Parkinson's Disease Exercises: LSVT BIG Movements

welcome to fitness friday we are excited you are joining us today for think big with lsbt big this video is brought to you by lsvt global where we pride ourselves in innovation in science and integrity in practice lsvt big is a physical and occupational therapy program that is supported by many years of scientific research today you will get to experience some of the exercises with dr tammy hefferon as an introduction to lsvt big the lsvt big therapy itself is delivered in one hour individual treatment sessions four days a week for four weeks it also includes

daily home practice and all of the goals and activities are personalized to you the only thing that you'll need for the exercise session today is a sturdy chair with no arms so if you're ready let's get moving let's get going big welcome to your introduction to an lsvt big exercise session we are very excited to be here today we're going to take you through a few of the exercises that you would be doing if you entered into the lspt big program you'll see me doing the full maximum daily exercises and then you'll see my lovely

husband who's going to come in and he'll demonstrate if you need some really seated exercises so there's levels for all of you and we're just going to have some fun today so a few key things we're going to focus on moving big so everything i want you to do i want you to think about you're going to give a 10 out of 10 effort and so that your body feels so big as you're moving through those things today we're going to start with our seated exercises we're going to do four repetitions on both sides if

there's two sides to things so what i want you to do is if you're seated in your chair you're gonna get to the edge of the chair what works best is if you have a chair without arms so you're gonna sit nice and big then you're gonna take your hands and you're gonna reach forward go down to the floor up to the ceiling and then we're gonna go out nice and big if you look at my hands i want you to do the same thing my fingers are nice and spread out and we're gonna hold

that for one two three four five six seven eight nine ten and back big good let's do that again ready reach big down to the floor up to the ceiling out nice and big let's see those hands get them as big as you can if your posture is a little bit small let's go nice and big here we go ready one two three four five six seven eight nine ten and finish big so i want you to check yourself are you doing that ten out of ten effort with me okay let's give it another try

here we go reach big down to the floor up to the ceiling up reach nice and big nice and big good out to the side how about those hands check them out get that posture nice and big okay this time i want you to smile and count with me if you can here we go one two three four big effort five six seven eight nine ten and finish big okay one more you guys are doing wonderful here we go reach big down to the floor up to the ceiling out to the side really big reach

those hands you got it here we go nice big smile it'll help everything i promise ready nice big smile one two three four five big effort six seven eight nine ten and finish big here we go next exercise what we're gonna do is we're gonna move our body all the way to the side so i want you to make sure you've got some room on the side you're going to always start big to be big remember we're thinking about amplitude and giving that 10 out of 10 effort so our body starts to realize that this

is how it should move and it makes moving very easy as you go through your life as we start to practice this okay so we're gonna sit nice and big we're gonna start big with that hand then you're gonna reach all the way across so you know how my hand is up towards the ceiling you can put your hand on the chair or put it on your leg what i want you to do is reach everything nice and big and same thing we're gonna count one two three four five six seven eight 8 9 10

and come back nice and big let's do that again out big all the way across see how i turn my hand i want you to try the same thing and really push through that back leg ready one two three four five six seven you got it eight nine ten and back big okay check yourself how much effort is that can you give me a little more good i think so here we go ready out big all the way across really push paper big good let's go one two three four five six seven eight nine ten

and really come back nice and big here we go one more ready out babe reach across okay here you go this is where i want you if you're kind of this way not quite as big i want you to give that really big effort stretch stretch stretch and let's hold it for ten nine eight seven six five four big reach three two one back big whoa let's do the other side okay so we're gonna do four on the other side sit big we don't wanna start like this because then our movements are gonna be small

something i want you to think about as you move through your life is that if we start big and we think big things are gonna start to be easier okay so here we go ready out nice and big just like the other side reach all the way across really think about pushing through that leg let's go one two count with me three four five six seven eight nine ten and back big let's do it again ready out big all the way across push that leg here we go one two three four five six seven eight

nine ten and back big okay so here's your goal the next two i want you to think about getting that arm and that leg back as big as you can here we go nice and big out big all the way across can you get bigger with your push up towards the ceiling good let's hold that one two three four five six seven eight nine ten remember what we're working on back big okay last one here we go out big all the way reach reach reach good one two three big with that hand four five six

seven eight nine ten and back big great job now we're going to move on to the standing exercises we're going to do three standing exercises that are going to be in and out this we're working on your balance or our weight shifting all of those things that are so important to maintain in life so we're going to start to work on moving in different planes that's going to really help you at home i have dr e the pt or my lovely husband eric he is also an lsct big certified clinician he's going to be doing

the adaptations of the exercises in seated so if you're not quite steady and standing you might want to choose the seated exercises to maintain your safety throughout all of these as always remember we're striving for amplitude so nice big effort throughout all of these that's going to really help you move a lot better okay so here we go we're going to start i'm going to start with my feet just hip width apart what did we learn in our seated exercises we have to start big to be big hands are nice and ready we're gonna go

forward out big and back big watch how i lift my leg out big and that big good that's two out and back that's three remember 10 out of 10 effort out big four we got two more ready out big and back last one out big and back great i want you guys to give that same effort on the other side so let's go ahead and do this leg you're going to mirror me so at home let's do this leg together here we go out big and back big nice big lift to that leg out big

back big four more out and back out and back good two more out and back lots of effort out and back awesome okay so that was forward now we're gonna go to the side so we're gonna start with this leg and we're gonna go this direction so we have to do what we have to start nice and big with our big posture we're going to go this way first here we go ready we're going to go out big and back here's what i want you to think about those hands are going to drive a lot

of that big effort so get those fingers really spread apart here we go out big and back four more out and back lift that leg up out and back good one more out and back whoo are we having fun yet i hope so i think you guys are working really hard at home so let's keep it up let's do this other side so now we're going to go this direction ready here we go out and back nice big hands out and back four more out good three more two more you got it and last one

nice big effort and back whoo now we're gonna do the step and reach backwards this one if you remember if you need to at any time do the adapted exercises we are in full support as long as you keep giving that 10 out of 10 effort so feet are in that same position i want you to watch me one time and then we'll do it together okay so i'm going to start with my hands down nice and big i'm going to take a step back and press my hands back and i'm going to lift that

toe up so see it's a big press and then i'm going to move my hips all the way back to the beginning okay let's try it together we're going to start on this leg okay so start nice and big hands and fingers are big take a step back and press those hands back now when you come back i want you to lift that leg next and big good let's do it again start nice and big press those arms press them back nice and big awesome here we go step and press and back pin three more

on this side you can do it big effort step and press and back big now i want you to see if you can give a big stump when you come back step and press now stomp that leg awesome last one step and press and back big whew we got one more side we can do it and we have a couple more exercises here we go we're going to start nice and big with those hands and we're going to step back and press and back to the middle really good let's do it again step and press

and back pick remember let's hear that big stump on that leg when we come back start with those hands nice and big step and press and back big three more we can do it step and press and back big two more step and press and back big last one big effort step and press and back pick amazing job we're gonna move on to do our two rocking exercises these are really important because when we're walking and we're moving through life using momentum and speed and amplitude really help move more normal so that is the goal

instead of the slow small movements we want these nice big efficient movements so we're going to work on that together we're going to do uh oh as always dr e my husband eric is going to do the adapted so if you need to if you need to do him and seated 100 okay you're just going to follow along with him okay so we're gonna all do the same side we have to start big to be big good we're gonna start with this leg so you're gonna take a nice big step forward and then with this

arm i want you to reach way up so see how i'm on my back heel and then you're gonna rock back behind you and then we're gonna reach way up and way back good let's do it really reach really reach now we're gonna move a little bit more quickly so we're gonna get into it we're gonna go one two three we're gonna do six four five six awesome doesn't that feel really good now bring that foot now back nice and big let's do the other side so same thing you're going to take that nice big

step forward on that heel on the or on that toe on the back leg with this hand drive it way up don't forget those big hands so you're gonna keep that nice and big and you're gonna rock back and then you're gonna drive that hand way high and they'll hand way way high and way back on that side so really big reach really big rock here we go one we're gonna do six two three get into it four five and six now bring that leg back nice and big awesome okay now we're gonna do side

to side this time you're gonna take a nice big stance we're gonna do a twist so you're gonna twist all the way around so we're gonna go this direction first okay so here we go we're gonna start big we're gonna twist all the way around if you can you're gonna look at that back hand and then you're gonna come back to the middle great let's do it again nice big twist look at that back hand palms are up towards the ceiling back to the middle let's do four more here we go ready reach big and

back big three more reach move and back big try to turn those palms up toward the ceiling if you can if you have that range reach big there you go and that big last one on this side give us all the effort you can reach big and fasting that's a lot of effort isn't it let's do the one to the other side so same stance get your stance nice and big we have to get that posture so if we're here let's work on that posture stand nice and big let's go to the other side ready

reach big good turn those palms up towards the ceiling and then back there i caught him cheating a little bit huh ready reach big look to that back hand if you can and back big let's do four more you can do it ready reach and back three more lots of effort reach and back two more let's do it nice big twist and back to the middle last one nice big twist and back to the middle what a great job remember that effort is really what's gonna help you move better so think big and move big

we're going to do a sit to stand together we're going to have two variations for you i'm going to demonstrate the first one where you're not actually going to stand all the way up so if you have a front-wheeled walker or if you if you have something maybe you can have another chair in front of you so if you're not able to stand up independently and safely this is what i want you to do i want you to start nice and big then i want you to kind of really load into it and i just

want you to practice reaching forward and then sitting back again reaching forward and sitting back again okay for those that can stand all the way up safely we're gonna do this together so we're gonna reach big and stand big and then we're gonna sit back down nice and big okay let's do that four more times reach and stand so we're ready to go and then sit nice and big good let's do that again reach and stand and then let's sit all the way back down really good let's do two more together reach big and stand

up nice and big good and then all the way back down one more reach and stand nice and big and then sit all the way back down wonderful i don't want you to lose that posture so keep that posture nice and big we're going to practice what's called a hierarchy test so these are things that are really important to you this would be a big part of your lsvt big session this is something we know that's really common for a lot of people is getting in and out of the car having trouble with that so

we're going to practice a few components of that what i want you to do is i want you to think we're going to lift that leg nice and big just like we were getting out of the car so follow me we're going to do this like so we're going to get it all the way out there nice and big i want you to have that nice big posture lots of effort bring that leg back nice and big good let's do that again out nice and big and then bring that leg back nice and big let's

do three more ready big lift of that leg back nice and big i think you can do a little bit more effort let's do two more really big good and back big now get that whole body into it ready all the way up and then all the way back great let's do the other side okay so maybe if you need to move over go ahead and move over let's do this leg so we're gonna reach out nice and big and then bring that leg back good let's do four more out nice and big good bring

that leg back can you give a little bit more effort to that leg ready out big and back big two more get that whole body into it ready outfit like we're ready to get out of the car and then we're getting back in the car good one more nice and big and back big whoa okay now here's where we're gonna practice we don't have a door but we're gonna practice pushing that door open okay so what i want you to do is i want you to start nice and big and you're gonna push that door

open and bring that hand back good let's do it again push that door open and bring that hat back one more time on this side really push that door open and bring that back what do you notice we're using a lot of effort to do things right let's try the other side if we had to open this door so we open that door big good bring that hand back start nice and big two more really push that door open and bring it back good lots of effort push that door open and bring it back awesome

let's practice one more thing okay so we're gonna practice putting our seat belt on so we're gonna start with that nice big posture we're gonna open that hand reach up grab that seat belt click it in good let's put our hand back on our lap ready so you're gonna start grab big and then put that seat belt in and then end nice and big let's do it again ready reach for that seat belt grab it click it in there and back to your lap let's try the other side okay we're gonna go all the way

up grab that seat belt click it in there nice and big okay two more as big as you can really reach grab it stick it in that seat belt good last one really reach grab and stick it in notice all of those movements we're giving a lot of effort i want you to think big even right now think about your posture how's your posture doing let's keep that effort up the last thing i want to help you with today is we're going to practice how you would implement all of the things that we've talked about

moving big amplitude high effort into helping your walking so we know that sometimes walking it's hard because our steps become small so what we're going to do is we're going to focus on taking big steps so what i want you to do this first round i'm going to come towards you and walk back away so you're going to watch this one time and then we're going to do two reps together two sets together so i want to think about really big steps nice big posture then turn and walk back nice and big okay now let's

do that together so you're going to start nice and big i want you to take those big steps so nice big effort good now turn keep that effort really apply it nice and big all the way back let's try that one more time i think there's probably a couple of things you can do stand nice and big right now start that big posture with me then i want you to think about pushing through those toes push yourself forward here we go ready nice big effort good now turn nice big effort back awesome i want you

to try that around the house today okay so really try to implement that big walking see how much better you feel when you do that thank you for your effort today it's been wonderful you've been so good and i think i want you to know getting into an lsvt big program is essential you're going to see such good outcomes for yourself i really want you to take it upon yourself to try it and get in and find a clinician you can go to lspt global.com and find someone near you in this great world we've learned

how to do telehealth so there might even be some opportunities to do a virtual visit with people just remember our big takeaways from today move with lots of effort think big to move better and just always keep on striving for those movements that are going to be a big amplitude thank you for your time today finding lsvt certified therapist is easy go to our website at lsvtglobal.com and click the find lsvt clinician button select either lsvtbig or lsvt loud enter your location and search radius and therapist in your area will will appear discover more about

lsvt at lsvtglobal.com you can email us at info lsvtglobal.com or call us at any time thank you for joining us today