Speech-Language Pathologists (SLPs) are always on the lookout for effective, evidence-based treatments that can be applied to a wide range of clients. One such treatment that has proven its versatility across age groups is LSVT LOUD. Originally developed for adults with Parkinson’s disease, LSVT LOUD has expanded its reach to benefit other neurological adult and pediatric populations.
LSVT LOUD for Pediatric Populations
Recent research has shown promising results in applying LSVT LOUD to children with cerebral palsy and Down syndrome. The program’s intensive nature and focus on neuroplasticity principles make it well-suited for younger clients. Studies have demonstrated improvements in many areas including:
- Vocal loudness
- Articulation & speech intelligibility
- Intonation and prosody
- Changes in neural function related to voice and speech
LSVT LOUD for Adult Populations
The treatment’s effectiveness in adults, particularly those with Parkinson’s disease, is well-established, with five randomized control trials and over 30 years of research. This research has demonstrated not only an improvement in vocal loudness, but a spreading of effects across the motor speech system resulting in improvements across:
- Intonation
- Articulation
- Speech Intelligibility
- Voice quality
- Facial Expression
- Changes in neural function related to voice and speech
Bridging the Age Gap: Why LSVT LOUD Works Across Generations
The versatility of LSVT LOUD stems from its core principles:
- Intensive treatment: The protocol involves frequent sessions over a concentrated period, which is beneficial for both developing and aging brains.
- Focus on a single target: By emphasizing healthy vocal loudness, LSVT LOUD simplifies the treatment process, making it accessible for various cognitive abilities. Further, research has shown that the singular voice target can have a spread of effects across the motor speech system.
- Neuroplasticity-driven: The treatment incorporates key principles of activity dependent neural plasticity.
- Personalized: While the core principles remain the same, exercises can be tailored to suit different age groups and cognitive levels.
- Functional carryover: The treatment emphasizes applying skills to real-life situations, benefiting both children learning to communicate effectively and older adults maintaining and improving their communication abilities.
Considerations for SLPs
For SLPs considering LSVT LOUD certification or expanding their practice there are 2 options, both of which provide the same foundational training.
1. The Online LSVT LOUD for KIDS Training and Certification Course offers specialized training for working with younger populations.
2. The Online LSVT LOUD Training and Certification Course provides training through an adult perspective with a focus on Parkinson disease. Application to other neurological populations is discussed as well.
Both courses:
- Train the evidence-based LSVT LOUD treatment and result in the same LSVT LOUD certification that can be used with adults and children giving you versatility throughout your career.
- Provide a decision-making matrix to provide guidance on determining suitable candidates across age groups.
Emerging Trends: LSVT BIG in Pediatrics
There are emerging cases of LSVT BIG, the physical and occupational therapy counterpart to LSVT LOUD, being applied to pediatric populations. While research in this area is still in its early stages, initial reports suggest that the intensive, focused approach of LSVT BIG may also benefit children with motor disorders.
Summary
LSVT LOUD offers a unique, evidence-based approach that spans the entire lifespan. Its adaptability and focus on core principles of motor learning and neuroplasticity make it a valuable tool in any SLP’s clinical repertoire, whether working with young children or older adults.
For more information on the LSVT BIG and LSVT LOUD therapy programs, visit the LSVT Global website. To find a clinician in your area, search our clinician directory. To learn about LSVT Training and Certification, visit our store.