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LSVT Big and LSVT Loud

The Touro Neuro Rehab Center staff includes LSVT™ certified speech, physical and occupational therapists and is the only facility in New Orleans with a comprehensive LSVT LOUD™ and LSVT BIG™ program for treatment of Parkinson’s disease.

LSVT™ therapy uses innovative and clinically-proven methods for improving communication and movement in individuals with Parkinson disease with application to other neural conditions, such as stroke, multiple sclerosis, cerebral palsy, Down syndrome. The LSVT programs have been developed and scientifically researched over the past 20 years with funding from the National Institutes of Health.

Research on LSVT BIG (Physical/Occupational) therapy has documented improved ratings on tests of motor functioning in people with Parkinson’s Disease following treatment, including: faster walking and bigger steps, improved balance and increased trunk rotation. LSVT Loud (speech) therapy is considered the gold standard in treating speech disorders for people with Parkinson’s Disease and has demonstrated improved vocal loudness, improved speech intelligibility and more facial expression.

How to get started:
If you think you or a loved one would benefit from LSVT therapy, ask your neurologists for a referral to the Touro Neuro Rehab Center for LSVT Loud™ or LSVT Big™ today.
Tel. (504) 897-8135
NeuroRehabCenter@touro.com  

Learn more
:

Background
In 1986, a woman named Lee Silverman sought treatment for Parkinson’s disease. Her family wished there was a way they could hear and understand her speech. At the request of the Silverman family, researcher Dr. Lorraine Ramig and speech therapist Carolyn Bonitati, developed a voice therapy that helps people with Parkinson’s Disease and other neurological conditions regain their ability to speak. In honor of Mrs. Silverman and the success of this therapy, the technique was named LSVT™, Lee Silverman Voice Treatment. This technique has also been applied to physical and occupational therapy for persons with Parkinson’s disease.

Persons with Parkinson’s disease have a loss of automaticity as the disease progresses, requiring greater conscious attention to tasks. When required to perform dual tasks or tasks simultaneously, there are insufficient resources which results in a decrease in one or both of the concurrent tasks.

LSVT™ treatment focuses on using parallel behavior to retrain the nerves. Therapists focus on “Loud” and “Big” respectively when performing speech and physical/occupational therapy to maximize attention to the task at hand and increasing automaticity.

 LSVT Big Before and After  LSVT Loud Before and After
   


About LSVT Loud™
patient performing LSVT Loud exercisesLSVT Loud™ is a Parkinson’s-specific speech therapy designed to improve vocal loudness, speech intelligibility and facial expression through the same premise of intensity and repetition. LSVT Loud™ therapy is one month of intense treatment including one hour of patient practice time per day and four days of therapy per week (16 different treatment sessions). Each patient identifies 10 phrases that they want to be able to say on a daily basis, and works toward those goals throughout the month of training. Therapy includes increasing intensity, increasing breath support, increasing pitch range and improving vocal quality. Additional improvements that have been noted include improvement in swallowing and the masked facial expression which often accompanies Parkinson’s disease.

>> Click here for a featured story on Touro's LSVT Loud Program in The New Orleans Advocate.

patient performing LSVT Big exercisesAbout LSVT Big™
Certified Physical or Occupational Therapists use the LSVT Big™ technique drives intense and high effort practice and teaches the amount of effort required to produce normal movements. LSVT Big™ therapy consists of 16 sessions, 4 consecutive days per week for 4 weeks plus individual 1 hour sessions and daily homework and exercise practice. Research on LSVT Big™ has documented improved ratings on tests of motor functioning in persons with Parkinson’s disease following treatment including: faster walking with bigger steps, improved balance and increased trunk rotation.





 

Learn more by viewing WWL video
or
click here for their written story

 


About Parkinson's disease

Parkinson's disease is a progressive neurological disorder that results from degeneration of neurons in a region of the brain that controls movement. This degeneration creates a shortage of the brain signaling chemical (neurotransmitter) known as dopamine, causing the movement impairments that characterize the disease.

Often, the first symptom of Parkinson's disease is tremor (trembling or shaking) of a limb, especially when the body is at rest. The tremor often begins on one side of the body, frequently in one hand. Other common symptoms include slow movement (bradykinesia), an inability to move (akinesia), rigid limbs, a shuffling gait, and a stooped posture. People with Parkinson's disease often show reduced facial expressions and speak in a soft voice.

In the United States, at least 500,000 people are believed to suffer from Parkinson's disease, and about 50,000 new cases are reported annually. These figures are expected to increase as the average age of the population increases.

How to get started:
If you think you or a loved one would benefit from LSVT therapy, ask your neurologists for a referral to the Touro Neuro Rehab Center for LSVT Loud™ or LSVT Big™ today.
Tel. (504) 897-8135
NeuroRehabCenter@touro.com  
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Touro Infirmary, 1401 Foucher Street, New Orleans, Louisiana 70115
Phone: 504-897-7011 Pencil
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