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Neurological Disorder: Lee Silverman voice treatment
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Home > Library > Health > Neurological EncyclopediaDefinition
Lee Silverman voicetreatment (LSVT) is a technique for improving the voice volume of patients with Parkinson's disease (PD) and other neurological disorders.
Purpose
Most patients with PD experience a decreased voicevolume and decreased intelligibility of their speech as their disease progresses. The purpose of LSVT is to reverse that decline by focusing the patient's attention on increasing voice volume throughan intensive set of exercises. The treatment program was developed by two speech language pathologists, and is named after one of the first patients to undergo the program.
Precautions
The treatmentprogram is entirely safe, as it consists only of vocal exercises.
Description
The LSVT program occurs in 16 one-hour sessions given four times per week and spaced over one month. The programincludes at-home exercises the patient must complete for an additional hour (two hours on non-class days). The sessions are led by specially trained speech professionals who have been certified by the LSVTFoundation, a nonprofit organization devoted to improving speech among PD patients through the LSVT method.
During the sessions, patients are taught to "think loud," that is, to focus their consciousefforts on increasing voice volume. The intensive schedule of the workshops and frequent encouragement and reinforcement from the speech professionals provide an effective training system in which thepatient learns to consistently increase voice volume. Exercises to increase breath support may also be used, although for many patients, focusing on increasing the volume is sufficient.
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