LSVT Big and Loud

LSVT BIG® and LOUD® is an evidence-based therapy to help individuals with Parkinson’s disease or other neurological disorders improve motor and speech functions. It is based on high-intensity, high-effort exercises that can slow the progression of symptoms and help a person maintain independence for as long as possible.


The LSVT BIG® and LOUD® program consists of:

  • 16 sessions: 4 consecutive days a week for 4 weeks
  • Individual 1 hour sessions
  • Daily practice homework
  • Daily carryover exercises

Individuals interested in participating in Spooner Health's LSVT BIG® and LOUD® program should contact their neurologist or family physician for a referral.


LSVT BIG® focuses on motor functions, working to reduce hand tremors, rigid muscles and loss of muscle control. With the help of LSVT Global certified physical therapists, LSVT BIG® patients can see:

  • Faster walking with less shuffling
  • Improved balance
  • Improved trunk mobility
  • Improvements in activities of daily living


LSVT LOUD® works to improve voice quality and speech of individuals with Parkinson's disease. With the help of LSVT Global certified speech therapists, patients work to improve voice quality and speech, including:

  • Increasing vocal volume
  • Reducing monotone speech
  • Maintaining daily oral communication skills


Eliza Ahneman, DPT

Eliza Ahneman, DPT Medical Degree: DPT, College of St. Scholastica 2013, BS in Health Sciences, College of St. Scholastica 2010 Personal Interests: Spending time with family, going to the cabin,…

Marietta Steiner, PTA

Marietta Steiner, PTA Medical Degree: PTA, Lake Superior College 2007 Personal Interests: Walking, snowshoeing, gardening and reading Professional Interests: Neurological rehab, lymphedema, geriatrics, myofascial release, LSVT BIG – Parkinson’s treatment…


Betsy Salquist, CCC-SLP

Betsy Salquist, CCC-SLP Medical Degree: MS in Communication Disorders from UW-Eau Claire (1998); BA in Communication Disorders from UW-Eau Claire (1996); ASHA Certified Speech-Language Pathologist Personal Interests: Family, hiking, paddle…

Spooner Health Main Entrance

How to Get Here:
For driving directions, please visit our Contact page. When arriving at Spooner Health, follow the signs for the Main Hospital Entrance. This entrance is centrally located between the Clinic entrance and the Emergency entrance.

To learn more or schedule your appointment, please call 715-939-1745.

Our rehabilitation services department is open from
7:30 am - 6:00 pm.