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