LSVT BIG

Schoolcraft Memorial Hospital Rehabilitation Services is now offering the LSVT BIG program. LSVT BIG is an intensive, amplitude-focused physical and occupational therapy approach for individuals diagnosed with Parkinson’s Disease, in all stages. The LSVT programs have been developed and scientifically researched over the past 25 years with funding from the National Institutes of Health. LSVT BIG can only be delivered by physical therapists (PT) and or occupational therapists (OT) that are certified. Schoolcraft Memorial Hospital now has 1 PT, 1 OT and 1 PTA of whom are certified. LSVT has research showing improved motor functioning in people with Parkinson’s Disease following treatment including:

  • Faster walking with bigger steps
  • Improved balance
  • Increased trunk rotation
  • Improvements in ADL’s
  • Improved standardized measurement motor scores

LSVT BIG is a standardized treatment protocol which is customized to the unique goals of each patient including gross and fine motor scores. LSVT BIG can be adapted and progressed in order to meet each patient’s needs across a range of disease severity and presenting impairments. The LSVT BIG treatment consists of:

  • 16 sessions: 4 consecutive days per week for 4 weeks
  • Individual 1-hour treatment sessions
  • Daily homework practice
  • Daily carryover exercises

If you have any questions, please feel free to contact us at the information below.

Schoolcraft Memorial Rehabilitation Services

P: (906)341-3254

Fax (906) 341-5254

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What is LSVT?

LSVT BIG is a an intensive, amplitude focused physical and occupational therapy approach developed from principles of the effective Parkinson’s specific speech treatment LSVT LOUD®. • The LSVT Programs have been developed and scientifically researched over the past 25 years with funding from the National Institutes of Health.

  • Research on LSVT BIG has documented improved ratings on tests of motor functioning in people with Parkinson disease following treatment including: – Faster walking with bigger steps – Improved balance – Increased trunk rotation – Improvements in activities of daily living such as bed mobility

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

How our LSVT Program Works

Here at Schoolcraft Memorial Rehabilitation Center, we believe that for a program to be effective, it must be focused, personalized, and engaging.

The program is facilitated by our Physical and Occupational therapy staff who are trained in LSVT and will be working with patients in an intensive, client-focused, one-on-one setup.

The First Consultation 

The first consultation lasts approximately 1 hourand is held in our Rehabilitation Department at the old hospital on Lake Street in Manistique, Michigan. In this intensive session, the LSVT-certified therapist will assess the patient personally and find out what they already know about the LSVT Program and their diagnosis. From here, the therapist will perform testing to ensure LSVT is an appropriate mode of treatment for the patient. If deemed appropriate, the patient will be guided in setting goals and instructed on how to meet those goals. The patient will be given their schedule for the treatment along with other helpful lifestyle changes.

Follow-Up Visits 

LSVT BIG treatment consists of:

  1. 16 sessions: 4 consecutive days a week for 4 weeks (2 PT and 2 OT)
  2. Individual 1-hour sessions
  3. Daily homework practice
  4. Daily carryover exercises

Regular LSVT “Tune‐ups” every 3‐12 months as needed

Who Can Benefit from this Treatment?

People with Parkinson’s Disease or other neurological disease resulting in slowness and reduced size of movements.

What is the Treatment Plan?

LSVT BIG is a physical/occupational therapy delivered by LSVT BIG Certified Physical Therapists or Occupational Therapists.

Who Conducts Treatment?

It is essential that LSVT BIG treatment is only delivered by physical or occupational therapists who are certified in this method. Over 22,000 therapists from 43 countries have been certified in LSVT BIG. A physical therapy or occupational therapy assistant who is trained in LSVT BIG may also conduct treatment under the supervision of a physical or occupational therapist.

What Can LSVT BIG therapists Do for Me?

Help you to restore and  optimize your function

  • Teach you what to do after treatment
  • Advise you on the best  community based exercise  options
  • Teach you how to use your  bigger movements in your  exercise routines and  recreational activities at  home and in the community
  • Make a lifelong partnership  plan to keep moving well!“

Results from Treatment

  • Faster walking with bigger steps
  • Improved balance
  • Increased trunk rotation
  • Improvements in activities of daily living such as bed mobility.

How do the LSVT BIG Daily Exercises Help You?

Starting and stopping movement when you want.

  • Direction changes ‐making turns
  • Endurance or Stamina
  • Balance
  • Strength
  • Range of Motion
  • Posture

How to Get started with LSVT BIG and LSVT LOUD

Ask your doctor for a referral and a prescription for physical/occupational therapy evaluation and treatment.

Who Do I Contact About LSVT?

Schoolcraft Rehabilitation & Aquatic Therapy Center

Office Number: 906-341-3254

Central Scheduling: 906-341-1873

Fax: 906-341-5254

7870W US Highway 2, Manistique MI 49854

Monday – Friday 7:00am – 5:00pm

 

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Everyone in the ambulatory care/outpatient surgery were great!! They all made me feel very comfortable and did a great job!!! thank you to the whole outpatient staff and Doctor Rayner..I would recommend Schoolcraft or patient to anyone in need of surgery

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The care that was provided by The nurses (Cindy, Felicia Ruth) and staff was exceptional. The entire staff was very friendly and made you feel welcome. We received a call from Felicia the next day to check on my husband to check his pain level and do a follow up. The surgery area from check in to check out was well organized, clean, and up to date. Thank you to all of you for what you do so well and everything beyond your normal duties.

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Seen promptly.
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Joan lustens to you and covers and explains in detail about any tests and issues. Im glad she is my pcp.
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Jen Casey, is a gem for your hospital. Thorough and diligent in looking out for my health and best interests. I owe my life and good health to her!
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I came to your ER with dislocated hip 8/14/26. Dr Schoenow and all staff were GREAT! I’ve had several ER visits and hospital stays in my life and definitely this was the best care I have received at a hospital. Thank you for the great care! Tammy Langley
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Dr Vix is awesome he come and sit down and is very thorough and explains everything to a
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Efficient Office staff, very friendly! Every question was answered without hesitation. These Physicians listen to their patients, thank you Joan!
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Efficient, professional, knowledgeable, friendly.
Rhonda Strong
1 week ago
Dr Vix is a blessing. He has the best bedside manner and is very detailed in explaining medical issues. His warm heart and genuine concern is overwhelming when you’re in an emergent situation. Thank you Dr Vix.
Bee Buddy
1 week ago
Dr. Vix and staff were super. It was explained very clearly to me, on what probably happened and how to take care of my issues. Thank you Lord it was not anything major,but that it is a simple therapy at home I can do. The team kept my spirits up, so I was not panicked of what it could of been. Thank you very very much, from the time I gimped in till the time I walked out.
Colleen Barlow
3 weeks ago
Dr. Vix is the best!!! The morning new nurses not so!! Very rude!!
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He was very knowledgeable and very courteous
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Staff friendly knows there stuff. Dr Madjar listens and explains things to you. Takes his time.
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Very patient and we worked out a solution together.
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ER Dr. Stephen Vix is the best! He has an amazing bedside manner! You are in terrific hands!
Laura Everhart
1 month ago
Dr. Vix saved the day once again! He is one of the most compassionate, skilled, and dedicated providers I’ve ever encountered. He always takes exceptional care of my family, leaving no stone unturned to ensure nothing is overlooked.

What amazes me most is his ability to handle multiple emergencies with the same calm focus, compassion, and commitment—no matter the time of day. He treats every patient as though they are his only priority.

If anyone deserves a humanitarian award, it’s Dr. Vix. His unwavering dedication to his patients and our community is truly extraordinary. We are incredibly fortunate to have him, and he deserves the respect, admiration, and gratitude of everyone whose lives he has touched.
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Joan is kind, soft spoken and efficient.
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Dr Vix is warm, compassionate professional.
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2 months ago
Great!!
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2 months ago
The visit with the Dr. was textbook perfection. The visit with him was well worth the drive. I will highly recommend.
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2 months ago
Im very happy with Joan M. She answered every question I asked and explained everything so I understood. ..very friendly and down to earth..
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2 months ago
No negatives, great staff. DR Vix seemed very knowledgeable.
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Jo
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Excellent diagnostician and prescribed a course of action that will heal the situation.
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best foot doctor! I'm walking better and my toe are straight and no pain
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