Physical Therapy Services | LSVT Big and Loud Therapy for Parkinson's
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UnityPoint Clinic - Express (Jordan Creek)

180 Jordan Creek Parkway, Suite 120
West Des Moines, Iowa 50266

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UnityPoint Clinic - Express (Waukee)

950 E. Hickman Road
Waukee, Iowa 50263

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Urgent Care - Altoona

2720 8th St. SW
Altoona, Iowa 50009

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Urgent Care - Ankeny

3625 N. Ankeny Blvd.
Suite E
Ankeny, Iowa 50023

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Urgent Care - Ingersoll

2103 Ingersoll Ave., Ste. 2
Des Moines, Iowa 50312

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Urgent Care - Lakeview

6000 University Avenue
Suite 101
West Des Moines, Iowa 50266

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Urgent Care - Merle Hay

4020 Merle Hay Road
Suite 100
Des Moines, Iowa 50310

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Urgent Care - Southglen

6520 SE 14th St.
Des Moines, Iowa 50320

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Urgent Care - Urbandale

5200 NW 100th Street
Urbandale, Iowa 50322


LSVT BIG and LSVT LOUD programs

UnityPoint Health - Physical Therapy offers LSVT BIG and LSVT LOUD, intensive amplitude focused programs geared towards patients with Parkinson's Disease. The LSVT programs have been developed and scientifically researched over the past 20 years with funding from the national institutes of health. 

LSVT BIG and LSVT LOUD physical therapy help patients with Parkinson's Disease to improve function and slow motor deterioration by retraining sensory, motor and cognitive functions through intensive exercise and patient empowerment. The physical therapy also increases speech intelligibility, facial expression and improves confidence in patients with Parkinson's Disease.

What is LSVT Big?

Our Physical and Occupational Therapists certified in LSVT BIG help patients with Parkinson's Disease improve function and slow motor deterioration.

LSVT BIG therapy helps to improve balance, rotation and faster walking with bigger steps for patients with Parkinson's disease. Our patients with Parkinson's Disease gradually make smaller movements and have difficulty initiating movement. LSVT BIG translates bigger movements into the real world, everyday activities and empowers people with Parkinson's disease to re-engage in their meaningful activities. 

Our BIG program is designed with the goal to: 

  • Increased walking speed and bigger steps
  • Emphasizing with movements and patterns - "Bigness"
  • Rotational movements through exercise moving
  • Speed of movement
  • Balance 

What is LSVT Loud?

LSVT LOUD therapy helps to improve voice and speech in individuals with Parkinson's Disease. Our LSVT LOUD therapy is offered by speech-language pathologists certified in LSVT LOUD at UnityPoint Health - Physical Therapy. It is common that individuals with Parkinson's Disease speak softly and have difficulty being loud enough for people to hear and avoid groups of people/conversations. 

The LOUD program is designed with the goal to:

  • Increase loudness of speech
  • Improved intelligibility 
  • Increased facial expressions
  • Advancements in swallowing
  • Work on precise and clear speech sounds
  • Work at the speed of speech 
  • Work on the intonation (up and down) of the voice

What is Parkinson's Disease?

Parkinson's disease is a progressive neurological disease that affects the nerve cells in the brain that produce dopamine. 

What are the symptoms of Parkinson's Disease?

The main symptoms of Parkinson's Disease are:

  • Tremors
  • Stiff muscles
  • Slow movement
  • Problems with balance or walking
  • Muscle rigidity
  • Soft voice
  • Difficulty with handwriting

Parkinson's Disease Treatment Approach

LSVT BIG and LSVT LOUD are customized to the unique goals of each patient with patient-centered care as our focus. Our patient-driven LSVT Big and LSVT Loud program offer individualized treatment plans for patients with Parkinson's Disease with different exercises to complete at home. Treatment within the clinic consist of 16 individual 1-hour sessions, 4 consecutive days a week for 4 weeks.

For more information on Parkinson's disease and Parkinson's disease treatment with LSVT Big and LSVT Loud, please talk with your primary care provider

If you or a loved one is interested in LSVT BIG and LOUD therapy, please call (515) 241-4499 or call one of our Physical Therapy clinics that offer BIG and LOUD therapy services.

Physical Therapy - West 

2850 Westown Parkway 
West Des Moines, Iowa 50266
(515) 224-5225

Physical Therapy - Methodist (Des Moines - within Methodist Hospital)

1400 Woodland Avenue, Younker-308
Des Moines, Iowa 50309
(515) 241-5284