10/20/2025
When Parkinson’s impacts your voice—making speech softer, monotone, or harder to understand—voice therapy can make a world of difference. At Speech Unbound, we have clinicians trained in both LSVT LOUD® and SPEAK OUT!®, two leading, evidence-based programs that support clearer, stronger communication.
➡️ How they help:
LSVT LOUD® focuses on retraining vocal loudness. It uses high-effort, intensive practice to “recalibrate” how loud someone perceives their voice, aiming for more natural volume and improved speech clarity over time.
SPEAK OUT!® emphasizes speaking with intent, combining voice exercises with speech clarity and functional communication tasks. It also includes ongoing group practice (“LOUD Crowd”) to help maintain gains.
➡️ Key differences (and what they share):
LSVT is more strictly focused on loudness training, while SPEAK OUT! integrates clarity, articulation, and real-world speech tasks.
ADULT SPEECH THERAPY
The intensity and schedule differ: LSVT is typically 16 one-hour sessions over 4 weeks. SPEAK OUT! often uses 12 sessions over 4 weeks, with transition into group or maintenance sessions afterward.
➡️ What’s common between them: both rely on principles of motor learning, high repetition, and sensory feedback to help the brain re-learn healthier patterns.
➡️ Why early & frequent therapy matters:
Parkinson’s-related voice changes can begin subtly. Jumping into therapy earlier helps maximize benefit before changes become entrenched.
Consistency matters. Gains from LSVT and SpeakOut! have been shown to last, but only when paired with regular practice and reinforcement.
We’re proud that Speech Unbound has therapists trained in both LSVT LOUD® and SPEAK OUT!®, allowing us to tailor the best approach for each person’s goals and needs.
✨ If you or a loved one is experiencing weakening voice or trouble being understood, it’s never too early to reach out. Better communication often starts with intentional therapy—and consistent effort.
Let us help you speak with strength, clarity, and confidence. 💬