Outpatient: Services

LSVT® (Lee Silverman Voice Treatment) LOUD Services,


Learn about our upcoming Parkinson's Wellness Programs.
Click on the logo below to learn more.


LOUD Services, is a therapy approach developed for a patient named Lee Silverman who had communication deficits due to her Parkinson disease. Dr. Lorraine Ramig and her colleagues at the National Center for Voice and Speech at the University of Colorado developed LSVT® LOUD through grants from NIH and the Offices of Education. Dr. Becky Farley and her colleagues took the principles of LSVT® LOUD, that have been so successful for people with Parkinson’s Disease, and applied them to the limb motor system when they created LSVT® BIG.

LSVT® LOUD improves both the voice and speech of individuals with Parkinson disease by treating the underlying physical pathology associated with the disordered voice.

  • Improves vocal loudness
  • Immediate carryover into daily communication.
  • Enables patients to maintain and/or improve their oral communication.

Shows benefits in swallowing, facial expression, intelligibility and improved brain function. 90% of patients improve vocal loudness from pre to post treatment. Approximately 80% of patients maintain treatment improvements in their voice for 12-24 months post-treatment. ALL patients report improvement in their ability to communicate

LSVT® LBIG is a standardized exercise program that adheres to principles of practice promoting strength, motor learning and changes in brain function.

  • Intensive OT and PT program
  • Treats the unique symptoms of Parkinson Disease.
  • Promotes bigger, full body movements to improve the ease of daily activities, such as walking, getting out of bed, and getting dressed.
  • Retrains sensory awareness of the effort required for normal movement.

Initial research has shown LSVT® BIG to enhance larger amplitude whole body functional movements for up to 3 months that include:

  • Faster walking with bigger steps.
  • Better balance.
  • Increased trunk rotation

LSVT® BIG and LOUD programs are administered on an intensive schedule. 16 individual, 60 minute sessions in one month’s time. LSVT® BIG and LOUD can only be offered through Certified Clinicians.

For more information or to schedule an appointment, please call (603) 893-2900 ext. 3210 or 3216.

Print this page