AJOT CE: Lee Silverman Voice Treatment BIG® for a Person With Stroke
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DOI: https://doi.org/10.5014/ajot.2018.028217

Publisher: AOTA Continuing Education

Published: 2019

Ce Ajot Articles
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Non-Member Price: $24.99

Product Overview

Earn CE Credit With AJOT Articles!

Learn about tested treatment strategies by reading AJOT articles in your area of practice. Become an evidence-based practitioner and demonstrate your knowledge by passing the course exam.  Articles have been selected for their relevance to practice, fresh ideas, and strong evidence supporting treatment and the distinct value of OT.


Credit: .1 CEUs (1.25 NBCOT PDU’s/1 contact hour)


Rachel M. Proffitt, OTD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia.

Whitney Henderson, OTD, MOT, OTR/L, is Assistant Clinical Professor, Department of Occupational Therapy, University of Missouri, Columbia.

Shea Scholl, MOT, was a Student, Department of Occupational Therapy, University of Missouri, Columbia.

Micaela Nettleton, MOT, was a Student, Department of Occupational Therapy, University of Missouri, Columbia



The extant literature suggests the Lee Silverman Voice Treatment BIG® (LSVT BIG) program is an effective intervention for persons with Parkinson’s disease; however, no literature or research on the use of this program as an intervention for persons with stroke exists. We examined the effects of the LSVT BIG program for a 52-yr-old community-dwelling woman with mild to moderate upper extremity hemiparesis 2 yr after a stroke and the feasibility of delivering the home exercise component of the program in a game based format. We made measurements at pretest, posttest, and 6-wk follow-up. The participant demonstrated self-reported improvements in occupational performance and satisfaction and large improvements in upper extremity motor function. The next step in this research is to deliver LSVT BIG and a home game based program with a larger, more diverse population of persons with chronic stroke to further determine the effectiveness and appropriateness of this intervention.


Learning Objectives

Following this course, the learner will be able to: 

1.       Compare and contrast the LSVT BIG intervention with other upper extremity motor interventions post-stroke.

2.       Describe the effect of the LSVT BIG intervention on an individual post-stroke.

3.       List two facilitators and two barriers to virtual reality-based delivery of home programs.


Learning Level: Advanced

Target Audience: Occupational therapists and occupational therapy assistants

Content Focus: Category 2: OT Process: Intervention

CE Find Key Words:  Stoke, game-based intervention, motor recovery


Reference Information:

Proffitt, R. M., Henderson, W., Scholl, S., & Nettleton, M. (2018). Case Report—Lee Silverman Voice

Treatment BIG® for a person with stroke. American Journal of Occupational Therapy, 72, 7205210010. https://doi.org/10.5014/ajot.2018.028217