treatment for parkinson's disease wilmington de


A client with Parkinson's Disease
Since I completed the LSVT BIG therapy, I am moving so much better all of the time! Working with you at my house made it “real world” and much more meaningful!

Parkinson’s Disease (PD) impacts a person in many ways. Some of the hallmarks of PD are smallness and slowness of movement referred to as Bradykinesia and Hypokinesia and softness and slowness of speech.

LSVT BIG® is an intensive, amplitude focused physical, occupational and speech therapy protocols which have been developed and scientifically researched over the past 25 years with funding from the National Institutes of Health (NIH). These protocols are specific to effecting the principle symptoms of Parkinson’s Disease which are smallness and slowness of movement and softness of voice and slow soft voice quality.


Tom Gangemi, one of the Founders of First State, has been an LSVT BIG faculty member since 2011. He has trained thousands of clinicians across the US in this special clinical protocol and has treated hundreds of people with Parkinson’s Disease.

LSVT BIG is a standardized treatment protocol that is customized to the unique goals of each person including both gross and fine motor skills. LSVT BIG can be adapted or progressed in order to meet each person’s needs across a range of disease severity and presenting impairments.

Research on LSVT BIG has documented improved ratings on tests of motor functioning treatment for people with Parkinson’s Disease including:

  • Faster walking with bigger steps
  • Improved balance
  • Increased trunk rotation
  • Improvements in activities of daily living such as dressing, bathing, eating, and writing.

LSVT BIG uses large amplitude (Be BIG!) training to bring out improved, healthy movements that is more normal.

Treatment is administered in 16 sessions over a single month (four individual 60-minute sessions per week). This intensive mode of administration is consistent with theories of motor learning and skill acquisition, as well as with principles of neural plasticity (the capacity of the nervous system to change in response to signals), and is critical to attaining optimal results. The treatment not only stimulates the motor system but also incorporates sensory awareness training to help individuals with PD recognize that their movements are too small, convincing them that the bigger movements are within normal limits, and making them comfortable with their new bigger, faster and safer walking, dressing and eating. We serve in home therapy care. For more information contact us or visit us at Wilmington, New Castle County & Kent, DE centers.