Nordic walking
A derivative of this treatment, known as LSVT BIG, is used by speech-language pathologist, physiotherapists, and occupational therapists to promote high-amplitude movements in people with Parkinson's disease. The quick, explosive movements characteristic of LSVT BIG are aimed at reversing one of four cardinal movement symptoms in PD, bradykinesia. The Berlin Big Study compared the effectiveness of three distinct exercise programs in people with mild to moderate Parkinson's disease. Subjects were randomly assigned to receive either one-on-one LSVT BIG training, group Nordic walking training, or domestic unsupervised exercises. At the conclusion of the training period, the LSVT BIG group demonstrated a significant improvement in unified Parkinson's disease rating scale (UPDRS) motor score and 10-m timed up and go test timing compared with the Nordic walking and home exercise group.