Treatment Approaches for Parkinson’s Voice Disorder

Speech therapy for Parkinson’s voice disorder is designed to help individuals regain control over their speech and voice. Some of the most common and evidence-based approaches include:

1. Speak OUT!® Program

One of the most well-known and effective therapies for treating Parkinson’s voice disorder is the Speak OUT!® program. This program was specifically designed for individuals with Parkinson's disease and is based on the principle of speaking with intent. The Speak OUT!® program focuses on strengthening the muscles involved in speech, improving vocal loudness, and enhancing speech clarity.

The treatment is typically delivered through a series of speech therapy sessions, where patients engage in both speech exercises and functional communication activities. These sessions aim to retrain the brain to produce louder, more clear speech. The core of the Speak OUT!® program involves cognitive-linguistic exercises and speech drills to help patients rediscover the power of their voice. As patients progress, they learn to carry over these skills into real-world situations.

2. Respiratory Muscle Strength Training (RMST)

Another treatment that can improve voice quality in individuals with Parkinson's is Respiratory Muscle Strength Training (RMST). Parkinson’s disease can weaken the muscles involved in breathing, which in turn can affect the strength of the voice. RMST involves specific exercises that target the respiratory muscles to enhance the volume and control of speech. By improving breath support, individuals may experience greater vocal strength and clarity when speaking.

3. Voice Exercises and Techniques

Many speech therapists also use targeted exercises to help strengthen the muscles involved in speaking. These exercises focus on improving articulation, breath control, and vocal pitch. For instance, some exercises may include practicing pitch variations, breathing techniques, and voice projection to combat monotone or quiet speech. These exercises often involve repeating phrases, working on vowel sounds, or practicing certain syllables.

4. Speech Strategies for Everyday Communication

In addition to formal therapies, speech-language pathologists (SLPs) work with patients on strategies to improve everyday communication. For example:

• Pacing: Patients are encouraged to slow down their rate of speech, which can help with articulation and make it easier for others to understand.

• Articulation drills: SLPs may work with patients on enunciating words more clearly, emphasizing syllables to improve clarity.

• Visual or auditory cues: Some people with Parkinson’s disease benefit from visual or auditory reminders to help regulate their speech volume, pace, and clarity.

5. Support Groups and Community Resources

Joining a support group or participating in community-based programs can be an important supplement to speech therapy. Being part of a group of individuals with similar challenges can provide a sense of empowerment, reduce feelings of isolation, and give people an opportunity to practice their communication skills in a supportive environment.

Voice disorders are a common and challenging symptom of Parkinson’s disease, but they don’t have to diminish a person’s ability to communicate. With the right combination of therapies and interventions, individuals can regain control of their voice and maintain meaningful connections with others. Speech therapy, particularly approaches like the Speak OUT!® program, respiratory training, and targeted exercises, can make a significant difference in improving speech clarity, volume, and overall communication. If you or a loved one are experiencing voice changes due to Parkinson’s disease, consulting with a speech-language pathologist can help you explore the best treatment options and work toward a better, more effective way of communicating.

 Author: Brittany Schoellkopf M.S., CCC-SLP