIG TEST PAPERS ANSWERS AND QUESTIONS
SET A+
What is LOUD? - ✔✔an intensive amplitude-based exercise program for the speech
motor system
✔✔LSVT BIG - ✔✔an intensive, amplitude based exercise program for the limb-motor
system
✔✔What are these programs intended for? - ✔✔adults and children with neurological
disorders, with a speciality in PD
✔✔Some principles of LSVT: - ✔✔a. intensity (high effort)
b. reps (high reps)
c. complexity
d. meaningful to pt
e. single focus on amplitude
✔✔Remedial approach : - ✔✔treatment consists of mechanisms underlying brady and
hypokinesia
✔✔What does BIG target? - ✔✔it targets brady and hypokinesia specific to PD
✔✔Exercise based - ✔✔promotes neuroplasticity
inhibits neuronal death
stimulates neurogensis
everyday occupations become exercise
✔✔BIG protocol Four Focus: - ✔✔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: - ✔✔Unified
Parkinson's Disease Scale UPDRS motor score from baseline to follow-up.
✔✔LSVT Big Training is characterized by: (3) - ✔✔1) Multiple repetitions
2) High Intensity
3) Increasing Complexity
✔✔What is the goal of LSVT BIG? - ✔✔Improve movement perception and to
recalibrate scaling of movement amplitudes
✔✔What is schedule for delivery of Treatments? - ✔✔4x/week for 4 weeks
✔✔What are the two types of exercises done in LSVT BIG? - ✔✔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? -
✔✔80%
✔✔In studies LSVT BIG led to improved? - ✔✔Motor performance in patients with PD
✔✔Most current PT for PD relies on... - ✔✔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? - ✔✔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? - ✔✔Continuous feedback on motor performance and
training of movement perception
✔✔The goal of training BIG - ✔✔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? - ✔✔Up to 2 years
✔✔LSVT programs include: - ✔✔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
SET A+
What is LOUD? - ✔✔an intensive amplitude-based exercise program for the speech
motor system
✔✔LSVT BIG - ✔✔an intensive, amplitude based exercise program for the limb-motor
system
✔✔What are these programs intended for? - ✔✔adults and children with neurological
disorders, with a speciality in PD
✔✔Some principles of LSVT: - ✔✔a. intensity (high effort)
b. reps (high reps)
c. complexity
d. meaningful to pt
e. single focus on amplitude
✔✔Remedial approach : - ✔✔treatment consists of mechanisms underlying brady and
hypokinesia
✔✔What does BIG target? - ✔✔it targets brady and hypokinesia specific to PD
✔✔Exercise based - ✔✔promotes neuroplasticity
inhibits neuronal death
stimulates neurogensis
everyday occupations become exercise
✔✔BIG protocol Four Focus: - ✔✔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: - ✔✔Unified
Parkinson's Disease Scale UPDRS motor score from baseline to follow-up.
✔✔LSVT Big Training is characterized by: (3) - ✔✔1) Multiple repetitions
2) High Intensity
3) Increasing Complexity
✔✔What is the goal of LSVT BIG? - ✔✔Improve movement perception and to
recalibrate scaling of movement amplitudes
✔✔What is schedule for delivery of Treatments? - ✔✔4x/week for 4 weeks
✔✔What are the two types of exercises done in LSVT BIG? - ✔✔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? -
✔✔80%
✔✔In studies LSVT BIG led to improved? - ✔✔Motor performance in patients with PD
✔✔Most current PT for PD relies on... - ✔✔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? - ✔✔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? - ✔✔Continuous feedback on motor performance and
training of movement perception
✔✔The goal of training BIG - ✔✔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? - ✔✔Up to 2 years
✔✔LSVT programs include: - ✔✔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
