Value of LSVT Spch Therapy (respiratory+laryngeal functns)


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Value of LSVT Spch Therapy (respiratory+laryngeal functns)

Postby Robin » Sun Jul 05, 2015 10:17 am

This small Italian study is about the results of Lee Silverman Voice Treatment speech therapy in those with PSP. LSVT speech therapy was designed with Parkinson's Disease in mind.

A local support group member and I were just speaking about this a week or so ago. My father tried speech therapy (not LSVT) and was apathetic about doing the exercises at home. The group member wondered if maybe those with PSP try speech therapy too late in the disease course such that improvements in voice, speech, and swallowing can't be made. His wife did speech therapy via Skype; they didn't see any benefit from it. Also, I wonder if those with PSP can sustain the intensity required for LSVT -- 4 times a week in class for an hour each time, an hour of homework six days a week, for four weeks straight. I recall one MSA caregiver group member complaining about the time required for the caregiver to do all that driving and cajoling (for homework). I do think that speech therapy (perhaps not LSVT) is worth trying in PSP for the positive results it may have on maintaining one's ability to swallow.

In this small study, those with PSP didn't see as significant improvement as those with Parkinson's. But there were positive results. The abstract concludes as follows: "These results, along with previous findings, add further support to the generalized therapeutic impact of intensive voice treatment on respiratory and laryngeal functions in individuals with PSP."

Robin




You can find this abstract on PubMed (go to pubmed.gov and search for 26138088).

European Journal of Physical and Rehabilitation Medicine. 2015 Jul 3. [Epub ahead of print]

The Lee Silverman Voice Treatment (LSVT®) speech therapy in progressive supranuclear palsy.

Sale P, Castiglioni D, De Pandis MF, Torti M, Dall'Armi V, Radicati FG, Stocchi F.

Abstract
BACKGROUND:
The Lee Silverman Voice Treatment (LSVT®) was specifically created and tested to comply with the needs of individuals with Parkinson's Disease (PD) and other neurological problems. This is a high effort intensive treatment that aims at increasing vocal intensity through the increase of subglottal air pressure, i.e. respiratory effort, for a better cordal adduction and vibration, following the motto "think loud"

AIM: The main goal of this study is to inspect the efficacy of LSVT® treatment in PSP patients.

DESIGN: Longitudinal study.

SETTING: Rehabilitative inpatient treatment.

POPULATION: 16 patients with PSP and 23 patients with idiopathic PD as control were enrolled in the study.

METHODS:
All patients underwent a training consisting in16 sessions of speech therapy following the LSVT® protocol. Initially the two groups of patients had similar voice problems, i.e. low volume and bad articulation of speech.

RESULTS:
A statistically significant improvement was found among the data collected before and after treatment in the PSP and Parkinson groups. Increase in maximum phonation duration and volume of voice in reading were similar in the two groups. Improvement in quality of voice and articulation were more significant in the PD group as compared to the PSP group.

CONCLUSION:
These results, along with previous findings, add further support to the generalized therapeutic impact of intensive voice treatment on respiratory and laryngeal functions in individuals with PSP.

CLINICAL REHABILITATION IMPACT:
The positive results, the absence of dropout and collateral effect following this clinical treatments with LSVT technique encouraged to use this technique in PSP patients.

PMID: 26138088
Robin
 
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