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CURRENT ISSUEEUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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ORIGINAL ARTICLES  


European Journal of Physical and Rehabilitation Medicine 2015 October;51(5):569-74

language: English

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

Sale P. 1, Castiglioni D. 1, De Pandis M. F. 2, Torti M. 3, Dall’armi V. 1, Radicati F. G. 3, Stocchi F. 3

1 Department of Neurorehabilitation, IRCCS San Raffaele Pisana, Rome, Italy;
2 San Raffaele Cassino, Cassino, Frosinone, Italy;
3 Institute for Research and Medical Care, IRCCS San Raffaele Pisana, Rome, Italy


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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 progressive supranuclear palsy (PSP) patients.
DESIGN: Longitudinal study.
SETTING: Rehabilitative inpatient unit.
POPULATION: Sixteen 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.

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