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Parkinson's Disease

  • Many of HonorHealth Rehabilitation Hospital's therapists hold special certifications in the management and treatment of central nervous system (CNS) disorders, such as Parkinson's Disease. Each individual's strengths and impairments are identified and addressed in relation to functional abilities and limitations. Therapy offers hands-on, problem solving approaches and direct handling and guidance to optimize function. Treatment is guided by the client's reactions throughout every treatment session. Therapists work collaboratively with patients, families, caregivers, and other healthcare professionals to develop individualized comprehensive treatment programs based on the latest theories and philosophies.

    LSVT LOUD is an effective speech treatment for individuals with Parkinson disease and other neurological conditions. LSVT LOUD, named for Mrs. Lee Silverman (Lee Silverman Voice Treatment - LSVT) was developed in 1987 and has been scientifically studied for nearly 20 years with funding support from the National Institute for Deafness and other Communication Disorders (NIDCD) of the National Institutes of Health. Published research data support improvements in vocal loudness, intonation, and voice quality for individuals with PD who received LSVT LOUD, with improvements maintained up to two years after treatment. Recent research studies have also documented the effectiveness of this therapy in improving the common problems of disordered articulation, diminished facial expression and impaired swallowing. Additionally, two brain imaging studies have documented evidence of positive changes in the brain following administration of the therapy. LSVT LOUD improves vocal loudness by stimulating the muscles of the voice box (larynx) and speech mechanism through a systematic hierarchy of exercises. Focused on a single goal (speak LOUD) , the treatment improves respiratory, laryngeal and articulatory function to maximize speech intelligibility. The treatment does not train people for shouting or yelling; rather, LSVT LOUD uses loudness training to bring the voice to an improved, healthy vocal loudness with no strain.

    LSVT BIG and PWR training increase amplitude of limb and body movement (Bigness) in people with Parkinson disease. LSVT BIG and PWR have documented improvements in amplitude (trunk rotation/gait) that generalized to improved speed (upper/lower limbs), balance, and quality of life. In addition, people were able to maintain these improvements when challenged with a dual task.