🧠 Parkinson’s Disease Voice Therapy — Concise Q&A

🔹Foundations of PD Speech Disorders

Q1. What type of dysarthria is linked to PD?

A. Hypokinetic dysarthria

Q2. What neural circuit is affected?

A. Basal ganglia control circuit

Q3. Hallmark speech traits?

A. Monopitch, monoloudness, short rushes, imprecise sounds, breathy voice

Q4. Core motor pattern issue?

A. Reduced initiation, range, and speed

Q5. Why use neuroplasticity?

A. Intensive practice helps the brain rewire

🔹LSVT LOUD

Q6. Who developed it?

A. Lorraine Ramig & Cynthia Fox (1987)

Q7. What does LSVT mean?

A. Lee Silverman Voice Treatment

Q8. Key cue?

A. “Be LOUD!”

Q9. Frequency/duration?

A. 4×/week, 4 weeks, 1 hr each

Q10. Core focus?

A. Increase loudness via stronger phonation

Q11. Why do clients feel they’re yelling?

A. Sensory recalibration

Q12. Session traits?

A. High effort, intensity, repetition, sensory focus

🔹SPEAK OUT! & LOUD Crowd

Q13. Founder & organization?

A. Samantha Elandary, Parkinson Voice Project

Q14. Main cue?

A. “Speak with INTENT!”

Q15. Based on what?

A. Intentional speech via direct pathway

Q16. Frequency/duration?

A. 3×/week, 4 weeks, 40 min each

Q17. Follow-up program?

A. LOUD Crowd

Q18. Key difference from LSVT?

A. Focuses on intention vs loudness

🔹Comparison Highlights

Q19. Which has a group phase?

A. SPEAK OUT!

Q20. Which uses “Be LOUD”?

A. LSVT LOUD

Q21. Which uses “Speak with INTENT”?

A. SPEAK OUT!

Q22. Longer sessions?

A. LSVT LOUD

Q23. Shared features?

A. High effort, intensity, repetition, awareness

🔹Clinical Application & Evidence

Q24. Best outcome sign?

A. Louder, clearer daily speech

Q25. SLP’s role?

A. Teach, cue, and ensure carryover