Parkinsonβs (LSVT BIG)
True 1-on-1 Treatment with Doctors of Physical Therapy
At Mana Physical Therapy, you receive dedicated care from LSVT BIG Certified Specialists – no assistants, no shared time. Our neurological experts work with you for your entire 60-minute session.

“Dr. Syed is an excellent physical therapist! He looks at each patient with a complete view of their individual problems and creates a comprehensive care program. He gets results with lots of patience and encouragement. I highly recommend Dr. Syed and Mana Physical Therapy!!!”
β Holly Wigdor
“Mana physical therapy is the best PT place I can recommend anyone looking. Dr. Harris is so kind, understanding, supportive and accommodating to all my PT needs. They spend 1-1 time with you exclusively for an hour. Daniel and all other therapists are excellent in this group. I am 100% satisfied with them and am glad I chose them as my PT group.”
β Shefali Ahuja
“Mana was the beginning of my come back. I could not ask for more. Alexis was amazing. Extremely professional and so knowledgeable. I recommend Mana to anyone seeking physical therapy. Alexis you are the best!!!!!!!”
β Gene Helbig
The Mana Physical Therapy Difference
| At Mana Physical Therapy | At Other Clinics |
|---|---|
| ✔ True 1-on-1 therapy with Doctors of Physical Therapy the ENTIRE session | ✘ Shared time with assistants or aides who aren’t Doctors of Physical Therapy |
| ✔ Neurologic Clinical Specialists (NCS) with advanced training in Parkinson’s care | ✘ General therapists without specialized neurological training |
| ✔ Full 60-minute treatment sessions | ✘ Short sessions with multiple patients seen simultaneously |
| ✔ Customized home exercise program with mobile app support | ✘ Generic exercise handouts without digital support |
| ✔ Ongoing LSVT BIG “tune-up” sessions available | ✘ Limited follow-up options after completing the program |
Meet Your Specialized Parkinson’s Therapy Team

Dr. Alexis English
PT, DPT, NCS (Board Certified Neurologic Clinical Specialist)
As a Neurologic Clinical Specialist, Dr. English brings advanced expertise in neurological conditions to her practice. With extensive experience in pelvic health, vestibular dysfunction, and neurological rehabilitation, she creates customized treatment plans addressing unique patient challenges.

Dr. Haris Syed
PT, DPT, OCS (Board-Certified Orthopedic Clinical Specialist), LSVT BIG Certified
Dr. Syed combines orthopedic expertise with advanced certification to deliver comprehensive care. His specialized approach helps patients with neurological conditions, sports injuries, chronic pain, and neck dysfunction improve mobility, balance, and daily function.
How LSVT BIG Helps Parkinson’s Patients
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Walking Improvement
Take bigger steps with improved arm swing and posture, reducing freezing episodes and fall risk.
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Better Balance
Enhance stability and confidence during standing and movement activities.
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Easier Daily Activities
Improve your ability to get dressed, write, button clothing, and perform other self-care tasks.
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Increased Confidence
Regain independence and participate more fully in family and social activities.
Our Simple 4-Step LSVT BIG Process
1
Evaluation
Comprehensive assessment with one of our Parkinson’s specialists to understand your specific challenges and goals.
2
Intensive Training
4 sessions per week for 4 weeks with your dedicated neurological specialist (16 total sessions).
3
Home Program
Daily practice guided by our mobile app to reinforce your “Think BIG” movement patterns.
4
Maintenance
Regular “tune-up” sessions to maintain and build upon your progress over time.
What is LSVT BIG Therapy?
LSVT BIG trains people with Parkinson’s disease (PD) to use their body more normally. People living with PD or other neurological conditions often move differently, with gestures and actions that become smaller and slower. They may have trouble with getting around, getting dressed and with other activities of daily living.
LSVT BIG effectively trains improved movements for any activity, whether “small motor” tasks like buttoning a shirt or “large motor” tasks like getting up from sofa or chair or maintaining balance while walking. The treatment improves walking, self-care and other tasks by helping people “recalibrate” how they perceive their movements with what others actually see.
With exercises involving the whole body β personalized for each person but all built around “Think BIG!” as a guiding principle β LSVT BIG reteaches you how normal movement should feel. Often these movements seem strange at first β too big, even though they’re comparable to those of people all around you. Over time, you learn to recognize these larger movements as normal.
Ultimately, LSVT BIG helps improve the mismatch between what you feel you’re doing and what you’re actually doing, making you more confident, comfortable and empowered. With one month of hard work, LSVT BIG can open doors to a more active and independent life.
After LSVT BIG Treatment
The standard LSVT BIG treatment spans a minimum of one month, including daily practice and carryover exercises. Once that initial treatment is over, you’ll continue to practice at least once a day for 10β15 minutes, which readies you to use your new movement skills all day at home or work and in your community!
However, it’s important to know that LSVT BIG is a life-long journey! A few things that help you on that journey are:
- LSVT BIG Homework Helper Videos β Follow along with one of our LSVT BIG instructors to practice your daily exercises.
- Tune-up Sessions β When you finish the four week LSVT BIG program, you and your therapist will decide when to return for a reassessment.
- Mobile App Support – Our custom app helps you maintain your program and track your progress.
Who Can Benefit from LSVT BIG?
LSVT BIG can help regardless of the stage or severity of your condition, though it may be most effective in early or middle stages when you can both improve function and potentially slow further symptom progression.
Research shows LSVT BIG treatment can lead to:
- Faster walking with bigger steps and arm swings
- Better balance and stability
- Improved trunk rotation and posture
- Enhanced ability to perform daily activities
- Greater confidence and independence
Beginning your work with LSVT BIG before you’ve noticed significant problems with balance, mobility, or posture will often lead to the best results, but it’s never too late to start. LSVT BIG can produce significant improvements even for people facing considerable physical difficulties.
Your Next Stepsβ¦
1
Request An Appointment
Call us or fill out our consultation request form to get started.
2
Receive A Custom Treatment Plan
Our specialists will create a personalized LSVT BIG program for your needs.
3
Work Hard and Progress In Your Recovery
Commit to the program to see significant improvements in your mobility.
4
Recover & Enjoy Life With Greater Mobility!
Experience the freedom of improved movement and greater independence.
