At what stage of Parkinson's should I start physiotherapy?

Immediately upon diagnosis. Early physiotherapy establishes movement strategies - amplitude calibration, balance training, and exercise habits - that serve as a reserve. Waiting until significant mobility loss occurs makes intervention harder. The evidence supports early, consistent physiotherapy engagement.

What is LSVT BIG and is it available here?

LSVT BIG is a research-validated, intensive amplitude-based training protocol (16 sessions over 4 weeks) that recalibrates movement size perception. Our therapists are trained in LSVT principles and incorporate BIG methodology into treatment plans. The full certified protocol can be arranged for motivated patients.

Can physiotherapy help with freezing of gait?

Yes. Freezing responds well to sensory cueing strategies - visual lines, rhythmic auditory cues (metronome on phone), and cognitive strategies like counting steps or imagining stepping over obstacles. We work with you to identify which specific cue works best and practise it in real environments.

Specialised Physiotherapy Service

Parkinson's rehabilitation that preserves movement quality

Our Parkinson's-specific programs - including LSVT BIG principles - target bradykinesia, rigidity, postural instability, and gait freezing to maintain independence at every disease stage.

Parkinson's disease progressively challenges movement amplitude, speed, balance, and gait automaticity. Physiotherapy is not optional in Parkinson's management - it is essential. Evidence shows that amplitude-based training (LSVT BIG), external cueing, and balance-challenging exercise can slow functional decline, reduce falls, and preserve quality of life. Our program adapts to disease stage - from early symptoms to advanced mobility needs - and involves family and caregivers throughout.

Our treatment approach

PD-specific assessment & goal setting

UPDRS motor subsection evaluation, Timed Up & Go, Berg Balance Scale, 10-metre walk test, freezing of gait questionnaire, and functional reach test. Goals are co-designed with patient and family - e.g., 'walk independently to the local shop,' 'get up from the floor after a fall.'

Amplitude-based movement training

LSVT BIG principles: exaggerated amplitude of all movements to counteract the hypokinetic (underscaled) motor output that defines PD. BIG steps, BIG arm swings, BIG trunk rotation. Training re-calibrates the internal perception of 'normal' movement size to actually-normal kinematics.

External cueing & gait strategies

Visual cues (stripes on floor), auditory cues (metronome, counting), and attentional strategies ("step over the line") to bypass the deficient basal ganglia automaticity circuit and engage the frontal cortex for gait initiation - specifically effective for freezing episodes.

Balance, falls prevention & flexibility

Reactive and anticipatory postural adjustments, rotational trunk movement training (trunk rigidity is an under-treated contributor to falls), floor transfer drills ("how to get up safely"), and flexibility work for the characteristic flexed posture.

What you can expect

Larger, safer gait steps and faster walking speed

Reduced freezing-of-gait episodes through cueing strategies

Improved balance confidence and fall reduction

Maintained or improved independence in daily transfers

Caregiver education for safe home support

Frequently asked questions

Ready to start your recovery?

Our parkinson's rehabilitation that preserves movement quality program is evidence-based, individually tailored, and focused on measurable outcomes. Book your initial consultation today.

Book Your Consultation

Get in Touch

Ready to begin your recovery?

Reach out to schedule your initial consultation. We'll discuss your concerns, assess your needs, and outline a clear path forward.

Phone

+91 77385 56911

adaptrehabilitation@gmail.com

Location

Galleria Shopping Mall, Central Ave, Hiranandani Gardens, Powai, Mumbai, Maharashtra 400076

Hours

Mon - Sat: 8:00 AM - 7:00 PM