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Interprofessional Practice for Parkinson's: LSVT BIG and LSVT LOUD

presented by Cynthia M. Fox, PhD, CCC-SLP, Laura Gusé, MPT, and Erica Vitek, MOT, OTR, BCB-PMD, PRPC

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Disclosure Statement:

This course was developed in conjunction with LSVT Global, Inc. LSVT Global, Inc receives compensation from MedBridge for this course.

The LSVT LOUD was developed and patented as a licensed technology trademarked as the LSVT LOUD® and LSVT BIG. Because there are no other similar products available, this course will only cover information that pertains to the effective and safe use of the above-named product(s).

This presentation will focus exclusively on and will not include information other similar or related products.

Financial: Cynthia Fox is an employee of LSVT Global, and received lecture honorarium, and has ownership interest in the company. There is no financial interest beyond the production of this course.
Financial: Laura Guse is an employee of LSVT Global and received lecture honorarium. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Financial: Erika Vitek received lecture honorarium from LSVT Global. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Cynthia Fox has preference for the LSVT protocols as treatment techniques, which will be discussed as a part of this course.
Non-Financial: Laura Guse has preference for the LSVT protocols as treatment techniques, which will be discussed as a part of this course.
Non-Financial: Erika Vitek has preference for the LSVT protocols as treatment techniques, which will be discussed as a part of this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 84 Minutes; Learning Assessment Time: 37 Minutes

Parkinson's disease and other neurological disorders are complex and often require intervention by all three rehabilitation disciplines: physical, occupational, and speech therapy. Too often, therapists work in silos despite overlapping patient goals. This forfeits holistic, patient-centered care and can cause confusion for the patient. This course will present an example of a unified approach across physical, occupational, and speech therapies (LSVT BIG and LSVT LOUD) to comprehensively treat cross-system deficits in people with PD. Integration of patient-specific goals and utilization of other healthcare- and community-based professionals will be explored.

Meet Your Instructors

Cynthia M. Fox, PhD, CCC-SLP

Cynthia Fox, PhD, CCC-SLP, received her doctorate degree in speech and hearing sciences from the University of Arizona, Tucson. Her training focused in the areas of neuroscience and motor control. She is an expert on rehabilitation, neuroplasticity, and the role of exercise in the improvement of function consequent to neural injury and disease. She has…

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Laura Gusé, MPT

Ms. Guse received her master's in physical therapy from the University of North Dakota. She has more than 15 years of experience working with adults with neurological disorders, with a special focus on Parkinson's disease and multiple sclerosis. She was LSVT BIG certified in 2009 and now serves as chief clinical officer of LSVT BIG.…

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Erica Vitek, MOT, OTR, BCB-PMD, PRPC

Erica graduated with her master's degree in occupational therapy from Concordia University Wisconsin in 2002. Erica works for Aurora Health Care at Aurora Sinai Medical Center in downtown Milwaukee, Wisconsin. She has attended extensive postgraduate rehabilitation education in the area of Parkinson's disease and exercise, including the Parkinson's Foundations Allied Team Training for Parkinson's. She…

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Chapters & Learning Objectives

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1. The Growing Need for Coordinated Interprofessional Care for People With Parkinson's Disease (PD)

The prevalence of Parkinson’s disease, a complex neurodegenerative disorder, is growing rapidly. This necessitates a greater number of therapists who have expertise in providing patient-centered care as part of a highly collaborative interdisciplinary team.

2. Amplitude: A Common Target

Hypokinesia is a primary motor symptom of PD that has broad effects across the speech and limb motor systems. Because of this, amplitude is an ideal common singular target for the allied health team as they work to improve patients’ mobility, activities of daily living, and speech. LSVT BIG and LSVT LOUD are examples of amplitude-focused therapies that show evidence of cross-system treatment effects extending beyond amplitude.

3. Training Amplitude: How Does It Work?

LSVT BIG and LSVT LOUD are parallel treatment protocols that are amplitude-focused and drive activity-dependent neuroplasticity. At the same time, they address multiple nonmotor symptoms that can be barriers to generalization of improved mobility, function with ADLs, and communication in everyday life.

4. Training Amplitude: Why Does it Work?

More than 30 years of published research, including multiple randomized controlled trials and numerous other treatment studies, provide evidence that LSVT BIG and LSVT LOUD are effective in eliciting positive treatment outcomes in people with PD and other neurological conditions. With a singular treatment focus of amplitude, patients are offered a comprehensive, unified, and practical way to approach management of their symptoms.

5. Interprofessional Implementation of LSVT LOUD and LSVT BIG Across Speech, Physical, and Occupational Therapies

Ongoing and close collaboration between physical, occupational, and speech therapy is important for efficient and effective care in people with chronic neurological conditions like PD. Partnership with other medical providers and community-based professionals who serve people with PD is also important in providing optimal, patient-centered care.

6. Starting Small But Thinking BIG! How Can You Begin to Improve Care for People With PD?

Through a case example of a person who received LSVT BIG physical and occupational therapy and LSVT LOUD speech therapy, you will see how discipline-specific goals can be functional and salient and can carry a common theme of amplitude.

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