Move Bigger to Live Better

Why High-Amplitude Movement Matters For Parkinson’s Disease

The smaller movements that mark Parkinson’s disease are known medically as hypokinesia. They occur because the disease affects the parts of the brain that control how large your movements should be and help regulate automatic movement patterns.

Hypokinesia is actually one of the hallmark symptoms of Parkinson’s, causing patients to:

  • Take shorter steps
  • Swing their arms less when walking
  • Have a harder time reaching for objects
  • Have difficulty turning
  • Move more slowly during daily activities

However, many people who develop these symptoms don’t realize that their movements have become smaller. To them, movement feels as it always did, even though it appears reduced to others.

High-amplitude movement training programs, including LSVT BIG and PWR!, address this problem directly. These programs help you practice movements that are intentionally larger than what feels normal. Over time and with intense, repetitive practice, your brain recalibrates its perception of movement size.

LSVT BIG: Training Bigger Movements

LSVT BIG is a specialized physical and occupational therapy program developed specifically for people with Parkinson’s disease. It’s an offshoot of LSVT LOUD, a speech therapy program designed to increase vocal loudness through structured exercises and practice. BIG applies the same principles used to improve vocal volume to movement. 

The program is built around one central principle: think BIG.

During your sessions, you’ll practice large, exaggerated movements while working through structured exercises and functional tasks. These movements help retrain your brain to overcome the smaller, slower motions that often develop with Parkinson’s disease.

BIG sessions are intentionally designed to be intensive and repetitive, as this approach helps reinforce new movement patterns and encourages lasting carryover into everyday life.

Some of the activities we might work on include:

  • Walking with longer strides
  • Improving posture
  • Reaching overhead
  • Getting in and out of a chair
  • Turning safely

PWR! Moves: Building Better Daily Movement 

We also offer PWR! At Advanced Neurologic Rehabilitation, which focuses on maintaining and improving movement quality overall. Like the BIG program, it uses functional exercises that can be applied to everyday activities, such as walking through busy spaces, climbing stairs, or participating in your favorite hobbies. 

PWR! training is centered around four foundational movement patterns:

Where BIG focuses on movement size directly, PWR helps you incorporate larger, more purposeful movements into daily routines. It also encourages you to stay active, which is critical for managing Parkinson’s symptoms over time.

therapist from advanced neurological rehab in a session with her senior patient

Why Sleep is Your Secret Weapon for Recovery

When it comes to recovery, what happens outside the clinic is sometimes just as important as what happens during your sessions. And one of the most important things you can do on your own is to get good quality sleep.

Why Sleep Matters for Recovery

While we often think of sleep as downtime, it’s actually an active process that helps the brain and body recover from the day’s activities.

During deep sleep, your brain activates a process that helps remove cellular waste that builds up throughout the day. This supports brain health and helps maintain healthy nerve function.

However, sleep is also when the brain strengthens and stores new information, such as improved walking patterns or enhanced balance and coordination. High-quality sleep helps your brain reinforce what you worked on in rehab that day, making it easier for you to reach your goals.

Five Tips for Better Sleep

Make Sleep Part of Your Recovery Plan

Recovery doesn’t stop when your therapy session ends–or even when you go to bed. The hours you spend sleeping give your brain an opportunity to strengthen new skills, support healing, and prepare for tomorrow’s challenges.

If you’re curious to learn more about maximizing the outcomes of your rehabilitation, reach out to the team at [stie-name]. We’re here to help you build healthy habits that support better function, greater independence, and long-term success.

☀ AUGUST WORD SCRAMBLE
Unscramble these late-summer words and see how many you can solve!
HSNUINES
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Exercise of the Month

Healthy Summer Recipe

Caesar-Marinated Chicken Kabobs with Zucchini & Grilled Romaine

These Caesar-marinated chicken kabobs bring bright, grilled summer flavor together with creamy dressing and charred vegetables for a balanced, high-protein meal.
Instructions
To make the Caesar marinade
Mash anchovies, garlic, and pepper into a paste. Add Parmesan, lemon juice, yogurt, olive oil, mustard, and mix until smooth. Reserve half for serving. Coat chicken and marinate 30 minutes or overnight.
For the kabobs
Soak skewers if needed. Slice zucchini and prepare romaine. Thread chicken and zucchini onto skewers. Grill 6–8 minutes, turning often until browned and cooked through.
To finish
Grill romaine briefly until lightly charred. Serve kabobs with romaine and drizzle with reserved Caesar dressing.
Summer Fitness
Summer Wellness

Fitness In The Summer

Tips to Beat the Heat and Work Out Safely This Season

Stay Active Without Overheating

Put the cool factor back into your workout routine this summer. Staying hydrated, listening to your body, and making a few smart adjustments can help you exercise safely while continuing to build strength, endurance, and overall fitness.

❄️

Cool Down Before You Start

Hop into a cold shower before exercising. Research suggests a pre-workout cooldown can lower your heart rate and body temperature, helping you perform better in hot weather.

🌳

Choose Cooler Routes

Walk, run, or cycle on dirt and gravel paths whenever possible. These surfaces absorb less heat than asphalt and concrete, making outdoor workouts feel much more comfortable.

🌿

Use Cooling Essential Oils

A few drops of peppermint or eucalyptus oil on your neck and temples can create a refreshing cooling sensation while helping open nasal passages during humid conditions.

Train Smarter With Intervals

Maintain conditioning by exercising at a slightly easier pace while adding short 30-second bursts of speed every few minutes for an efficient workout.

🍉

Refuel With Fruit

Watermelon, grapes, cantaloupe, and honeydew contain over 80% water, making them excellent post-workout snacks for hydration and recovery.

💧

Hydrate Consistently

One of the most important summer fitness habits is staying hydrated before, during, and after exercise to help prevent fatigue, overheating, and muscle cramps.

Make Summer Your Strongest Season Yet

With the right preparation and a few heat-smart strategies, you can continue exercising safely throughout the summer while enjoying all the benefits of an active lifestyle.

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