LSVT Loud and LSVT Big – voice and movement treatments

Recent advances in neuroscience have suggested that exercise-based behavioral treatments may improve function and possibly slow progression of motor symptoms in individuals with Parkinson disease (PD). The LSVT (Lee Silverman Voice Treatment) Programs for individuals with PD have been developed and researched over the past 20 years beginning with a focus on the speech motor system (LSVT LOUD) and more recently have been extended to address limb motor systems (LSVT BIG).

 The unique aspects of the LSVT Programs include the combination of (a) an exclusive target on increasing amplitude (loudness in the speech motor system; bigger movements in the limb motor system), (b) a focus on sensory recalibration to help patients recognize that movements with increased amplitude are within normal limits, even if they feel “too loud” or “too big,” and (c) training self-cueing and attention to action to facilitate long-term maintenance of treatment outcomes. In addition, the intensive mode of delivery is consistent with principles that drive activity-dependent neuroplasticity and motor learning. (read more)

Watch the amazing transformation of Shirley – an LSVT LOUD Client!


LSVT Global trains providers and has a patient resources page


Cristina Silva
Speech-Language Clinician
Communication Disorders – Outpatient Speech Therapy
43 New Scotland Ave
Albany, New York, 12208-3478
(413) 841-6701

Albany ENT
Susan Herr

Debra Vertinen

Please Contact US if you are a LSVT Big or LSVT Laud provider and would like to be added to this page.