Amy Speech & Language Therapy, Inc.
  • Home
  • About Us
    • Contact Us
    • Sponsorship & Collaboration
  • Speech Store
    • Free SLP Downloads
  • Dysphagia
    • The Normal Swallowing Process
    • Brain & CN's
    • Guidelines for Safe Swallowing
    • Imaging Examinations
    • Dysphagia Diagnosis
    • Liquids
    • Dysphagia Diets
    • Oral Care/Oral Hygiene
    • Predictors of Aspiration Pneumonia (AP)
    • Dysphagia Treatment Strategies >
      • Tube Feeding
  • Language
    • Developmental Milestones
    • Early Language Learning
    • Enhance Your Child's Communication
  • Aphasia
    • Symptoms of a Stroke
    • Language After Stroke
    • Aphasia Treatment
  • Feeding
    • Oral Motor
    • GI Disorders in Pediatric Feeding
    • Drooling
  • Autism
    • Therapy
    • Sensorimotor
    • Stimulation
  • Articulation vs Phonological
    • Speech Sound Development
    • Articulation Therapy Materials
  • Literacy
    • Reading
    • Processing Disorders
    • Writing
    • Enhance Literacy
    • Literacy Treatment
    • Phonemic Awareness Treatment
  • Voice
    • Voice Tips
    • Voice Therapy
    • Voice Modifications
  • Motor Speech Disorders/Dysarthrias
    • Classifications of the Dysarthrias
  • Stuttering
    • Normal Fluency Development
    • Enhance Fluency at Home
    • Deal with Stuttering Effectively
  • Treatment
    • Speech Therapy Material Links >
      • Communication Boards
      • Speech Therapy APPS
      • Word Finding Strategy
  • Patient Advance Directives
  • Resources
  • Services & Payment Options
    • Client History Forms
  • Blog/News
  • Contact Us

Swallowing and voice effects of Lee Silverman Voice Treatment (LSVT®): a pilot study A El Sharkawi, L Ramig, J Logemann, B Pauloski, A Rademaker, C Smith, A Pawlas, S Baum, and C Werner Northwestern University, Evanston, Illinois 60208, USA.

4/1/2012

0 Comments

 
After treatment of the LSVT® LOUD program on 8 PD pts, there was a 51% reduction in the number of swallowing motility disorders. LSVT® resulted in reduced transit time and reduced oral residue after liquid swallows as well as the perceived voice changes after LSVT® included a significant increase in vocal intensity during sustained vowel phonation as well as during reading.

Conclusions: "LSVT® seemingly improved neuromuscular control of the entire upper aerodigestive tract, improving oral tongue and tongue base function during the oral and pharyngeal phases of swallowing as well as improving vocal intensity."

Thoughts - We know that LSVT® increases loudness through cueing and intensive repetition to improve automaticity.  Increased practice and repetition will eventually decrease effort and increase the memory for the motor behavior, or the decreased sensory processing established in the basal ganglia.  One one hand, it makes sense to train through "cueing and intensive repetition in order to improve the automaticity" lost in the basal ganglia.  But on the other hand, maybe the loss in the sensorimotor processing, that causes the decrease in function should be addressed?  Dromey, Johnson, & Ramig (1995) researched speech and voice changes pre, post - treatment, and at follow - up, associated with vocal intensity treatment via traditional LSVT hierarchy. They used a Rothenberg mask to provide detailed information about the speed of the opening and closing of the vocal folds, the OQ, the amplitude of vibration, and the spectral slope.  A Respigraph was utilized to measure rib cage and abdomen capacities. This study could possibly be duplicated and measures for VF opening and closure could be used for swallowing implications as well. 

My point - there is much more work to be done in the LSVT® Dysphagia Treatment indications. 

0 Comments



Leave a Reply.

    Amy Speech & Language Therapy, Inc

    RSS Feed

    View my profile on LinkedIn

    Amy Reinstein, M.S., CCC - SLP
    SIG 13 Affiliate

    Passion for all things Speech and learning to be a techie too!  Would love to hear feedback from viewers and if you have things you would like to see on the website, please contact me and I would be happy to oblige!


    Archives

    April 2015
    March 2015
    July 2014
    June 2014
    May 2014
    April 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    March 2013
    February 2013
    January 2013
    September 2012
    August 2012
    July 2012
    June 2012
    May 2012
    April 2012
    March 2012
    February 2012
    December 2011

    Categories

    All
    Alzheimers
    Applied Behavior Analysis (ABA)
    Autism
    CEU's
    Developmentally Delayed
    Dysphagia
    Hearing Loss
    Language Development
    Media
    Pediatrics
    Resources: Disabilities
    Resources: Disabilities
    Sensorimotor
    Skilled Nursing Facility
    Social Media
    Treatment


Amy Speech & Language Therapy, Inc.
amyreinsteinslp@gmail.com
​
ph: 561-739-2024



Copyright © 2010 Amy Speech Language Therapy. All Rights Reserved.
  • Home
  • About Us
    • Contact Us
    • Sponsorship & Collaboration
  • Speech Store
    • Free SLP Downloads
  • Dysphagia
    • The Normal Swallowing Process
    • Brain & CN's
    • Guidelines for Safe Swallowing
    • Imaging Examinations
    • Dysphagia Diagnosis
    • Liquids
    • Dysphagia Diets
    • Oral Care/Oral Hygiene
    • Predictors of Aspiration Pneumonia (AP)
    • Dysphagia Treatment Strategies >
      • Tube Feeding
  • Language
    • Developmental Milestones
    • Early Language Learning
    • Enhance Your Child's Communication
  • Aphasia
    • Symptoms of a Stroke
    • Language After Stroke
    • Aphasia Treatment
  • Feeding
    • Oral Motor
    • GI Disorders in Pediatric Feeding
    • Drooling
  • Autism
    • Therapy
    • Sensorimotor
    • Stimulation
  • Articulation vs Phonological
    • Speech Sound Development
    • Articulation Therapy Materials
  • Literacy
    • Reading
    • Processing Disorders
    • Writing
    • Enhance Literacy
    • Literacy Treatment
    • Phonemic Awareness Treatment
  • Voice
    • Voice Tips
    • Voice Therapy
    • Voice Modifications
  • Motor Speech Disorders/Dysarthrias
    • Classifications of the Dysarthrias
  • Stuttering
    • Normal Fluency Development
    • Enhance Fluency at Home
    • Deal with Stuttering Effectively
  • Treatment
    • Speech Therapy Material Links >
      • Communication Boards
      • Speech Therapy APPS
      • Word Finding Strategy
  • Patient Advance Directives
  • Resources
  • Services & Payment Options
    • Client History Forms
  • Blog/News
  • Contact Us