LSVT BIG UPDATED EXAMINATION ANSWERS AND
QUESTIONS SET A+
✔✔Side to side adaptation - ✔✔Put two chairs together to create more of a bench-like
surface
✔✔standing and rocking adaptations - ✔✔-1 sided support
- external cues
-facilitation
✔✔Why you might break into components - ✔✔-poor balance
-poor motor planning
-can advance to bilateral if possible
✔✔Why be adapted to supine - ✔✔-person can't tolerate in sitting
-may be beneficial still in bed mobility and positioning or adls in bed
✔✔Ways to make activities harder - ✔✔-challenge the patient
-maximize motor output
-add real world complexities
-add cognitive challenges
✔✔Intensity progressions - ✔✔-Do more reps
-Add intensity
-Increase speed
-Use resistance
-add flicks
✔✔5 Key teaching techniques used in LSVT BIG - ✔✔1. Model
2. Shape
3. Drive muscle activation
4. Stabilize
5. Calibrate
, ✔✔Shaping - ✔✔Optimize the alignment, but do not need to strive for perfection
✔✔Drive - ✔✔Target big effort for large amplitude whole body movements
✔✔Perceived bigness effort scale - ✔✔10 is the hardest, 0 is no effort. During sessions,
you want pt to be working around at least a 7 or an 8
✔✔Stabilize - ✔✔Stabilize performance of motor output; give them feedback as they go.
Give both sensory and motor feedback. "do it just like that, do it that way again"
✔✔Calibrate as a technique - ✔✔Retrain sensory perception; "feel that effort" "thats the
amount of effort you need to reach something"
✔✔Reps of functional component tasks - ✔✔5 per session
✔✔`FCT features - ✔✔-patient driven
-never change
-simple
-practice repetitively
-personalized
✔✔Goal of functional component task - ✔✔Hook/cue patient to use big movements in
their every day life. Overlearn the movement
✔✔Repetitions for walking - ✔✔Depends on person for time and distance, but has to be
done in every session
✔✔4 areas of calibration - ✔✔education, treatment, carryover, homework
✔✔Carryover assignment - ✔✔Assignment you mandate to bring bigness into real life;
starts on day one, uses feedback, progresses in difficulty
✔✔Calibration homework - ✔✔Done twice a day on non treatment days and once a day
on treatment days, 15-20 minutes and 4 reps
✔✔Sign of success for calibration - ✔✔Self-monitoring
✔✔Tune ups - ✔✔Average is 4-6 to assure that outcome score remains the same
✔✔Assessment - ✔✔Interview, physical exam, fill out packet; be sure to measure pre
and post at the same time of day
✔✔Falls in pwp - ✔✔nearly 70% fall in a one year time period
QUESTIONS SET A+
✔✔Side to side adaptation - ✔✔Put two chairs together to create more of a bench-like
surface
✔✔standing and rocking adaptations - ✔✔-1 sided support
- external cues
-facilitation
✔✔Why you might break into components - ✔✔-poor balance
-poor motor planning
-can advance to bilateral if possible
✔✔Why be adapted to supine - ✔✔-person can't tolerate in sitting
-may be beneficial still in bed mobility and positioning or adls in bed
✔✔Ways to make activities harder - ✔✔-challenge the patient
-maximize motor output
-add real world complexities
-add cognitive challenges
✔✔Intensity progressions - ✔✔-Do more reps
-Add intensity
-Increase speed
-Use resistance
-add flicks
✔✔5 Key teaching techniques used in LSVT BIG - ✔✔1. Model
2. Shape
3. Drive muscle activation
4. Stabilize
5. Calibrate
, ✔✔Shaping - ✔✔Optimize the alignment, but do not need to strive for perfection
✔✔Drive - ✔✔Target big effort for large amplitude whole body movements
✔✔Perceived bigness effort scale - ✔✔10 is the hardest, 0 is no effort. During sessions,
you want pt to be working around at least a 7 or an 8
✔✔Stabilize - ✔✔Stabilize performance of motor output; give them feedback as they go.
Give both sensory and motor feedback. "do it just like that, do it that way again"
✔✔Calibrate as a technique - ✔✔Retrain sensory perception; "feel that effort" "thats the
amount of effort you need to reach something"
✔✔Reps of functional component tasks - ✔✔5 per session
✔✔`FCT features - ✔✔-patient driven
-never change
-simple
-practice repetitively
-personalized
✔✔Goal of functional component task - ✔✔Hook/cue patient to use big movements in
their every day life. Overlearn the movement
✔✔Repetitions for walking - ✔✔Depends on person for time and distance, but has to be
done in every session
✔✔4 areas of calibration - ✔✔education, treatment, carryover, homework
✔✔Carryover assignment - ✔✔Assignment you mandate to bring bigness into real life;
starts on day one, uses feedback, progresses in difficulty
✔✔Calibration homework - ✔✔Done twice a day on non treatment days and once a day
on treatment days, 15-20 minutes and 4 reps
✔✔Sign of success for calibration - ✔✔Self-monitoring
✔✔Tune ups - ✔✔Average is 4-6 to assure that outcome score remains the same
✔✔Assessment - ✔✔Interview, physical exam, fill out packet; be sure to measure pre
and post at the same time of day
✔✔Falls in pwp - ✔✔nearly 70% fall in a one year time period
