Lee Silverman Voice Treatment (LSVT) is primary utilized as a voice treatment for individuals with Parkinson’s Disease (PD) and attempts to increase vocal loudness and improve vocal function (Ramig L, Sapir S, Fox C, and Countryman S, 2001) (Countryman S, Hoehn M, O’Brien C, Pawlas A, Ramig L, and Sapir S, 2001). There has also been success in utilizing this treatment protocol for patients with dysarthria associated with stroke, and traumatic brain injury as well as children who have cerebral palsy and Down syndrome (Spielman, J Ramig L Mahler L Halpern A Gavin W 2007, )R., Theodoros, D., & Cornwell, P. (January 01, 2008), Marchant, J., McAuliffe, M., & Huckabee, M.-L. (January 01, 2008. LSVT was conceived in 1987 and has been extensively studied around the world since then (Countryman et. Al).
LSVT is a very unique form of voice therapy in that it focuses on several very simple tasks that are designed to maximize the client’s phonation and respiratory functions. (Countrymen et al.) Spielman et all2007 indicated that the standard course of treatment was an extensive treatment schedule of one hour a day, four days a week, for four consecutive weeks. The basis of the treatment regime boils down to overcoming the perception among clients with PD that there is nothing wrong with their speech, and than utilizing intensive sensorimotor training to help them to recognize and use increased effort and louder speech in their day-to-day communication. (Ramig, L. O., Fox, C., & Sapir, S. (January 01, 2004))
Most research studies to test the application and success of LSVT seem to follow the same basic research methodology. Clients with PD are recruited from local support groups, through newspaper advertisements or contact with specialists in other related medical fields. (Countryman et al 2001) (Ramig et al 2001). The normal testing method appears to be randomized control group studies with clients being separated into groups that either receive LSVT or do not receive any voice related therapy, or groups that receive more traditional and less intense forms of vocal or respiration therapy (Ramig et al 2004)(Ramig et al 2001) (Countrymen S. 2001) (Constantinescu, G., Theodoros, D., Russell, T., Ward, E., Wilson, S., & Wootton, R. (January 01, 2011). Control groups can further be broken down into age and gender categories. Initially the clients all have their sound pressure levels are measured to establish a baseline reference point.
This article supports the argument that speech-language pathologists should not use AE scores in reporting results of norm-referenced testing. Age-equivalent scores are the age at which a given raw score is average The authors give many limitations of AE test scores. The first limitation is that AE scores do not take into consideration the range of normal performance whose scores fall into the average range. Age-equivalent scores instead represent the age that the raw score is average. The article goes on to say that the lack of consideration for a normal performance range can result in these scores giving a false standard of performance (Maloney & Larrivee 2007). Another limitation the article discusses is that AE scores promote typological thinking. Age-equivalent scores compare clients to the average of their age group, when in reality, there is no average. Another limitation is the lack of info provided about the examinee’s performance. One cannot assume that because two people have the same score that they responded the same way. This only means that they answered the
From the time Caroline began preschool she had a severe speech sound disorder. She had a lisp along with difficulty producing what she referred to as harsh sounds, such as the sound /r/. The lisp caused difficulty in producing /th/ which was produced in the form of /s/. The sounds that gave her the most trouble were the lingua-dental. There was extreme difficulty in the articulation of her tongue to produce the sounds, and in order to compensate for not being able to say the words properly she began to omit the sounds she could not produce. Her speech language pathologist explained to her that she had a lazy tongue. It was described to her that she did not know how to properly move her tongue in the specific ways to produce the specific sounds. When Caroline was asked what she thought had caused her speech disorder, she thought it was because she had a delay in her verbal abilities and poor mouth structure as her mouth was narrow, and teeth were very crooked. However, the underlying cause was not known.
The most common speech symptom is hypophonia which is reduced vocal loudness. Hypokinetic dysarthria often is associated with variables of pitch and loudness where a patient may be monopitch or exhibit monoloudness (Johnson & Adams, 2006). Speech movements ...
Speech language pathology is another major rehabilitative medical care. Some stroke survivors area unit left with brain disorder, an impairment of language and speaking skills within which the stroke survivor will assume likewise as before the stroke, however is unable to induce the proper words out or is unable to method words coming back [32]. Brain disorder is sometimes caused by a stroke on the left aspect of the brain. Speech language pathology will teach the aphasic stroke survivor and his or her family members’ ways for dealing with this frustrating impairment. Speech language pathologists additionally work to assist the stroke survivor deal with blackout and alternative "thought" issues caused by the stroke [33].
...lman, J., Ramig, L., Story, B., & Fox, C. (2007). Effects of intensive voice treatment (the lee silverman voice treatment [lsvt]) on vowel articulation in dysarthric individuals with idiopathic parkinson disease: acoustic and perceptual findings.Journal Of Speech, Language & Hearing Research, 50(4), 899-912.
I became inspired to become a speech-language pathologist when I first watched the film, Paulie. This film depicted a small girl, named Marie that had a speech impediment, which caused her to stutter. In order to improve Marie’s speech her mother would pronounce certain sounds and practice daily with her. While watching this film I began to realize that there is a number of individuals in our population that have different speech impairments. As I noticed how the character of Marie struggled with her speech impairment I sought to research the different treatments for individuals similar to Marie, and came across speech therapy and speech-language pathologists. I have always been fascinated by language and how it is essential in communication. I view speech-language pathologists as having a major role in helping
Specific Purpose: To help people to understand what Audism is and that the lack of an ability to hear does not mean they are incapable of performing tasks.
National Institute on Deafness and Other Communication Disorders. (November 2002). Retrieved October 17, 2004, from http://www.nidcd.nih.gov/health/hearing/coch.asp
National Institute of Health. (2011). National Institute on Deafness and other communication disorders: Improving the lives of people who have communication disorders. National Institute on
Concurrent Treatment is different than traditional therapy for a speech sound disorder or articulation disorder. Instead of targeting speech sounds in order of complexity from syllable to word to phrase to sentence and so on, Concurrent Treatment bypasses the need for these steps and targets speech sounds with all of these things in a random order every session. In previous studies, Skelton (2004),
The role of a speech-language pathologist (SLP) is a challenging but imperative role to society. When there is pathology present in an individual’s communication, either language-based or speech-based, serious adverse effects can impact the quality and functionality of their lives. This is why I am perusing a career as an SLP. The ever-changing profession as an SLP allures me to the field because the learning never ends. As an academic, I am always prepared to absorb new information, and SLP’s must stay updated on the most current research, to ensure that they are providing the most appropriate services for their clients. Also, because every client is unique with diverse
Alternative Augmentative Communication (AAC) is assistive technology in which it attempts to compensate (either temporarily or permanently) for the impairment & disability patterns of individuals with sever expressive communication disorders (person w/sever speech-language and writing impairments) (ASHA, 1989). When we look towards an AAC device we should focus on a device that is multi-modal and uses the individual’s full communication capabilities, this may include residual speech or vocalizations, gestures or signs and aided communication. While Augmentative refers to supporting existing communication, Alternative replaces unintelligible or nonexistent speech or wr...
The aim is to learn about the treatments available for those who are hearing impaired. This essay will be looking at how the current treatments help, how it has evolved from the past, what is done to improve it.
There comes a time in our life when we know what we want to say, but it does not come out the way we thought it would. Such as being worried about reading out loud in class, going up to an employee in a fast food restaurant to order a simple meal, or making a presentation in class can be terrifying for most individuals with an articulation disorder. An articulation disorder consist of having difficulties producing sounds, substituting sounds, leaving out letters in a word, or adding or changing letters in a word. In most cases when individuals have trouble articulating words he/she might have problems with the main articulators which include: the jaw, lips, teeth, tongue, velum, alveolar ridge, and hard/soft palate. These articulators play