Lee Silverman Voice Treatment (LSVT) and SPEAK OUT!

Evaluation and therapy in the early stages of the disease ― even when symptoms are mild or not noticeable — can help to maintain function.

Two evidence-based approaches to help address speech changes are:

• Lee Silverman Voice Treatment (LSVT) LOUD^®
• Parkinson Voice Project SPEAK OUT!^®

How the Programs Work

LSVT LOUD focuses on improving vocal loudness. The goal of SPEAK OUT is stronger, clearer speech.

You will participate in individual speech therapy through LSVT LOUD or SPEAK OUT!. Then, we encourage you to continue daily exercise to maintain progress you made in therapy.

If you have completed SPEAK OUT, you can attend a SPEAK OUT! group, also known as LOUD Crowd. These groups meet once a week. They offer opportunities for vocal practice, social interaction, support, and accountability.

• LSVT LOUD includes individual therapy, four times per week, for four weeks. Then, you will practice at home every day. You can return for “refresher” sessions as needed.
• SPEAK OUT includes individual therapy, three times per week, for four weeks. You can then attend SPEAK OUT group sessions one time per week for as long as you want.

If needed, LSVT also offers a treatment program called LSVT BIG led by physical and occupational therapists.