One year ago, Sean Bulanda was taking roughly 300 steps a day — mostly between the couch and the bathroom. Today, he’s a stand-up comedian, a songwriter, a certified LSVT Big physical therapist, and the founder of a 2,200-member Parkinson’s support group. This is the story of what happened in between.
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When LSVT BIG first emerged as a rehabilitation protocol for Parkinson’s disease, its core insight was deceptively simple: train the nervous system to move bigger, and daily function follows. The intensive, amplitude-focused program, sixteen one-hour sessions over four weeks, works by retraining sensory perception alongside motor output, helping patients recognize that movements which feel exaggerated are, in fact, simply normal. That principle, it turns out, may travel well beyond Parkinson’s disease.
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What does it take to go from hiding a diagnosis in silence — popping pills in secret, withdrawing from the world — to becoming one of Ireland’s most visible advocates for Parkinson’s awareness? For Gary Bole, it started with a simple, persistent nudge from the person sitting beside him: “Speak up.”
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If you are a physical (PT) or occupational therapist (OT) working with older adults or neuro populations, you are most likely familiar with LSVT BIG® treatment approach, which is built on a very specific treatment dose: 60‑minute, individual sessions, 4 days per week for 4 weeks, for a total of 16 visits. This “dose” is not a preference or arbitrary in nature; it is the parameter used in the research on LSVT BIG that results in clinically significant improvements in amplitude, gait, and functional mobility in people with Parkinson’s.
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If you’re an ortho or sports physical therapist (PT), Parkinson’s disease (PD) may seem like a “neuro” issue—important, but not your primary focus. Yet many patients you treat for rotator cuff tears, arthritis, lumbar pain, and sports injuries either already have PD or will develop it during your career. You may be one of the first professionals who can spot early signs and change their long-term trajectory.
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When working with individuals diagnosed with Down syndrome, physical therapy often focuses on more than just movement—it’s about building confidence, independence, and quality of life. This case study highlights the progress of one patient who began therapy in June 2025 with concerns about balance, functional mobility, and endurance.
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When time is at a premium and the costs of professional PT, OT and SLP programs are at an all-time high, many students wonder if investing in LSVT Certification is truly worth it. To help you decide, we want to share a summary of insights with you from the more than 1,200 students who took the plunge last year.
In this article, we examine how earning your LSVT BIG or LSVT LOUD certification while you are still a student can be a strategic way to stand out in a crowded job market while also strengthening the clinical reasoning that supports passing your board exams.
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2025 was another incredible year of learning, discovery, and connection across the LSVT community. From lively discussions on the latest Parkinson’s research to inspiring clinician spotlights and personal stories, our webinars and podcasts brought expert insights and real-world impact to thousands of viewers around the world. In this roundup, we’re celebrating the most-watched LSVT webinars and podcasts of 2025 — the sessions that resonated most with our audiences and continue to inspire!
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