About PD
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Updated:
11/16/25, 10:49 AM

LSVT BIG is a specialized exercise-based therapy designed to improve movement and coordination in people with Parkinson's disease.
What does LSVT BIG do?
Improves balance, gait, and overall mobility
Enhances coordination and agility
Reduces freezing of gait (sudden involuntary stops while walking)
Increases the amplitude (size) of movements
How does LSVT BIG work?
LSVT BIG involves intensive, individualized sessions with a certified therapist. The therapist guides the patient through a series of exercises that progressively challenge their movements, forcing them to make bigger, more exaggerated motions. This helps the brain rewire itself and adapt to the new movement patterns.
Who is LSVT BIG for?
LSVT BIG is primarily intended for individuals with Parkinson's disease who are experiencing movement difficulties. It may also be beneficial for other conditions that affect motor control, such as multiple sclerosis or stroke.
Benefits of LSVT BIG
Studies have shown that LSVT BIG can significantly improve movement and quality of life for people with Parkinson's disease.
It is a safe and well-tolerated therapy.
LSVT BIG can provide long-lasting benefits, even after the therapy sessions are completed.
Where to find LSVT BIG
LSVT BIG is typically offered by physical or occupational therapists who are certified in the program. To find a certified therapist, you can contact your healthcare provider or search online.
Additional Information
LSVT BIG is also known as "Lee Silverman Voice Treatment for Parkinson's Disease Big".
There is also an LSVT LOUD (Lee Silverman Voice Treatment Loud) program, which focuses on improving speech and communication in people with Parkinson's disease.
For more information, visit the LSVT Global website: https://www.lsvtglobal.com/
Updated:
11/14/25, 11:28 AM

Ping Pong
Come play with us at the Guilderland, Glenville, Clifton Park or Bethlehem Y and at the Parkinson's Center YMCA.
Local Ping Pong
https://www.cdparkinsons.org/exercise
Navin P. Kumar - Table Tennis Champion with Parkinson's
https://youtu.be/XLZO5kRHsL4?si=m_m3Zyd5Nb0E21H1
Ping Pong serves up therapy for mind and body among people with Parkinson's disease [CBS Mornings Health Watch]
https://youtu.be/JivSzx88f3g?si=wZOZRo2R5VPToJ9k
Can Ping Pong Help Parkinson’s? | Inside Penn Medicine’s Community Program
https://www.youtube.com/watch?v=T1xVW1Bog8g
Nenod Bach starts PPP
https://youtu.be/MvdK90m9dZQ?si=o7xRLX1AgE6OSgT5
https://www.brainandlife.org/articles/benefits-of-ping-pong-for-parkinsons-disease
Updated:
11/13/25, 2:46 PM

SwallowFIT, a targeted exercise program designed to retrain the brain’s ability to control the muscles involved in swallowing
A $1.9 million U.S. Department of Defense–funded Phase 2 clinical trial will test SwallowFIT, a targeted exercise program designed to retrain the brain’s ability to control the muscles involved in swallowing — a function often compromised in Parkinson’s disease — in active-duty service members, veterans, or their relatives who have been diagnosed with the disease.
SwallowFIT applies the principles of neuroplasticity (the brain’s ability to adapt and form new connections) to help reorganize the signals sent to the muscles involved in swallowing. Through repeated practice, it strengthens the muscles of the mouth, tongue, and throat while retraining the brain to send clearer signals.
In earlier pilot testing, SwallowFIT helped patients improve their ability to swallow. If the clinical trial succeeds, researchers believe it could pave the way for proactive swallowing therapy to become part of early care for dysphagia. Click here to learn more.
Updated:
11/8/25, 1:54 PM

Parkinson's disease (PD) is a chronic brain condition that causes progressive damage to brain cells over many years
Parkinson's disease (PD) is a chronic brain condition that causes progressive damage to brain cells over many years. It's characterized by low dopamine levels, a neurotransmitter that helps the brain control movement and coordination. Symptoms can include:
Unintended or uncontrollable movements, such as tremors, shaking, stiffness, and difficulty with balance and coordination
Slow movement
Painful muscle contractions
Difficulty speaking
Swallowing problems
Chewing and eating problems
Sleep problems, such as waking up frequently throughout the night, waking up early, or falling asleep during the day
Updated:
11/8/25, 1:54 PM

Recommendations or information about books related to Parkinson’s Disease
There is a rich selection of books offering diverse perspectives on Parkinson’s Disease, ranging from personal memoirs and poetry by people living with PD to practical guides for patients, caregivers, and healthcare professionals. These books provide education, inspiration, coping strategies, and raise awareness about the condition. Notable works include memoirs by Michael J. Fox and Alberto J. Espay, poetry collections, and guides addressing both the emotional and physical aspects of living with PD
kinson’s. It wasn’t easy but it was worth it.
“Parkinson’s is not our fault, it’s an unsolicited chal
Updated:
11/8/25, 1:54 PM

Every Victory Counts manual by Davis Phinney Foundation
A "Must Have" book
https://davisphinneyfoundation.org/blog/davis-phinney-every-victory-counts/
Information on the spectrum of Parkinson’s symptoms ranging from diagnosis through advanced stages
Ways to manage your health and symptoms, including tips for exercise, diet and nutrition, emotional health, and other therapies
Stories from over 50 Parkinson’s patients who share their personal insights and experiences
Worksheets for tracking and managing your symptoms and disease progression
Updated:
11/8/25, 1:54 PM
If I Can Climb Mt. Kilimanjaro, Why Can’t I Brush My Teeth? Courage, Tenacity and Love Meet Parkinson’s Disease’ by Nan Little
If I Can Climb Mt. Kilimanjaro, Why Can’t I Brush My Teeth? Courage, Tenacity and Love Meet Parkinson’s Disease’ by Nan Little
In this honest and emotional memoir, cycling enthusiast Nan Little shares how the sport helped her become physically and mentally stronger after her Parkinson’s diagnosis – in the hope that others will take inspiration from her experience.
“Having Parkinson’s is not easy,” says Nan. “We never know what the next day, or hour, might bring. My book shares my efforts to regain some control of my life through exercise. Even though my fingers couldn’t hold a toothbrush, at age 65 I climbed Mt. Kilimanjaro with a group of people with MS and Parkinson’s. It wasn’t easy but it was worth it.
“Parkinson’s is not our fault, it’s an unsolicited chal
Updated:
11/8/25, 1:54 PM
My Degeneration: A Journey Through Parkinson’s’ by Peter Dunlap-Shohl
My Degeneration: A Journey Through Parkinson’s’ by Peter Dunlap-Shohl
This humorous graphic novel by former US news cartoonist Peter Dunlap-Shohl guides readers through Peter’s experience of Parkinson’s – from his battle with depression to the impact of the condition on his relationships.
“I resisted the idea of writing a book about Parkinson’s for years,” says Peter. “As novel as the comic format might be in the area of Parkinson’s literature, I didn’t want to merely echo what was already out there in a different form. Then a friend said to me, ‘But you treat your Parkinson’s as an adventure.’ That unlocked the gate for me to write ‘My Degeneration’.
“I hope that readers find inspiration and credible hope in this story, as well as a guide to what their experience of Parkinson’s might look like.”
Updated:
11/8/25, 1:54 PM
Shaky Hands – A Kid’s Guide to Parkinson’s Disease’ by Dr Soania Mathur
Shaky Hands – A Kid’s Guide to Parkinson’s Disease’ by Dr Soania Mathur
This book by Canadian writer Dr Soania Mathur is aimed at helping children better understand Parkinson’s – from explaining what it is to offering guidance on how they can help loved ones with the condition.
“The challenges of Parkinson’s extend beyond those diagnosed, to the whole family, including children,” says Soania. “This book is written with contributions from my three daughters, who were all born following my diagnosis of Parkinson’s at the age of 27. Since we fear what we don’t understand, my book serves to enlighten children about all aspects of Parkinson’s and empower them to make a difference.
“Talking about the condition, addressing their concerns and encouraging them to take action – be it going for a walk with their loved one or being patient if activities take longer than expected – can make diagnosis less scary for children.”
Updated:
11/8/25, 1:54 PM

Care Partners
You will find some local care partner support groups here [ https://www.cdparkinsons.org/nearby-groups ]
Parkinson’s disease (PD) is a chronic, progressive neurological condition that gradually impacts movement, cognition, and non-motor functions. Caregiving for someone with PD often starts gently—helping with tasks the person may have difficulty with early on—but as the disease advances, caregiving demands escalate. Caregiving encompasses:
Physical assistance (help with mobility, daily activities, medication management)
Emotional support (navigating fluctuating moods, depression, anxiety)
Practical tasks (appointment scheduling, financial and legal planning)
Roles and Evolution of the Care Partner
The Parkinson’s Foundation outlines caregiving as extending beyond obvious physical tasks—often including emotional and spiritual care, advocacy, and coordination with healthcare teams. Early on, caregivers may not identify fully as “caregivers” because the person with PD can still function independently; however, this role becomes more defined as symptoms progress.
Caregiving often evolves through stages:
Early stages: learning about PD, adapting to diagnosis, managing mild symptoms
Middle stages: increasing assistance with mobility, communication, daily living tasks
Advanced stages: tending to complex medical needs, possible decisions around residential or hospice care
Challenges and Burdens of Caregiving
Caregivers frequently encounter:
Emotional stress and burnout: The ongoing demands can lead to fatigue, anxiety, and depression. Sometimes, caregivers experience “compassion fatigue,” a depletion of emotional resources due to constant empathy and caregiving demands.[2]
Physical strain: Assisting with mobility and personal care can be taxing physically.
Social isolation and lost opportunities: Caregivers may reduce social activities and feel isolated.
Financial strain: Time off work, medical expenses, and other costs add burden.
Importance of Self-Care for Caregivers
Supporting the caregiver is as important as supporting the person with PD. Self-care practices might include:
Accessing peer support groups and educational resources
Taking breaks and respite care to prevent burnout
Practicing stress reduction techniques
Seeking counseling or mental health support as needed
Available Resources and Support
Organizations such as the Parkinson’s Foundation provide extensive resources for care partners, such as:
Helplines and educational programs
Local support groups and online communities
Guides on how to prepare for medical appointments
Tips for caregiving in different PD stages and practical safety measures
Health Disclaimer
Please remember that while caregiving guidance can help, every person’s Parkinson’s journey is unique. It is essential for care partners to work with healthcare providers for personalized advice. Also, caregivers facing significant stress or burnout should seek professional support.
