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LSVT BIG Program

For Parkinson’s Disease patients

HSHS St. Elizabeth’s Hospital Physical Therapy offers therapy and support to patients with Parkinson’s Disease, at all stages.

LSVT (Lee Silverman Voice Treatment) BIG is an intensive physical and occupational therapy approach for people with Parkinson’s Disease which focuses on “BIG” movements. It was created following the success of LSVT LOUD, a speech therapy program. These programs have been developed and scientifically researched over the past 25 years with funding from the National Institutes of Health.


LSVT treatments can only be delivered by certified Physical, Occupational, and Speech Therapists. These providers use a single target of amplitude to address each area of function with a specialized approach. The approach is individualized to each patient’s limitations. LSVT BIG and LOUD are standardized treatment protocols, but they are also customized to the unique goals of each patient to include both gross and fine motor skills.

Patients in all stages of Parkinson’s Disease (PD) may benefit from LSVT BIG treatment. Those patients in Hoehn and Yahr stages 1-3 are the best candidates for LSVT BIG.  

Research shows that after LSVT BIG treatments, people with Parkinson’s Disease showed improvement on motor function testing. Improvements include:
  •     Decreased fall risk
  •     Increased independence with self-care
  •     Faster walking with bigger steps
  •     Improved balance
  •     Increased trunk rotation
  •     Improvements in activities of daily living such as bed mobility
  •     Improved Motor Score
The LSVT BIG program consists of 16 sessions, led by a LSVT Certified Physical or Occupational Therapist — four days a week for four weeks. Treatment sessions run for one hour and include assigned home program practice for carryover of skills. The program focuses on high amplitude and repetitive motions performed with maximal effort, which helps produce bigger and more functional movements for daily activities. LSVT BIG is available at all five St. Elizabeth’s Physical Therapy locations. 

Call any of our convenient therapy locations for more information on this program:

O’FALLON HEALTH CENTER                                     
Three St. Elizabeth’s Blvd., Suite 3700, O’Fallon    
618-607-5103   Fax 618-641-5814            

1512 N. Green Mount Rd., O’Fallon
618-624-3668   Fax 618-624-8478

BELLEVILLE - DOWNTOWN                       
180 S. Third St. Suite 30, Belleville            
618-234-9152   Fax 618-222-4661            

739 N. Jefferson St., Mascoutah
618-566-4900   Fax 618-566-4257

A referral from a physician or health care practitioner is required. 

Rock Steady Boxing O’Fallon

An additional Parkinson’s program

Rock Steady Boxing logoRock Steady Boxing O’Fallon gives people with Parkinson’s disease hope by improving their quality of life through a non-contact boxing based fitness curriculum.

Certified instructors take participants through a standard routine of stretches, boxing and agility/balance exercises using weights, balls, hula-hoops, jump ropes, hand weights and more. Boxers are encouraged to count out the repetitions in a loud voice which helps fight vocal chord paralysis. Dedicated volunteers are close at hand, steadying participants to make it a safe environment for all.

Participants must have a doctor-certified diagnosis of Parkinson’s and must complete an assessment by RSB O’Fallon’s physical therapist to determine appropriate activity level.

Sessions are held Tuesdays and Thursdays at 10:00 a.m. at 629 W. Highway 50, O’Fallon, IL. Monthly fee is $60.

Learn more about Rock Steady program in a recent issue of Inspired Health magazine and check out national coverage from CBS Sunday Morning

Contact Rock Steady Boxing O’Fallon at (314) 624-3856 or visit

The mission of Rock Steady Boxing is to empower people with Parkinson’s disease to fight back. Rock Steady Boxing O’Fallon, a 501 (c)(3) nonprofit organization.