MOTOR SPEECH DISORDERS EXAM 2 - LEE
SILVERMAN VOICE TREATMENT QUESTIONS
LSVT LOUD is an efficacious voice/speech treatment that was specifically developed
for individuals with _____________________ - Answers -Parkinson's disease
The program utilizes high ___________________ & _______________ effort to
improve voice and speech function. - Answers -- respiratory
- phonatory
Following assessment, the LSVT LOUD protocol involves a treatment frequency of
_____________________. - Answers -4x/week for 4 weeks (16 sessions in one month)
Goal of LSVT LOUD - Answers -Patient uses his/her louder voice "automatically" in
daily communication and that there is long-term carryover.
LSVT®LOUD Paradigm Shifts - Answers -• Target: Vocal Loudness (amplitude)
• Mode: Intensive and High Effort
• Calibration: Generalization
Vocal loudness - Answers -• Cueing increased vocal loudness does NOT mean
teaching patients to talk "loud"
• Loudness is what the patient feels in order to have a voice that is WNL
• You are training healthy vocal loudness
Motor Speech Disorders are challenging because you could have... - Answers -◦
Degenerative
◦ Cognitive
◦ Multiple disabilities
◦ Multiple speech production problems
Treatment of one speech target _______________ many levels of speech production -
Answers -- enhances
• Improves efficiency of treatment
• Simplify treatment
Target: Vocal Loudness (amplitude) - Answers -• Single motor organizing theme
• Maximally impacts other aspects of speech production
• Maximum change with minimum patient "cognitive" effort
• Scales up effort across the speech mechanism
• Initiated at vertically lowest level of speech production
How to increase loudness - Answers -•LOUD as the "trigger"
SILVERMAN VOICE TREATMENT QUESTIONS
LSVT LOUD is an efficacious voice/speech treatment that was specifically developed
for individuals with _____________________ - Answers -Parkinson's disease
The program utilizes high ___________________ & _______________ effort to
improve voice and speech function. - Answers -- respiratory
- phonatory
Following assessment, the LSVT LOUD protocol involves a treatment frequency of
_____________________. - Answers -4x/week for 4 weeks (16 sessions in one month)
Goal of LSVT LOUD - Answers -Patient uses his/her louder voice "automatically" in
daily communication and that there is long-term carryover.
LSVT®LOUD Paradigm Shifts - Answers -• Target: Vocal Loudness (amplitude)
• Mode: Intensive and High Effort
• Calibration: Generalization
Vocal loudness - Answers -• Cueing increased vocal loudness does NOT mean
teaching patients to talk "loud"
• Loudness is what the patient feels in order to have a voice that is WNL
• You are training healthy vocal loudness
Motor Speech Disorders are challenging because you could have... - Answers -◦
Degenerative
◦ Cognitive
◦ Multiple disabilities
◦ Multiple speech production problems
Treatment of one speech target _______________ many levels of speech production -
Answers -- enhances
• Improves efficiency of treatment
• Simplify treatment
Target: Vocal Loudness (amplitude) - Answers -• Single motor organizing theme
• Maximally impacts other aspects of speech production
• Maximum change with minimum patient "cognitive" effort
• Scales up effort across the speech mechanism
• Initiated at vertically lowest level of speech production
How to increase loudness - Answers -•LOUD as the "trigger"
