Why is intensive and high effort delivery of treatment significant in LSVT BIG?

The intensive and high effort delivery of treatment is significant in LSVT BIG because it drives maximal plasticity. This approach is based on the principle that engaging the brain and body in intense practice leads to optimal neural adaptation and reorganization, which is critical for individuals with Parkinson's disease. High effort tasks stimulate the sensory and motor systems, enhancing the brain’s ability to form new neural connections through the process of neuroplasticity.

By challenging the patient to perform movements with maximal effort, the program encourages larger and more purposeful movements, which are fundamental for improving mobility and functional outcomes. This level of challenge is necessary to evoke the brain's potential to reorganize itself in response to intensive training, thus leading to better motor function and a greater impact on daily living skills.

In contrast, medication compliance, proper dosage of therapy, or relaxation during sessions may be relevant in therapy contexts but do not specifically capture the core benefit of maximizing neuroplastic changes that result from the high effort associated with LSVT BIG.