Parkinson's Neuro Rehab Program
Our Parkinson's Neuro Rehab program delivers coordinated occupational, physical, and speech therapy for individuals living with Parkinson's disease, with clinicians trained in LSVT LOUD and LSVT BIG protocols.
We address the motor, cognitive, communicative, and social-emotional impacts of Parkinson's disease — including bradykinesia, rigidity, postural instability, voice changes (hypophonia), swallowing difficulties, and reduced independence in daily routines.
Our therapists combine evidence-based Parkinson-specific protocols with interdisciplinary collaboration. PT uses LSVT BIG and large-amplitude movement training. ST uses LSVT LOUD to restore vocal intensity and communication confidence. OT addresses daily living skills, fine motor control, and fatigue management. All three disciplines coordinate on shared goals.
Your Results:
✓ Regain vocal intensity and communication confidence through LSVT LOUD
✓ Restore large-amplitude movements and functional mobility with LSVT BIG
✓ Improve balance and reduce fall risk through Parkinson-specific training
✓ Preserve independence in daily activities and fine motor tasks
Who Is This Program For?
Adults diagnosed with Parkinson's disease or parkinsonism, at any stage of disease progression. Early intervention is especially effective, but our program supports patients through all phases of the condition.
Delivery Model: Hybrid — PT and LSVT BIG in clinic, OT and ST via telehealth
Why Choose Our Parkinson's Neuro Rehab Program?
Specialized interdisciplinary care for Parkinson's, including LSVT and LSVT-BIG
LSVT LOUD & LSVT BIG Certified
Our clinicians are trained in the gold-standard evidence-based protocols specifically designed for Parkinson's.
Coordinated OT, PT & ST
Three disciplines collaborate on shared goals across motor, cognitive, communication, and functional domains.
Hybrid Delivery Model
LSVT BIG and skilled PT in clinic; LSVT LOUD and OT via telehealth for continuity and convenience.
Every Stage of Disease
From early diagnosis through advanced stages, plans adapt to your current needs and goals.
Targeted Expertise
Our therapists combine advanced clinical training with compassionate, patient-centered care to deliver specialized treatment through:
LSVT LOUD Voice Therapy
Intensive voice training that recalibrates perception of loudness and rebuilds confident communication.
LSVT BIG Movement Training
Large-amplitude movement protocols that address bradykinesia and improve functional mobility.
Gait & Freezing Management
Strategies for managing freezing of gait, turning, and navigating complex environments safely.
Fine Motor & Handwriting
OT intervention for micrographia, dexterity challenges, and fine motor tasks of daily life.
Swallowing & Dysphagia
Evaluation and treatment of swallowing changes that commonly occur with Parkinson's.
Cognitive-Communication
Support for word-finding, attention, and executive function changes related to Parkinson's.
Your Treatment Guide
Detailed information about your care plan, what to expect during treatment, and strategies you can use at home.
Treatment Guide
Parkinson's Neuro Rehab: Your Interdisciplinary Treatment Guide
Living with Parkinson's disease affects your motor, cognitive, communicative, and social-emotional skills. Our program integrates Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (ST) with Parkinson-specific, evidence-based protocols, including LSVT LOUD and LSVT BIG, to help you preserve function, independence, and quality of life.
Why We Work as an Interdisciplinary Team
Research indicates that intensive, multidisciplinary rehabilitation improves motor function, voice, swallowing, and daily participation for people with Parkinson's.
Physical Therapy (PT): We focus on large-amplitude movements through LSVT BIG, balance training, and gait strategies to address bradykinesia, postural instability, and freezing.
Speech-Language Pathology (ST): We use LSVT LOUD to restore vocal intensity and address communication, cognitive, and swallowing changes.
Occupational Therapy (OT): We focus on daily activities, fine motor control, energy management, and home adaptations to maintain independence.
Our Shared Goal: Using evidence-based, Parkinson-specific protocols to help you stay engaged in what matters most.
1. LSVT LOUD: Voice & Communication
LSVT LOUD is an intensive, evidence-based voice protocol delivered four times per week for four weeks.
Vocal Loudness Training: Recalibrate your perception of normal loudness to restore confident, clear communication.
Carryover to Daily Speech: Practice techniques in real conversations with family, in meetings, and on the phone.
Maintenance Program: Continue daily vocal exercises after the intensive block to preserve gains.
2. LSVT BIG: Movement & Mobility
LSVT BIG addresses slowness and small movements with intensive large-amplitude training.
Large-Amplitude Exercise: Practice exaggerated movements to recalibrate your body's sense of normal movement size.
Functional Tasks: Apply BIG principles to walking, turning, reaching, and transfers.
Daily Practice: Integrate BIG movements into routine activities for lasting functional change.
3. Daily Strategies & Adaptations
OT works with you on adapting your environment and routines.
Energy Conservation: Prioritize tasks, alternate activities, and schedule rest to manage fatigue.
Fine Motor Tasks: Adaptive strategies for buttoning, writing, eating, and technology use.
Home Safety: Recommendations for lighting, contrast, clear pathways, and grab bars to reduce fall risk.
Medication Timing: Coordinate therapy and activity with your "on" medication windows.
When to Contact Your Treatment Team
Please reach out if you experience:
Increased falls or near-falls, or new freezing episodes.
Significant voice changes or new difficulty being understood.
Swallowing changes, coughing with meals, or unintended weight loss.
Changes in handwriting size, tremor, or fine motor control.
Remember: Parkinson's responds well to exercise and skilled therapy. Consistent daily practice, even for short intervals, preserves function over time.
Frequently Asked Questions
What is LSVT LOUD and LSVT BIG?
LSVT LOUD is an evidence-based voice therapy protocol that retrains vocal loudness. LSVT BIG is its physical therapy counterpart, training large-amplitude movements. Both are specifically designed for people with Parkinson's and delivered by certified clinicians.
How soon after diagnosis should therapy start?
As early as possible. Research shows that exercise-based rehab is most effective when started early — it can slow functional decline and preserve independence longer.
Is Parkinson's rehab available via telehealth?
OT and speech therapy sessions, including LSVT LOUD, are available via telehealth. LSVT BIG and other physical therapy are delivered in-clinic.
Do you accept Medicare for Parkinson's rehab?
Yes. Medicare covers physical, occupational, and speech therapy with a physician's referral, and we accept 200+ other health plans.
Ready to Get Started?
Contact us to learn more about our Parkinson's Neuro Rehab program or to schedule an evaluation with our expert therapists.