Empowering Voices and Movements for people with Parkinson’s
Courtney Carter
/ Categories: WELLNESS, 2024

Empowering Voices and Movements for people with Parkinson’s

People with Parkinson ’s disease and similar neurological conditions often experience changes in the brain that can prevent them from recognizing changes in their movement or the ability to maintain clarity and volume in their speech. As a result, even simple tasks, such as getting in and out of a car or carrying on a conversation, can become challenging and time consuming.

But thanks to treatment options including LSVT LOUD and LSVT BIG, people can retrain their brains to reclaim some ability.

As SVMC physical therapist Noelle De Geus, DPT, explains, “While both the LOUD and BIG treatments are based on Lee Silverman Voice Treatment (LSVT), they’re distinctly different treatments that offer different benefits.”

She adds, “LSVT BIG focuses on mobility and large movements, LSVT LOUD targets speech. By intensively practicing louder speech or bigger movements, patients can essentially retrain their brains and bodies. Both treatments are offered at SVMC with LSVT BIG treatment provided by a physical therapist and physical therapist assistant, and LSVT LOUD conducted by a speech-language pathologist.”

 

Here’s a look at what’s involved in each treatment option:
LSVT BIG

The goal of LSVT BIG is to help patients recalibrate their perceptions of their movements, to counteract the tendency towards smaller, slower movements in Parkinson's disease.

It involves challenging, high-intensity, one-on-one clinical treatment delivered over one month’s time by a certified clinician. LSVT BIG consists of one-hour sessions, four sessions per week, with daily homework exercises. 

While LSVT BIG treatment can help people in all stages of Parkinson ’s disease, it’s ideal

to begin treatment before significant changes in movement and function have occurred.   

LSVT LOUD

Despite its name, there’s more to LSVT LOUD than helping people improve their vocal volume. Like LSVT BIG, LOUD is provided by a certified clinician over a period of one month.  Treatment consists of one-hour sessions, four sessions per week, with daily homework exercises. Over the course of treatment, patients improve their ability to perceive how loud they are speaking. This allows them to speak at a more normal volume and be better understood.  The effects can last two years or longer post-treatment.

While LSVT LOUD and LSVT BIG were originally developed for Parkinson's disease, there is early research to suggest that these programs can help people with other neurological conditions including stroke, multiple sclerosis, and ataxia. 

If you have Parkinson ’s disease or another neurological condition, consider asking your family and friends if they have noticed changes in your movements and/or voice.

 

To determine if you’re a candidate for either options or for more information, contact our therapists at 802-447-5140:

LSVT BIG: Noelle De Geus, DPT

LSVT LOUD: Kate O’Neill MS, CCC-SLP

 

To learn more about either treatment click below:

LSVT BIG

LSVT LOUD

Kate O'Neill, MS, CCC-SLP, Noelle De Geus, PT, DPT, and Nina Nunes, PTA are all members of SVMC Outpatient Rehabilitation, part of Southwestern Vermont Medical Center.

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OB/GYN Care in a New Age

I am a strong believer in preventive care. Our patients are healthiest and OB/GYN physicians are most successful when we see each other at least annually and as soon as concerns arise. While this hasn't always been possible throughout the pandemic, I am happy to report that it is slowly getting easier to provide and receive care in the ways we had been used to, with a few adjustments for added safety.

I am especially concerned about patients who may have delayed care. While some concerns can safely wait a short while, putting off care in other situations may worsen the condition or the outcome. I encourage both new and returning patients to call the office to discuss resuming regular care and discussing any concerns that may have come up.

Here's what you can expect, including some of the innovative ways we are meeting patients' needs safely.

When you call the office, the receptionists will schedule an appointment for you. An easy telehealth option is great for reviewing results, developing care plans, providing contraceptive and fertility counseling, and consulting about weight management. For these purposes, the receptionist will likely recommend a televisit. It is very easy to connect and so convenient; while we love seeing you in person, we have to wonder why we haven’t been using telehealth appointments all along! Complete information about telehealth visits can be found here.

As you might expect, OB/GYN care often requires a physical examination, so many of our patient visits—including those for patients needing annual exams, testing, and therapeutic appointments—are still happening in person and in the office. The receptionists are working to stagger visits to decrease the number of people in the office at any one time.

Those coming to the office in person will notice a check-in station at the entrance to the Medical Office Building. The attendant will ask you a few questions about any symptoms you have and lend you a cloth face covering to use, if you don't have one. Wearing the mask over both your mouth and nose for your entire visit is required. For your safety and theirs, you will notice that all staff are wearing masks, too, along with either goggles or a shield. Hopefully you can still tell that we are all smiling, even under our masks!

If an outpatient elective surgical procedure is a part of your care plan, your OB/GYN and other staff will walk you through the process. A few changes, including COVID-19 testing in advance and intensified monitoring after the procedure, increases patient safety.

For those expecting to deliver a baby at SVMC, we are focused on maintaining all of the wonderful things our patients have come to expect from their experiences on the Women's and Children’s unit. Caring medical staff and nurses, individualized attention, and compassionate support are all in abundant supply.

Like when coming to the office, growing families will notice the check-in at the hospital's main entrance and staff wearing protective equipment. Our visitor’s policy indicates only one support person. We recognize that this is so challenging, and we are working to provide all of the support we can to bring your birth experience safely in line with what you had hoped, right down to the cheering support squad provided by a family via video chat during a delivery I attended earlier this week.

In the case that a family has had any exposure to COVID-19, the Women's and Children’s Unit has its own negative-pressure room. Extensive infection-prevention policies—consistent across all of the medical professionals involved with care for growing families, including OB/GYNs, pediatricians, midwives, and nurses—keep moms, babies, families, and staff safe. In fact, SVMC recently got a perfect score on a rigorous survey specifically designed to judge our infection-prevention measures.

Our ongoing commitment—pandemic or no pandemic, no matter your OB/GYN need—is to work through your concerns and deliver safe, individualized, and effective care for you. We hope that new and returning patients will call on us to help them maintain or regain their health. We are open, ready, and safe to provide the care you need.

Kimberley Sampson, MD, is the medical director of OB/GYN at Southwestern Vermont Medical Center.

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