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LSVT BIG Instructors

Our LSVT BIG® Instructors have collectively over 200 years of clinical experience in the fields of physical and occupational therapy, and they have collectively treated over 2,000 patients with LSVT BIG. Our team has trained and certified over 5,000 physical and occupational therapists in 33 countries.


  • Jenny Tuccitto

    MPT, GCS

    Ms. Tuccitto received her Master’s degree in Physical Therapy from the College of St Catherine in Minneapolis, MN in 2001. As a physical therapist she treats a wide variety of clients with neurological and/or orthopedic diagnoses at Courage Kenny Rehabilitation Institute, part of Allina health in Minnesota. She serves as the facility lead for treatment of clients with Parkinson disease. Ms. Tuccitto is an LSVT BIG Faculty member & Expert Clinician, and has assisted with development of many LSVT BIG treatment tools including the LSVT BIG Homework Helper DVD. She has presented for the National Parkinson Foundation, the Minnesota Physical Therapy Association and at the American Speech and Hearing Association on LSVT BIG as well as being actively involved with local Parkinson support groups.

  • Kathleen Salik


    Ms. Salik received her Bachelor's degree in Physical Therapy from Ithaca College in New York in 1985 and her Doctorate in Physical Therapy from the University of Montana. Ms. Salik is the Clinical Coordinator for Education for Banner Thunderbird Rehabilitation Services in the outpatient department at Banner Thunderbird Medical Center in Glendale, AZ. Ms. Salik has advanced training in Vestibular Rehabilitation and is LSVT BIG certified. She has recently established exercise classes for patients with PD using large amplitude and intensive neuroplasticity principles. She presents on LSVT BIG and PD to staff, community groups and Physical Therapy Doctoral programs in the Phoenix area.

  • Bernadette Kosir

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    Ms. Kosir is a graduate of University of Michigan in Ann Arbor and Wayne State University in Detroit, and has been a practicing Occupational Therapist for 30 years. She joined Residential Home Health in 2001, and is currently Director of Therapy Services for the Michigan and Illinois multidisciplinary team, directing over 250 field clinicians, providing clinical program development and management, and participating as a corporate leader in marketing and community outreach efforts. She is a certified trainer in Integrated Care Management for coordinated care of patients with chronic diseases including Parkinson disease, and is an NAHB Certified Aging in Place Specialist. She remains active in corporate and community grass roots efforts for addressing continuum of care needs for persons with Parkinson disease, and is an Ad Hoc member of the Professional Advisory Board for the Michigan Parkinson’s Foundation.

  • Tamara Hefferon

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    PT, DPT

    Dr. Hefferon received her Doctorate in Physical Therapy from A.T. Still University in Mesa, AZ. Dr. Hefferon has worked with a varied and dynamic patient population with a focus in the last several years on the treatment of Parkinson’s disease. She is currently the Senior Clinical Manager of Outpatient Rehabilitation Services at Banner Thunderbird Medical Center in which she oversees a comprehensive physical therapy, occupational therapy, speech language therapy and pain program, consisting of 6 LSVT BIG certified clinicians and 3 certified LOUD clinicians. She also serves as adjunct faculty at Midwestern University in Glendale, AZ.

  • Laura Gusé

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    Ms. Guse´ received her Master’s Degree in Physical Therapy from the University of North Dakota. Ms. Guse´ has worked extensively in the area of neurogenic disorders since then, both in outpatient and inpatient settings. She has specialized in treatment of Parkinson disease and Multiple Sclerosis. She has been certified in LSVT BIG® since 2009, and is a Multiple Sclerosis Certified Specialist. She is an LSVT BIG faculty member and Expert Clinician, and has helped to develop many of the current LSVT BIG treatment tools, webinars and curriculum. She now serves as the Chief Clinical Officer of LSVT BIG for LSVT Global.

  • Tom Gangemi

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    PT, DPT, MBA

    Dr. Gangemi received his Bachelor of Science in Physical Therapy from Ithaca College, his Doctor of Physical Therapy from the University of Montana, and his MBA in Health Care from the University of Hartford. As a physical therapist, he has practiced in a variety of settings, including an outpatient clinic he co-founded focused on movement disorders and balance, particularly people with Parkinson’s disease. He is LSVT BIG certified. Dr. Gangemi is currently affiliated with a therapy management company where he oversees clinical operations in sub-acute settings.

  • Heather J. Cianci

    PT, MS, GCS

    Ms. Cianci is the Geriatric Team Leader and founding therapist of the Dan Aaron Parkinson's Rehab Center at Pennsylvania Hospital in Philadelphia, PA. She received her bachelor's in PT from the University of Scranton in Scranton, PA and her master's in gerontology from Saint Joseph's University in Philadelphia. Heather received her GCS in 1999. She is certified in LSVT BIG and is a graduate of the NPF's Allied Team Training for PD. She has written and lectured for both the NPF (“Fitness Counts”) and PDF, and performed research on PD with respect to falls and bed mobility. Heather is also a board member for CurePSP, and the coordinator of their Medical Professionals Advisory Committee.

  • Patricia S Brown

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    PT, DPT, NCS

    Dr. Brown received her Bachelor of Science in Physical Therapy from California State University Long Beach and her Doctor of Physical Therapy from Western University in Pomona . She is certified by the American Board of Physical Therapy Clinical Specialists in Neurology since 1999. She is certified in LSVT BIG and is a graduate of the National Parkinson Foundation’s (NPF) Allied Team Training (ATTP) for PD. Currently, she is a Neurologic Clinical Specialist at Saddleback Memorial Medical Center in Laguna Hills, California.

  • Beth Marcoux

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    DPT, PhD

    Dr. Marcoux holds a BS in Physical Therapy from Russell Sage College, an advanced Master’s degree in Physical Therapy Education from the University of Alabama, Birmingham, a Ph.D. in Public Health (Health Behavior and Health Education) from the University of Michigan and a Doctor of Physical Therapy from the Massachusetts General Hospital Institute for Health Professions. She has served on physical therapy faculties at the University of Vermont, the University of Michigan, and University of Michigan-Flint, Henry Ford Community, Oakland University and the University of Rhode Island where she was Professor and Chair of Physical Therapy for seven years. She is certified in LSVT BIG and for the past several her clinical experience has focused on the treatment of patients with Parkinson’s disease.

  • Cynthia Fox

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    Ph.D., CCC-SLP

    Dr. Fox received her doctorate degree in Speech and Hearing Sciences from the University of Arizona, Tucson. Dr. Fox is a research associate at the National Center for Voice and Speech and Co-Founder of LSVT Global. She is an expert on rehabilitation and neuroplasticity and the role of exercise in the improvement of function consequent to neural injury and disease. Dr. Fox is among the world’s experts in speech treatment for people with Parkinson disease. She has multiple publications in this area of focus, as well as numerous national and international research and clinical presentations. Dr. Fox has worked closely with Dr. Ramig for the past 18 years on studies examining the efficacy of LSVT LOUD, the underlying mechanisms of speech disorders in PD, and the application of LSVT LOUD to other disorders (children and adults) and other motor systems (e.g., limb). She is an expert on rehabilitation and neuroplasticity and the role of exercise in the improvement of function consequent to neural injury and disease.

  • Erica Vitek

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    Ms. Vitek received her Master's in Occupational Therapy from Concordia University WI in 2002. She is employed by Aurora Sinai Medical Center in Milwaukee, WI, home of the Wisconsin Institute for Neurologic and Sleep Disorders and Parkinson Research Institute. Ms. Vitek is a graduate of the NPF's Allied Team Training and LSVT BIG. In Milwaukee, she is the LSVT program lead and runs LSVT BIG and LSVT LOUD skills classes for LSVT graduates. Ms. Vitek is Board Certified in Biofeedback for Pelvic Muscle Dysfunction and a Certified Pelvic Rehabilitation Practitioner allowing her to address bladder, bowel and sexual dysfunction in her patients with PD. She regularly presents and authors articles for the Wisconsin Parkinson Association.

  • Olaf Kaufhold


    Olaf Kaufhold ist Physiotherapeut und arbeitet seit 1998 im „Neurologischen Fachkrankenhaus für Bewegungsstörungen und Parkinson“ in Beelitz-Heilstätten. Er war vielfach als Referent zum Thema Physiotherapie in der Parkinsontherapie, unter anderem auch für den ZVK tätig. Er ist u.a. Bobath- und PNF-Therapeut, seit 2007 LSVT®BIG Trainer. Gemeinsam mit PD Dr. Ebersbach arbeitete er an zwei Studien - 2008 an der Galileo Studie, 2010 an der Berliner LSVT®-BIG Studie. Derzeit ist er federführend an der Organisation und Durchführung der aktuellen LSVT-BIG Dosis-Wirkungsstudie beteiligt.

  • Dr. Grit Mallien


    Dr. Grit Mallien studierte an der Universität Potsdam Patholinguistik. Sie ist LSVT® LOUD Trainerin & LSVT BIG Kurskoordinatorin und Referentin. Seit 1998 leitet sie die Abteilung Logopädie der Parkinsonklinik in Beelitz-Heilstätten. Gemeinsam mit Dr. Ramig und Dr. Fox organisierte sie in Deutschland erfolgreich LSVT®LOUD-Workshops. Bei der Behandlung von Sprach-, Sprech- und Schluckstörungen hat sie sich auf Atypische Parkinson-Syndrome spezialisiert und promovierte zum Thema "Dysarthrie bei PSP“. Im Vorstand der deutschen PSP-Gesellschaft ist sie zuständig für Forschung, Kongressorganisation und internationale Beziehungen.

  • Annette Sprock


    Annette Sprock ist Physiotherapeutin und arbeitet seit 2001 im "Neurologischen Fachkrankenhaus für Bewegungsstörungen und Parkinson" in Beelitz-Heilstätten. Sie referierte häufig in Rahmen von Workshops und Fortbildungsveranstaltungen zum Thema Physiotherapie in der Parkinsontherapie, mit dem Schwerpunkt PSP und LSVT®-BIG. Frau Sprock ist unter anderem PNF-Therapeutin und seit 2008 LSVT®-BIG Trainerin. Sie war 2007-2009 maßgeblich beteiligt an der Durchführung einer Studie zur Fallneigung bei PSP.

  • Frauke Elisabeth Schroeteler

    Physiotherapeutin, Manualtherapeutin

    Frauke Elisabeth Schroeteler ist staatlich anerkannte Physiotherapeutin, Manualtherapeutin und zertifizierte LSVT/ BIG Therapeutin. Sie arbeitet seit 15 Jahren in der Neurologie und ist seit 2007 Mitglied der wissenschaftlichen Arbeitsgruppe zu aktivierenden Therapien bei Parkinson und Bewegungsstörungen (Leitung Prof. Ceballos-Baumann) in der Schön Klinik München-Schwabing. Sie hat langjährige Lehrerfahrung, ist Autorin wissenschaftlicher Publikationen und leitet Workshops im Bereich der evidenzbasierten Physiotherapie.

  • Kerstin Ziegler


    Kerstin Ziegler ist Physiotherapeutin und seit 17 Jahren in der Neurologie tätig. Der wissenschaftlichen Arbeitsgruppe zu aktivierenden Therapien bei idiopathischem Parkinsonsyndrom und Bewegungsstörungen (Leitung: Prof. Ceballos-Baumann) an der Schön Klinik München Schwabing gehört sie seit 2007 an. Im gleichen Jahr zertifizierte sie sich als LSVT®BIG Trainerin. Sie unterrichtet seit vielen Jahren Physiotherapie in der Neurologie, hält Vorträge und gibt Seminare zur Anwendung evidenzbasierter Methoden in der Neurorehabilitation.