LSVT BIG Training And Certification Course
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LSVT BIG Training And Certification Course

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LSVT BIG® Training and Certification Course Series for physical and occupational therapy professionals.
The LSVT BIG Training and Certification Course is a two-day program designed to train physical and occupational therapy professionals and students in an evidence-based, intensive treatment protocol for individuals with Parkinson disease. The fundamental treatment principles and rationale, key treatment elements, efficacy data supporting treatment outcomes, details of treatment tasks, and practical delivery will be covered. Teaching techniques include lecture, demonstration, and case study presentations. Discussion will be included on application to other neural disorders and customization of treatment delivery to meet the unique functional goals of each patient.

Steps for Certification:

  • Register for a two-day LSVT BIG Training and Certification Course.
  • Attend the entire two-day LSVT BIG Training and Certification Course.
  • Complete a Certification Exam with an 85% score required to receive certification. The exam will be administered during the two-day training course. If a participant does not pass the examination, there will be an opportunity for participants to re-take the exam online.

Learning Outcomes:
Upon conclusion of this course, participants (Physical and Occupational Therapy Professionals and Students) will be able to:

  • Describe 3 paradigm shifts unique to LSVT BIG treatment.
  • Provide rationale for using a single target of amplitude when working with patients with Parkinson’s disease.
  • Correctly identify at least 3 key principles used in LSVT BIG that drive activity dependent neuroplasticity.
  • Discuss efficacy findings that support use of LSVT BIG for persons with Parkinson’s disease.
  • Provide the rationale for each of the Maximal Daily Exercises.
  • Describe the correct performance techniques of the LSVT Maximal Daily Exercises.
  • Given patient scenarios of patients with Parkinson’s disease with various levels of function, describe how to adapt or progress LSVT BIG treatment.
  • Correctly list 5/5 teaching techniques unique toLSVT protocols.
  • Differentiate between Functional Component Tasks, Hierarchy Tasks, and Carryover tasks.
  • Identify the purposes of Functional Component Tasks, Hierarchy Tasks, and Carryover Tasks.
  • Provide an example of calibration in LSVT BIG.
  • Synthesize data from patient interview, examination, stimulability tests and results of standardized tests to determine if the patient will benefit from LSVT BIG treatment.

LSVT BIG Training and Certification Provides:

  • Two-day Live LSVT BIG Training and Certification course with printed materials.
  • 90-day FREE access to the Online LSVT BIG Training and Certification course to review content after the live course.
  • LSVT BIG Certification upon completion of course and passing exam.
  • LSVT BIG Homework Helper DVD.
  • LSVT BIG Resources Link (downloadable treatment forms, lectures, videos).
  • Listing on the LSVT Global Certified Clinician Database.
  • Access to LSVT BIG discussion forum.
  • Online support from LSVT BIG experts for clinical questions.
  • Invitation to the LSVT BIG Clinician Facebook Group
  • Access to FREE monthly webinars for LSVT BIG Certified Clinicians on advanced LSVT BIG topics. Webinars are offered Live and On- Demand and CEUs are offered. Example topics include:
    • LSVT BIG Open Forum: Insurance Straight Talk
    • Using LSVT BIG to Improve ADLs and Fine Motor Function
    • LSVT BIG and Freezing of Gait and Movement





8:15 am – 9:00 am

  • Pre-Course EXAM: The purpose of the pre-course exam is to prime participants for information that is important during the 2-day course presentation. Participants are not expected to know the answers to the questions on the pre- exam. The post-exam is the one that will count for certification. All participants are required to take and complete the pre-course exam.

9:00 am – 10:45 am

  • Introduction to LSVT BIG Paradigm Shifts: Target (amplitude), Mode (Intensive and High effort), and Calibration (addressing barriers to generalization).
  • Overview of Parkinson disease.

10:45 am – 11:00 am

  • BREAK.

11:00 am – 12:30 pm

  • LIVE Patient DEMO.
  • Fundamentals – Neuroplasticity-based rationale.
  • Review of efficacy data for LSVT LOUD and LSVT BIG.

12:30 pm – 1:30 pm

  • LUNCH (on your own).

1:30 pm – 3:15 pm

    • Daily Exercises– a detailed description.
    • Role Play of LSVT BIG Daily Exercises.

3:15 pm – 3:30 pm

  • BREAK.

3:30 pm – 5:00 pm

    • Functional Component Tasks – a detailed description.
    • Walking BIG.
    • Hierarchy Tasks – a detailed description.
    • Role Play of LSVT BIG Functional Component Movements, Walking BIG, and Hierarchy Tasks.



8:00 am – 9:45 am

  • BIG walking, Teaching Techniques, Calibration

9:45 am – 10:00 am

  • BREAK.

10:00 am – 11:30 am

  • Follow up recommendations, assessment and quantification and interdisciplinary care.

11: 30 am – 12:00 pm

  • EXAM – 85% pass required for certification.

12:00 pm – 12:45 pm

  • LUNC (on your own).

12:45 pm – 1:00 pm

  • Prepare for Exercise Interaction.

1:00 pm – 2:15 pm

  • “Hands - on” Practice with Individuals with Parkinson Disease: This section allows each clinician to practice the LSVT BIG techniques with an individual with Parkinson disease under the supervision of the course faculty.

2:15 pm – 3:00 pm

  • Implementation and future directions

Participants should wear loose fitting clothing and comfortable shoes that allow freedom of movement for participation in hands-on practice and interactive sessions.





                                                                      Cynthia Fox Ph.D., CCC-SLP

Dr. Fox is an expert on rehabilitation and neuroplasticity and the role of exercise in the improvement of function consequent to neural injury and disease.  She is a world leader in LSVT LOUD and conducted related efficacy research in Parkinson's and other disorders. Dr. Fox worked on the development of LSVT BIG. She is faculty for LSVT LOUD and LSVT BIG Training and Certification courses. Dr. Fox is CEO and Co-Founder of LSVT Global, Inc.


                                                                           Laura Gusé, BSPT, MPT

Ms. Gusé has extensive experience treating people with neurodegenerative disorders in various practice settings. She was LSVT BIG certified in 2009 and now serves as Chief Clinical Officer of LSVT BIG. Ms. Guse' oversees the training, curriculum and product development related to LSVT BIG, and has helped to create many of the current LSVT BIG treatment tools, webinars, and courses. She has spoken at many national and international conferences on topics related to LSVT BIG.


                                                                          Julia Wood, MOT, OTR/L.

 Ms. Wood was certified in LSVT BIG in 2013, is an ATTP graduate and faculty and is a certified facilitator for PD SELF. She also serves as an ambassador for the Davis Phinney Foundation. Ms. Wood specializes in treating people with movement disorders at the Dan Aaron Parkinson's Rehabilitation Center in Philadelphia. She also serves in interdisciplinary clinics for patients with atypical Parkinsonism, Huntington's disease, ALS and those considering Deep Brain Stimulation.

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