Can the LSVT BIG protocol be extended for patients with advanced PD?

The LSVT BIG protocol is designed with flexibility to accommodate the varying needs of individuals with Parkinson's Disease (PD), including those at more advanced stages of the condition. The core principles of the LSVT BIG program emphasize the importance of tailoring interventions to meet the specific movement challenges and abilities of each patient.

When working with patients who have advanced PD, therapists can adapt the treatment strategies and goals based on the individual's functional level, response to treatment, and overall health status. This allows for a more personalized approach, which can help enhance patient engagement and maximize the effectiveness of the therapy. The ability to extend the protocol as needed ensures that patients receive the most relevant and beneficial support, making it possible for them to achieve improvements in their mobility and quality of life, regardless of disease progression.

The options suggesting rigidity, such as requiring consistency for all patients or prohibiting any changes once started, do not reflect the fundamental strengths of the LSVT BIG approach, which emphasizes adaptability and individualized care.