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It’s still unclear how people get Parkinson’s Disease. 

No one understands the cause of Parkinson’s Disease, but we are utilizing ways to diminish the effects.  Parkinson’s disease is a progressive disorder of the nervous system that affects movement. It develops gradually, sometimes starting with a barely noticeable tremor in just one hand. But while a tremor may be the most well-known sign of Parkinson’s disease, the disorder also commonly causes stiffness or slowing of movement.

The BIG & LOUD Approach:

The LOUD method was developed in 1987 to improve voice and speech in individuals with Parkinson’s disease. Those principles that made LSVT LOUD an effective treatment for the speech motor system have now been successfully applied to the limb motor system. 

The BIG therapy program is a standardized exercise approach developed from 20 years of research and has shown documented improvements in balance, trunk rotation and faster walking with bigger steps. The program trains patients to make bigger movements and teaches the amount of effort required to produce normal movements in real world, everyday activities.


Treatment is administered in 16 sessions over a single month (four individual 60 minute sessions per week). This protocol was developed specifically to address the unique movement impairments for people with Parkinson disease. The protocol is both intensive and complex, with many repetitions of core movements that are used in daily living. This type of practice is necessary to optimize learning and carryover of your better movement into everyday life!


Doctor’s rarely refer their patients to Physical Therapy at diagnosis because medications are very effective early on at alleviating most of the symptoms, and patients experience little change in function. This relief is temporary.
According to a recent survey it is at the time of diagnosis that patients often need to begin to consider lifestyle changes and seek education about conventional and complementary/alternative treatment options. Thus referrals to wellness programs and physical/occupational therapy would be best initiated at diagnosis, when it may have the most impact on long term quality of life.

CPT has several LSVT Certified Therapists on staff.  We work with patients from all age groups and stages to improve their quality of daily life and motor function.