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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SVMC Creates Virtual Waiting Room to Encourage Distancing

BENNINGTON, VT—May 29, 2020—Starting Monday, many people who need in-person appointments at Southwestern Vermont Health Care's (SVHC) hospital and clinics will no longer need to use traditional waiting rooms. A virtual system created by the hospital allows patients to call 802-447-5000 when they arrive in the parking lot and receive a text message when their provider is ready to see them.

SVMC's outpatient and inpatient surgeries and diagnostic services, like those for imaging and laboratory work, have resumed with enhanced safety protocols per the directive of Governor Phil Scott. The health system's emergency department, ExpressCare, emergency surgical services, and most of its primary and specialty practices remained open during the pandemic.

"SVHC has provided safe, high-quality care throughout the pandemic." Said Thomas A. Dee, FACHE, Southwestern Vermont Health Care’s (SVHC) president and CEO. "Innovation has been an important part of providing care during these extraordinary times and this new program decreases the number of people in our waiting rooms and allows them to stay the recommended 6 feet apart or more."

In order to use the virtual waiting room, patients must be able to wait in their vehicle and have a charged cell phone with them. They will receive the virtual waiting room telephone number during their appointment-reminder telephone call. Signs outside the building and at the respiratory check-in stations inside the main hospital and medical office building entrances will also include the number to call.

Patients simply call the number when they arrive in the parking lot and wait in their cars. When the provider is ready to see them, they will receive a text message alert to indicate that they should come in.

"We love that we can use the same technology that most people carry with them to help people stay socially distanced," said Gail Balch, RN, who directs information technology at SVMC. "It's through innovations like this one that we are able to resume services safely and ensure patients receive the care they need."

Hospital and clinic staff anticipate that the new program will allow greater distance between people who must use traditional waiting rooms, including those who walked or took public transportation to their appointment and those who do not have a cell phone.

Additional safety protocols indicate that all patients should arrive to the hospital or clinic with their own cloth face covering. Face coverings must be worn over the mouth and nose for the entire duration of patients' visits. Patients should also come alone, unless they absolutely need assistance from a loved one.

For questions about how to resume or initiate elective care, call your primary care provider or the specialist directly. For a list of providers, visit svhealthcare.org/physician-directory.

Patients with cough or shortness of breath or any two of the following—fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell—should contact their primary care provider or the COVID-19 Informational Hotline at 802-440-8844 before arriving to either their provider’s office or the hospital. For a detailed list of safety protocols, frequently asked questions, visitor guidelines, and COVID-19 information, visit svhealthcare.org.

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