Abstract
Voice and speech disorders occur in up to 89% of people with Parkinson disease (PD). The most common perceptual characteristics include reduced vocal loudness, monotone, hoarse or breathy voice quality, and imprecise articulation. The Lee Silverman Voice Treatment (LSVT LOUDĀ®) is an effective speech therapy to improve vocal loudness and functional communication in people with PD. This case study will illustrate classic voice and speech symptoms in a person with moderate PD and the positive outcomes following LSVT LOUD treatment. The rationale and efficacy data of this treatment approach will be discussed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Dumer AI, Oster H, McCabe D, Rabin LA, Spielman JL, Ramig L, Borod JC. Effects of the Lee Silverman voice treatment on facial expressivity in Parkinsonās disease. J Int Neuropsychol Soc. 2014;20(3):302ā12.
El-Sharkawi A, Ramig L, Logemann J, Pauloski B, Rademaker A, Smith C, Pawlas A, Baum S, Werner C. Swallowing and voice effects of lee Silverman voice treatment: a pilot study. J Neurol Neuropsychiatry Psychiatry. 2002;72(1):31ā6.
Fox C, Ramig L, Ciucci M, Sapir S, McFarland DH, Farley B. Science and practice of LSVT/LOUD: neural plasticity-principled approach to treating individuals with Parkinson disease and other neurological disorders. Semin Speech Lang. 2006;27:283ā99.
Halpern A, Ramig L, Matos C, Petska-Cable J, Spielman J, Pogoda J, Gilley P, Sapir S, Bennett J, McFarland D. Innovative technology for the assisted delivery of intensive voice treatment (LSVTĀ®LOUD) for Parkinson disease. Am J Speech Lang Pathol. 2012;21(4):354ā67.
Mahler LA, Ramig LO, Fox C. Evidence-based treatment of voice and speech disorders in Parkinson disease. Curr Opin Otolaryngol Head Neck Surg. 2015;23(3):209ā15.
Narayana S, Fox PT, Zhang W, Franklin C, Robin DA, Vogel D, Ramig L. Neural correlates of efficacy of voice therapy in Parkinsonās disease identified by performance-correlation analysis. Hum Brain Mapp. 2010;31:222ā36.
Ramig L, Halpern A, Spielman J, Fox C, Freeman K. Speech treatment in Parkinsonās Disease: Randomized Controlled Trial (RCT). Mov Disord. In Press.
Ramig L, Countryman S, Thompson L, Horii Y. A comparison of two forms of intensive speech treatment for Parkinson disease. J Speech Hearing Res. 1995;38:1232ā51.
Ramig L, Dromey C. Aerodynamic mechanisms underlying treatment related changes in SPL in patients with Parkinson disease. J Speech Hear Res. 1996;39:798ā807.
Ramig L, Fox C, Sapir S. Speech and voice disorders in Parkinson disease. In: Olanow W, Stocchi W, Lang A, editors. The Non-motor and non-dopaminergic Features of Parkinson disease. Oxford, UK: Blackwell Publishing; 2011. p. 348ā62.
Ramig L, Sapir S, Countryman S, Pawlas A, OāBrien C, Hoehn M, Thompson L. Intensive voice treatment for individuals with Parkinson disease: a two-year follow-up. J Neurol Neurosurg Psychiatry. 2001a;71:493ā8.
Ramig L, Sapir S, Fox C, Countryman S. Changes in vocal intensity following intensive voice treatment (LSVT) in individuals with Parkinson disease: a comparison with untreated patients and normal age-matched controls. Mov Disord. 2001b;16:79ā83.
Sapir S, Spielman J, Ramig L, Story B, Fox C. Effects of intensive voice treatment (LSVTĀ®) on vowel articulation in dysarthric individuals with idiopathic Parkinsonās disease: acoustic and perceptual findings. J Speech Language Hearing Res. 2007;50:899ā912.
Smith ME, Ramig L, Dromey C, Perez KS, Samandari R. Intensive voice treatment in Parkinsonās disease: Laryngostroboscopic findings. J Voice. 1995;9:453ā9.
Spielman J, Mahler L, Halpern A, Gilley P, Klepitskaya O, Ramig L. Intensive voice treatment (LSVTĀ®LOUD) for Parkinsonās disease following deep brain stimulation of the subthalamic nucleus. J Commun Disord. 2011;44:688ā700.
Theodoros DG, Hill AJ, Russell TG. Clinical and quality of life outcomes of speech treatment for Parkinsonās disease delivered to the home via Telerehabilitation: a noninferiority randomized controlled trial. Am J Speech Lang Pathol. 2016;25(2):214ā32.
Theodoros D, Ramig L. Communication and swallowing in Parkinsonās disease. San Diego: Plural Publishing; 2011.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
Ā© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Ramig, L.A., Fox, C.M. (2019). Treatment of Dysarthria in Parkinson Disease. In: Reich, S., Factor, S. (eds) Therapy of Movement Disorders. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-319-97897-0_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-97897-0_9
Published:
Publisher Name: Humana, Cham
Print ISBN: 978-3-319-97896-3
Online ISBN: 978-3-319-97897-0
eBook Packages: MedicineMedicine (R0)