LSVT (LEE SILVERMAN VOICE TREATMENT) COMBINED
EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
270 QUESTIONS AND ANSWERS
1. Q: What does LSVT stand for? A: LSVT stands for Lee Silverman
Voice Treatment, named after Mrs. Lee Silverman, who was the first
patient to receive this specialized treatment approach.
2. Q: Who developed the LSVT program? A: LSVT was developed by
Dr. Lorraine Ramig, Dr. Cynthia Fox, and Dr. Carolyn Bonitati in the late
1980s.
3. Q: What was the original focus of LSVT? A: The original focus of
LSVT was to improve vocal loudness and speech clarity in individuals
with Parkinson's disease.
4. Q: When was LSVT first developed? A: LSVT was first developed in
1987.
5. Q: What is the primary neurological condition that LSVT was
developed to treat? A: LSVT was primarily developed to treat speech
and voice disorders in individuals with Parkinson's disease.
6. Q: What are the two main branches of LSVT? A: The two main
branches are LSVT LOUD (focusing on speech and voice) and LSVT
BIG (focusing on movement and physical therapy).
7. Q: Which branch of LSVT focuses on speech therapy? A: LSVT
LOUD is the branch that focuses on speech therapy.
8. Q: What is the core principle of LSVT LOUD? A: The core principle
of LSVT LOUD is "Think LOUD," which encourages patients to use
increased effort and amplitude in their speech.
, 9. Q: What is the duration of a standard LSVT LOUD program? A: A
standard LSVT LOUD program consists of 16 sessions delivered over 4
weeks (4 sessions per week).
10.Q: How long does each LSVT LOUD session typically last? A: Each
LSVT LOUD session typically lasts 50-60 minutes.
11.Q: Is LSVT an evidence-based treatment? A: Yes, LSVT is an
evidence-based treatment with over 30 years of research supporting its
efficacy.
12.Q: What is the fundamental concept behind LSVT? A: The
fundamental concept behind LSVT is that intensive, high-effort practice
with focus on a single target (loudness for LSVT LOUD or amplitude for
LSVT BIG) can drive neuroplastic changes in the brain.
13.Q: What is the primary goal of LSVT LOUD? A: The primary goal of
LSVT LOUD is to improve vocal loudness and speech intelligibility by
recalibrating the patient's sensory perception of their own voice.
14.Q: How does LSVT differ from traditional speech therapy
approaches? A: LSVT differs from traditional approaches by its
intensive delivery model, singular focus on amplitude (loudness), and
emphasis on sensory recalibration and self-monitoring.
15.Q: What is the meaning of "calibration" in LSVT? A: In LSVT,
"calibration" refers to helping patients accurately perceive the volume
and effort needed to produce normal loudness levels, as many patients
with Parkinson's disease have impaired sensory awareness.
Clinical Applications and Efficacy
16.Q: Besides Parkinson's disease, what other conditions might benefit
from LSVT LOUD? A: Other conditions that might benefit include
multiple sclerosis, cerebral palsy, Down syndrome, stroke, traumatic
brain injury, and ataxic dysarthria.
17.Q: What speech symptoms in Parkinson's disease does LSVT LOUD
target? A: LSVT LOUD targets hypophonia (reduced vocal loudness),
monotone voice, imprecise articulation, and reduced speech intelligibility.
18.Q: Can LSVT be effective for children with speech disorders? A:
Yes, modified versions of LSVT have shown positive results for children
with dysarthria, particularly those with cerebral palsy and Down
syndrome.
,19.Q: What percentage of people with Parkinson's disease develop
speech and voice disorders? A: Approximately 89-90% of people with
Parkinson's disease develop speech and voice disorders during the course
of their disease.
20.Q: How long do the effects of LSVT LOUD typically last? A:
Research has shown that effects can last up to 2 years following
treatment, with maintenance exercises helping to sustain benefits.
21.Q: Are there any contraindications for LSVT LOUD? A: Relative
contraindications include significant cognitive impairment that prevents
following directions, severe depression, and unwillingness to participate
in an intensive program.
22.Q: Can LSVT LOUD be used for patients with advanced Parkinson's
disease? A: Yes, LSVT LOUD can be beneficial even for patients with
advanced Parkinson's disease, though modifications may be necessary
based on individual capabilities.
23.Q: How does LSVT address the issue of reduced facial expression in
Parkinson's disease? A: LSVT incorporates exercises to increase facial
mobility and expressiveness, which can help address hypomimia (reduced
facial expression).
24.Q: What percentage improvement in vocal loudness can typically be
expected after LSVT LOUD? A: Research shows an average of 8-13
decibel increase in vocal loudness following LSVT LOUD treatment.
25.Q: Does LSVT LOUD help with swallowing difficulties? A: While
LSVT LOUD primarily targets speech, there is evidence that it may also
have positive effects on swallowing function due to improved
coordination of respiratory and laryngeal systems.
26.Q: Can LSVT be delivered via telehealth? A: Yes, LSVT can be
delivered via telehealth (known as LSVT eLOUD), and research has
shown comparable outcomes to in-person delivery.
27.Q: Does LSVT LOUD improve speech naturalness? A: Yes, despite
the focus on increased loudness, proper implementation of LSVT LOUD
improves speech naturalness rather than creating an artificially loud or
strained voice quality.
28.Q: Is LSVT effective for individuals with atypical parkinsonism (e.g.,
Progressive Supranuclear Palsy, Multiple System Atrophy)? A:
Research suggests that LSVT can be beneficial for individuals with
, atypical parkinsonism, though the degree of improvement may differ
from those with idiopathic Parkinson's disease.
29.Q: How does LSVT impact speech rate in individuals with
Parkinson's disease? A: LSVT often leads to a more appropriate speech
rate by addressing the rushed speech (tachylalia) common in Parkinson's
disease, though rate control is not explicitly targeted.
30.Q: Can LSVT be modified for patients who cannot attend the
standard 4 sessions per week? A: Yes, extended LSVT programs exist,
such as LSVT-X (2 sessions per week for 8 weeks), although the standard
protocol is preferred when possible.
Treatment Components and Techniques
31.Q: What are the main components of an LSVT LOUD session? A:
Main components include: maximum sustained vowel phonation, pitch
glides, functional phrases practice, and hierarchical speech tasks.
32.Q: What is Task 1 in LSVT LOUD? A: Task 1 is "Maximum Duration
of Sustained Vowel Phonation," where patients produce a loud "ah" for as
long as possible.
33.Q: What is Task 2 in LSVT LOUD? A: Task 2 is "Maximum
Fundamental Frequency Range," where patients produce pitch glides
from low to high and high to low.
34.Q: What is Task 3 in LSVT LOUD? A: Task 3 is "Maximum
Functional Phrase Production," where patients practice producing
everyday phrases with their new, louder voice.
35.Q: What are the main parameters measured during Task 1? A: The
main parameters are duration (how long the sound is sustained) and
sound pressure level (loudness).
36.Q: How many repetitions of each task are typically performed in an
LSVT LOUD session? A: Typically, 15-20 repetitions of each task are
performed to ensure intensive practice.
37.Q: What is the difference between Task 1 and Task 2? A: Task 1
focuses on sustained phonation at a consistent pitch and loudness, while
Task 2 involves varying pitch while maintaining loudness.
38.Q: What type of phrases are used in Task 3? A: Task 3 uses personally
relevant, functional phrases that the patient uses in daily life.
EXAM QUESTIONS WITH 100% VERIFIED ANSWERS
270 QUESTIONS AND ANSWERS
1. Q: What does LSVT stand for? A: LSVT stands for Lee Silverman
Voice Treatment, named after Mrs. Lee Silverman, who was the first
patient to receive this specialized treatment approach.
2. Q: Who developed the LSVT program? A: LSVT was developed by
Dr. Lorraine Ramig, Dr. Cynthia Fox, and Dr. Carolyn Bonitati in the late
1980s.
3. Q: What was the original focus of LSVT? A: The original focus of
LSVT was to improve vocal loudness and speech clarity in individuals
with Parkinson's disease.
4. Q: When was LSVT first developed? A: LSVT was first developed in
1987.
5. Q: What is the primary neurological condition that LSVT was
developed to treat? A: LSVT was primarily developed to treat speech
and voice disorders in individuals with Parkinson's disease.
6. Q: What are the two main branches of LSVT? A: The two main
branches are LSVT LOUD (focusing on speech and voice) and LSVT
BIG (focusing on movement and physical therapy).
7. Q: Which branch of LSVT focuses on speech therapy? A: LSVT
LOUD is the branch that focuses on speech therapy.
8. Q: What is the core principle of LSVT LOUD? A: The core principle
of LSVT LOUD is "Think LOUD," which encourages patients to use
increased effort and amplitude in their speech.
, 9. Q: What is the duration of a standard LSVT LOUD program? A: A
standard LSVT LOUD program consists of 16 sessions delivered over 4
weeks (4 sessions per week).
10.Q: How long does each LSVT LOUD session typically last? A: Each
LSVT LOUD session typically lasts 50-60 minutes.
11.Q: Is LSVT an evidence-based treatment? A: Yes, LSVT is an
evidence-based treatment with over 30 years of research supporting its
efficacy.
12.Q: What is the fundamental concept behind LSVT? A: The
fundamental concept behind LSVT is that intensive, high-effort practice
with focus on a single target (loudness for LSVT LOUD or amplitude for
LSVT BIG) can drive neuroplastic changes in the brain.
13.Q: What is the primary goal of LSVT LOUD? A: The primary goal of
LSVT LOUD is to improve vocal loudness and speech intelligibility by
recalibrating the patient's sensory perception of their own voice.
14.Q: How does LSVT differ from traditional speech therapy
approaches? A: LSVT differs from traditional approaches by its
intensive delivery model, singular focus on amplitude (loudness), and
emphasis on sensory recalibration and self-monitoring.
15.Q: What is the meaning of "calibration" in LSVT? A: In LSVT,
"calibration" refers to helping patients accurately perceive the volume
and effort needed to produce normal loudness levels, as many patients
with Parkinson's disease have impaired sensory awareness.
Clinical Applications and Efficacy
16.Q: Besides Parkinson's disease, what other conditions might benefit
from LSVT LOUD? A: Other conditions that might benefit include
multiple sclerosis, cerebral palsy, Down syndrome, stroke, traumatic
brain injury, and ataxic dysarthria.
17.Q: What speech symptoms in Parkinson's disease does LSVT LOUD
target? A: LSVT LOUD targets hypophonia (reduced vocal loudness),
monotone voice, imprecise articulation, and reduced speech intelligibility.
18.Q: Can LSVT be effective for children with speech disorders? A:
Yes, modified versions of LSVT have shown positive results for children
with dysarthria, particularly those with cerebral palsy and Down
syndrome.
,19.Q: What percentage of people with Parkinson's disease develop
speech and voice disorders? A: Approximately 89-90% of people with
Parkinson's disease develop speech and voice disorders during the course
of their disease.
20.Q: How long do the effects of LSVT LOUD typically last? A:
Research has shown that effects can last up to 2 years following
treatment, with maintenance exercises helping to sustain benefits.
21.Q: Are there any contraindications for LSVT LOUD? A: Relative
contraindications include significant cognitive impairment that prevents
following directions, severe depression, and unwillingness to participate
in an intensive program.
22.Q: Can LSVT LOUD be used for patients with advanced Parkinson's
disease? A: Yes, LSVT LOUD can be beneficial even for patients with
advanced Parkinson's disease, though modifications may be necessary
based on individual capabilities.
23.Q: How does LSVT address the issue of reduced facial expression in
Parkinson's disease? A: LSVT incorporates exercises to increase facial
mobility and expressiveness, which can help address hypomimia (reduced
facial expression).
24.Q: What percentage improvement in vocal loudness can typically be
expected after LSVT LOUD? A: Research shows an average of 8-13
decibel increase in vocal loudness following LSVT LOUD treatment.
25.Q: Does LSVT LOUD help with swallowing difficulties? A: While
LSVT LOUD primarily targets speech, there is evidence that it may also
have positive effects on swallowing function due to improved
coordination of respiratory and laryngeal systems.
26.Q: Can LSVT be delivered via telehealth? A: Yes, LSVT can be
delivered via telehealth (known as LSVT eLOUD), and research has
shown comparable outcomes to in-person delivery.
27.Q: Does LSVT LOUD improve speech naturalness? A: Yes, despite
the focus on increased loudness, proper implementation of LSVT LOUD
improves speech naturalness rather than creating an artificially loud or
strained voice quality.
28.Q: Is LSVT effective for individuals with atypical parkinsonism (e.g.,
Progressive Supranuclear Palsy, Multiple System Atrophy)? A:
Research suggests that LSVT can be beneficial for individuals with
, atypical parkinsonism, though the degree of improvement may differ
from those with idiopathic Parkinson's disease.
29.Q: How does LSVT impact speech rate in individuals with
Parkinson's disease? A: LSVT often leads to a more appropriate speech
rate by addressing the rushed speech (tachylalia) common in Parkinson's
disease, though rate control is not explicitly targeted.
30.Q: Can LSVT be modified for patients who cannot attend the
standard 4 sessions per week? A: Yes, extended LSVT programs exist,
such as LSVT-X (2 sessions per week for 8 weeks), although the standard
protocol is preferred when possible.
Treatment Components and Techniques
31.Q: What are the main components of an LSVT LOUD session? A:
Main components include: maximum sustained vowel phonation, pitch
glides, functional phrases practice, and hierarchical speech tasks.
32.Q: What is Task 1 in LSVT LOUD? A: Task 1 is "Maximum Duration
of Sustained Vowel Phonation," where patients produce a loud "ah" for as
long as possible.
33.Q: What is Task 2 in LSVT LOUD? A: Task 2 is "Maximum
Fundamental Frequency Range," where patients produce pitch glides
from low to high and high to low.
34.Q: What is Task 3 in LSVT LOUD? A: Task 3 is "Maximum
Functional Phrase Production," where patients practice producing
everyday phrases with their new, louder voice.
35.Q: What are the main parameters measured during Task 1? A: The
main parameters are duration (how long the sound is sustained) and
sound pressure level (loudness).
36.Q: How many repetitions of each task are typically performed in an
LSVT LOUD session? A: Typically, 15-20 repetitions of each task are
performed to ensure intensive practice.
37.Q: What is the difference between Task 1 and Task 2? A: Task 1
focuses on sustained phonation at a consistent pitch and loudness, while
Task 2 involves varying pitch while maintaining loudness.
38.Q: What type of phrases are used in Task 3? A: Task 3 uses personally
relevant, functional phrases that the patient uses in daily life.
