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Parkinson's Clinic

On With Life is proud to offer a specialized rehabilitation approach to Parkinson's Disease, including the LSVT BIG & LOUD program, boxing program, wellness programs and a support group.

"The Parkinson's clinic has changed my life. The staff are remarkable, caring, supportive individuals who are fighting this battle with me. It's been such a blessing to be a part of the On With Life program."

-Karen, person served at On With Life


Lee Silverman Voice Treatment (LSVT┬«) is an effective treatment program for those living with Parkinson's Disease. On With Life began offering the LSVT BIG program in October, 2013 and LSVT LOUD in early 2014. 

What is LSVT BIG? 


Click the above image to watch 

a before and after video from

 the LSVTGlobal website.

LSVT BIG is an intensive therapy exercise program for people living with Parkinson's disease. The program focuses on strength, movement, balance, coordination and function with carry over to every day life activities. Each treatment focuses on the production of large amplitude (BIGGER) whole body movements. These treatments have been shown to provide the following benefits:

  • Improved walking (bigger steps, faster speed, decreased fall risk and improved balance)
  • Improved movement quality with bigger and more controlled movements to increase independence with dressing, self cares, cooking and mobility. 
  • Overall increase in quality of life

What is LSVT LOUD?

LSVT LOUD improves vocal loudness by stimulating the muscles of the voice box (larynx) and speech mechanism through a systematic of exercises. Focused on a single goal "speak LOUD!" - the treatment does not train people for shouting or yelling; rather, LSVT LOUD uses loudness training to bring the voice to an improved, healthy vocal loudness with no strain. The treatment not only simulates the motor system but also incorporates sensory awareness training to help individuals with PD recognize that their voice is too soft, convincing them that the louder voice is within normal limits, and making them comfortable with their new louder voice.These treatments have been shown to provide the following benefits:

  • Improved respiratory, laryngeal and articulatory function to maximize speech intelligibility. 
  • Improvement in the common problems of disordered articulation, diminished facial expression and impaired swallowing. 

How is the program delivered?

On With Life's LSVT BIG is directed by LSVT certified physical and occupational therapists. Both BIG and LOUD are intense exercise programs and require a commitment of 16, 60-minute sessions administered over four weeks. BIG and LOUD can be administered separately or if appropriate for the person served, can be administered within the same four weeks. 

Visit the LSVT website for more information on LSVT BIG and LOUD.

How do I learn more?

On With Life holds periodic educational sessions regarding our LSVT Program. Contact us for more information on our next educational session.

Phone: 515-289-9696
Fax: 515-289-9649

Support Group

The monthly group will feature an education session, breakouts for the survivor and caregiver and a social time with appetizers.  The Parkinson's Support Group meets on the fourth Thursday of each month. The group is open to the community and care givers are encouraged to attend as well. This group will provide information, support and friendship and will help you through the challenges of life with Parkinson's disease. Support Group will take place in the Wellness Gym at On With Life. For more information and to sign up for reminders, please click here. 

Support Group Information Sign Up