UNDERSTANDING THE PROGRAM
What Is LSVT BIG & LOUD?
LSVT stands for Lee Silverman Voice Treatment — a proven, research-backed approach originally developed to help people with Parkinson's disease. It has grown into two companion programs that work hand in hand: LSVT BIG, delivered by physical and occupational therapists to restore normal, full-sized movement, and LSVT LOUD, delivered by speech therapists to bring back a strong, clear speaking voice.
Both programs share the same idea. Parkinson's gradually makes movements smaller and the voice softer, often without the person realizing it. LSVT retrains the brain and body to recalibrate — so that what feels "too big" or "too loud" is actually normal. At Coastal Home Rehab, our LSVT-certified therapists bring this specialized training directly into your home, where it's easiest to carry the gains into everyday life.
MOVEMENT PROGRAM
LSVT BIG: Movement Therapy for Parkinson's
Parkinson's often shrinks everyday movements — shorter steps, a stooped posture, smaller handwriting, and difficulty turning or rising from a chair. LSVT BIG is an intensive, in-home movement program that teaches seniors to move with larger amplitude again, improving mobility, balance, and the ability to do daily tasks safely.
CONDITIONS THAT BENEFIT
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Parkinson's disease (all stages)
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Slowed or shrinking movement (bradykinesia)
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Shuffling gait and short steps
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Difficulty turning, standing, or balancing
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Stooped or forward posture
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Other related neurological conditions
KEY BENEFIT
​​Bigger, Safer Movement
Retrains full-sized steps, reaches, and
turns for everyday confidence.
​Better Balance
Improves stability and reduces the risk
of falls at home.
​Easier Daily Tasks
Makes dressing, walking, and getting
up from a chair more manageable.
​Lasting Carryover
Builds habits that hold up in real life,
long after the program ends.

VOICE PROGRAM
LSVT LOUD: Speech & Voice Therapy
Many seniors with Parkinson's begin to speak softly, trail off, or feel they aren't being heard — even when they think they're speaking at a normal volume. LSVT LOUD is an intensive, in-home speech therapy program that restores vocal strength and clarity, so conversations with family and caregivers feel natural again.
CONDITIONS THAT BENEFIT
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Parkinson's disease and soft speech (hypophonia)
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A hoarse, breathy, or monotone voice
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Speech that fades or mumbles by the end of sentences
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Trouble being understood on the phone
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Reduced facial expression and vocal confidence
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Other related neurological conditions
KEY BENEFIT
A Stronger Voice
Rebuilds healthy vocal loudness so speech carries across the room..
​Clearer Speech
Improves articulation and intelligibility in everyday conversation.
More Confidence
Helps seniors stay connected and engaged with loved ones.
Self-Monitoring Skills
Teaches seniors to recognize and maintain their best voice on their own.


