About Parkinson's
Progression Stages of PD
Symptoms
LSVT BIG
LSVT LOUD
100

Parkinson’s disease (PD) is a degenerative, progressive, regressive disorder that affects nerve cells in deep parts of the brain called this

What is Basal ganglia 

100

Stage at which is the most advanced and debilitating stage. Stiffness in the legs may make it impossible to stand or walk. The person requires a wheelchair or is bedridden. Around-the-clock nursing care is required for all activities. Muscle atrophy, fatigue, and feelings of generally not being well.

What is stage 5

100

This symptoms is defined as involuntary shaking that decreases with purposeful movement. Typically starts on one side of the body, usually the hand

What is tremor at rest 

100

LSVD BIG therapy is used because patient's with PD tend to change their movements to what, which inhibits their daily functioning activities 

What are small and slow movements 

100

This is what LSVT stands for 

What is Lee Silverman Voice Treatment

200

PD is what kind of disease meaning there is a unknown cause

What is idiopathic 

200

Stage at which tremor and rigidity and other movements start to affect both sides of the body. Walking problems and posture may become more apparent. It might take  a longer time and increased difficulty to complete tasks but they are still able to live alone. Noticable change in posture and gait. 

What is stage 2

200

Symptom defined as slowness of movement, impaired dexterity, decreased blinking, drooling, expressionless face.

What is Bradykinesia

200

This person is allowed to treat PD patient's for LVSD BIG therapy? 

Who is a LSVT BIG Certified Clinician 

200

LSVD LOUD is built on 3 key strategies to make the treatment as effective as possible. These include mode, calibration, and this. 

What is target/vocal loudness. 
300

Parkinson's effects this many people at one time

What is 1-2 per 1000

300

Stage at which mild symptoms that do not interfere with daily activities. Tremors might occur on one side of the body along with changes in posture, walking, and facial expressions. 

What is stage 1 

300

This type of rigidity is a jerky, ratchet-like resistance to passive movement, caused by muscles alternately tensing and relaxing. 

What is Cogwheel rigidity

300

This is the appropriate dosage of treatments for patient's completing LSVT BIG therapy 

What is 4 consecutive days a week for 4 weeks (16 sessions in one month)

300

Trains patient’s to use their voice at this level while speaking at home, work, or in the community.

What is a more normal loudness

400

This medication is able to pass through the blood brain barrier into the brain. So this is used as a dopamine replacement agent for PD.

What is Levodopa 

400

Stage at which symptoms become severe and limiting. Patient is unable to live alone. The patient might be able to stand without assistance but but requires a walker to move. Bradykinesia and rigidity present. 

What is stage 4

400

This symptom is a sense of imbalance and are usually not affected by it in the early stages of PD. It shows up more as the disease progresses

What is postural instability 

400

This is the number of reps completed for each exercise in LSVT BIG therapy. 

What is 8-16 reps 

400

This is a symptom of PD that requires LOUD treatment to help with 

What is cognitive impairment, lowered voice volume, tremor when speaking, and difficulty swallowing. 

500

Nerve cells in this part of the brain produce the neurotransmitter dopamine and are responsible for relaying messages that plan and control body movement.

What is substantia nigra

500

Stage at which PD is at moderate dysfunction phase. Loss of balance and slowness of movements are the biggest characteristics in standing and ambulation.. Although this individual is still fully independent more falls tend to happen and tasks such as eating and dressing become significantly impaired

What is stage 3

500

As Parkinson's disease progresses, patients may experience freezing episodes, which can also be called this. In which they have a sudden, temporary inability to move. 

What is akinesia

500
These are the 3 goals that are worked towards with BIG therapy. 

What are bigger, faster, and more accurate movements 

500

This is sensory feedback so that people recognize their new, louder voices are within normal limits. This increases the likelihood that people with PD will feel comfortable with and use their louder voice at home, work and play.

What is "recalibrating" 

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