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LSVT PT
JT
by
Jenna Thomas
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Updated Jul 2, 2020
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00:00 - 00:03
Our presentation is on Ellis VT.
00:03 - 00:04
Physical therapy.
00:06 - 00:09
LCV Tae stands for Lee Silverman voice treatment.
00:10 - 00:12
It's an evidence based speech in movement there be for
00:12 - 00:18
patients with Parkinson's disease was research originally in 1987 and
00:19 - 00:19
it's made up two different components.
00:20 - 00:23
There's a big component and allowed component, so we'll go
00:23 - 00:25
into each of those and what they are.
00:26 - 00:28
This link here at the bottom is just a, um,
00:29 - 00:29
more of a visual.
00:30 - 00:34
Just a short video of an overview of what L
00:34 - 00:35
S V.
00:35 - 00:35
T is.
00:39 - 00:43
The last component is part of LGBT that is performed
00:43 - 00:47
by a speech therapist that is made to address any
00:47 - 00:49
neuro impairments related to speech.
00:50 - 00:55
So likely people with Parkinson's talk a little bit softer,
00:55 - 00:58
and so it's to help them speak up a little
00:58 - 00:58
bit louder.
00:59 - 01:01
But in general, since it's not done by physical there
01:01 - 01:04
bastes. We don't have a lot of information on this
01:04 - 01:07
part, and so we're going to focus on the big
01:07 - 01:11
component. The big is for physical.
01:12 - 01:13
They're being occupational therapy programs.
01:14 - 01:15
It's very structured.
01:16 - 01:19
It is one hour sessions four times a week for
01:19 - 01:24
16 visits, so one month and it involves predetermined movements
01:25 - 01:31
to it addresses key impairments in Parkinson's or other neurological
01:32 - 01:36
populations. Some of these, including flexibility, motor planning and coordination,
01:38 - 01:40
and its goal is to make movements more automatic.
01:41 - 01:44
So if you have someone with Parkinson's disease, you may
01:44 - 01:49
ask them to walk at a five out of 10
01:49 - 01:52
speed, and they may think that there are 25 out
01:52 - 01:55
of 10 but then they may actually be moving at
01:55 - 01:56
a two out of 10.
01:56 - 02:00
And so what this does is exaggerates those movements to
02:00 - 02:04
help them get their normal back up to around five
02:04 - 02:04
out of 10.
02:06 - 02:10
And it involves both the walking program and predetermined exercises
02:11 - 02:17
that they work through each week, um, to help them
02:17 - 02:17
with their progress.
02:20 - 02:23
So it was originally developed for Parkinson's patients.
02:24 - 02:28
But the movements can be used in other neurological populations.
02:29 - 02:33
There may be some carryover, but this program specifically is
02:33 - 02:34
a standardized program.
02:35 - 02:38
And so it was made just for Parkinson's patients, and
02:39 - 02:41
it can be used for any stage of Parkinson's disease.
02:42 - 02:49
But it's typically not used in the and stages, Um,
02:50 - 02:54
but there are some modifications that can be used if
02:54 - 02:57
someone is in a little bit of a higher stage
02:57 - 02:58
or lower stage of Parkinson's.
03:02 - 03:05
Results are typically seen pretty quickly, maybe in the next
03:06 - 03:08
couple, in the first few couple of section sessions.
03:09 - 03:14
But progress notes are done every 10 visits, and that's
03:14 - 03:16
usually how they really monitor the progress.
03:17 - 03:19
And you can use this type of therapy in any
03:20 - 03:27
setting, whether inpatient or outpatient, ours, insurance and billing.
03:28 - 03:32
It's billed under gait training nor muscular Riyadh and Terex
03:33 - 03:36
codes, just like any other physical therapy treatment.
03:37 - 03:42
And people may choose to have a refresher program after
03:43 - 03:44
they've gone through their four weeks.
03:45 - 03:47
If they still feel like they need some help, normally
03:48 - 03:51
they're sent home with lists of exercises to continue with
03:51 - 03:51
at home.
03:52 - 03:57
But the limitation with this program is that you have
03:57 - 03:59
to make it those four times a week for the
03:59 - 04:00
four weeks.
04:00 - 04:03
And so sometimes, especially if someone has other underlying medical
04:04 - 04:09
conditions. They may not have that many visits covered by
04:09 - 04:14
insurance, so it really depends on the patient and what
04:14 - 04:19
type of insurance they have on how much therapy they
04:19 - 04:19
can get.
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