SpeechPathology.com Phone: 800-242-5183


Progressus Therapy

When to Recommend Therapy for Parkinson's Disease

Jessica Huber, Ph.D., CCC-SLP

May 5, 2014

Share:

Question

I have a client with Parkinson’s Disease who I just evaluated. He is on Medicare so each visit is crucial and limited.  He exhibits a slight voice warble with sustained production of the /z/ phoneme, and I did not recommend therapy at this time.  Any thoughts?

Answer

I always think about therapy candidacy from the perspective of how the patient is functioning in everyday life.  If they are not noticing that their speech is changing, they are not saying, for example, that they are withdrawing from social situations, or they do not feel that their daily life is impacted, and when you listen to them, you and the patient's family are not hearing big changes, it is okay to not recommend therapy.  You want to save therapy, especially with Medicare where visits are so highly controlled, for people who are really having significant problems and who are reporting changes to their everyday life.  I think you made a great decision about therapy efficacy and who should be getting therapy.  

Jessica Huber Ph.D., CCC-SLP, is an Associate Professor at Purdue University in the Speech, Language, and Hearing Sciences Department. Her research emphasis is on the effects of aging and motor disorders on speech production. Her current research focus is the treatment speech, balance, and cognitive changes as a result of Parkinson's disease and aging.


jessica huber

Jessica Huber, Ph.D., CCC-SLP

Jessica Huber Ph.D., CCC-SLP, is an Associate Professor at Purdue University in the Speech, Language, and Hearing Sciences Department. Her research emphasis is on the effects of aging and motor disorders on speech production. Her current research focus is the treatment of speech, balance, and cognitive changes as a result of Parkinson's disease and aging.


Related Courses

Behavioral Frameworks for Dementia Management
Presented by Mary Beth Mason, PhD, CCC-SLP, Robert W. Serianni, MS, CCC-SLP, FNAP
Video

Presenters

Mary Beth Mason, PhD, CCC-SLPRobert W. Serianni, MS, CCC-SLP, FNAP
Course: #9473Level: Intermediate1 Hour
  'Very practical, functional information that I can use to help my patients!'   Read Reviews
This course will focus on cognitive-communication intervention strategies for various dementia presentations and will provide a review of evidence-based treatment. Behavioral frameworks along with their rationales will be introduced and applied across several dementia types and mild, moderate and severe levels of impairment.

Dysphagia in Neurodegenerative Disease
Presented by Debra M. Suiter, PhD, CCC-SLP, BCS-S
Video

Presenter

Debra M. Suiter, PhD, CCC-SLP, BCS-S
Course: #9732Level: Intermediate1 Hour
  'Variety of treatment options instead of just “giving up” because of the prognosis of the disease'   Read Reviews
Dysphagia is common in individuals with amyotrophic lateral sclerosis (ALS) and Parkinson’s disease. This course discusses the underlying pathophysiology and appropriate treatment programs for each disease, as well as use of alternate methods of nutrition/hydration.

Social Isolation and COVID-19 Cognitive Decline: From Zero to Hero!
Presented by Amber B. Heape, ClinScD, CCC-SLP, FNAP, CMD, CMDCP
Video

Presenter

Amber B. Heape, ClinScD, CCC-SLP, FNAP, CMD, CMDCP
Course: #9514Level: Intermediate1 Hour
  'It was thorough and gave various ideas for tasks to include in therapy'   Read Reviews
Social distancing and isolation associated with the COVID-10 pandemic have begun to take a toll on patients in residential settings, but SLPs can help mitigate the long-term consequences. This course will discuss the risk factors for and effects of isolation, as well as potential strategies to prevent or reverse pandemic-related cognitive decline.

Brain Health Basics: Strategies for SLPs to Support Healthy Aging for Adult Patients
Presented by Megan L. Malone, MA, CCC-SLP, Jennifer Loehr, MA, CCC-SLP
Video

Presenters

Megan L. Malone, MA, CCC-SLPJennifer Loehr, MA, CCC-SLP
Course: #9785Level: Introductory1 Hour
  'Functional ideas'   Read Reviews
This Back to Basics course focuses on the preventative aspect of improving brain health with adult patients, with emphasis on elements that SLPs can target during instruction or counseling aspects of patient treatment and caregiver support. Additional information is provided on advocacy for these services and community outreach to organizations working with older adults.

Alzheimer's 101: An Overview for Healthcare Professionals
Presented by Megan L. Malone, MA, CCC-SLP, Jennifer Loehr, MA, CCC-SLP
Video

Presenters

Megan L. Malone, MA, CCC-SLPJennifer Loehr, MA, CCC-SLP
Course: #8009Level: Introductory2 Hours
  'The case studies'   Read Reviews
This course will provide an overview for the healthcare professional about Alzheimer’s disease and related disorders. Participants will learn strategies related to improving communication with patients and families, understanding and managing behavioral challenges, and promoting independence.