Degenerative Disorders and Dementia

Degenerative neurological disorders, such as Parkinson's disease, Alzheimer's disease, and other forms of dementia, can significantly impact communication and swallowing abilities. At our practice, we provide assessment and intervention for individuals with these progressive conditions, focusing on maintaining functional communication and quality of life for as long as possible.

Our approach to degenerative disorders involves:

1. Comprehensive assessment of current communication and swallowing abilities

2. Development of strategies to compensate for declining abilities

3. Education for patients and caregivers about disease progression and management

4. Regular re-evaluation to adjust therapy goals and strategies as the condition progresses

For Parkinson's disease, we often implement the Lee Silverman Voice Treatment (LSVT LOUD) program, which has shown significant efficacy in improving voice and speech in individuals with Parkinson's. A study by Ramig et al. (2018) demonstrated that LSVT LOUD led to improvements in vocal loudness, articulation, and speech intelligibility, with benefits maintained for up to two years post-treatment[1].

In cases of dementia and Alzheimer's disease, our focus is often on maintaining functional communication for as long as possible and supporting caregivers. We use approaches such as spaced retrieval training and errorless learning, which have shown promise in helping individuals with dementia retain and use important information. Bourgeois et al. (2016) found that these techniques can be effective in teaching and maintaining use of memory aids in individuals with mild to moderate dementia[2].

For all degenerative conditions, we emphasise the importance of early intervention. Starting therapy early in the disease process allows for proactive management of symptoms and can help individuals maintain their communication abilities for longer periods.

We also recognise the crucial role of caregivers in managing these conditions. Our therapy programs include caregiver training and support, providing strategies for effective communication and management of daily activities. This holistic approach aims to improve quality of life for both the individual with the degenerative disorder and their support system.

Useful tip: For individuals with degenerative disorders and their caregivers, maintaining a consistent daily routine can be very beneficial. This can help reduce confusion and anxiety, particularly in cases of dementia. Use visual aids, such as calendars or picture schedules, to support memory and organisation. For those with Parkinson's, practice speaking with intention, focusing on speaking louder and more clearly. Remember, regular social interaction and cognitive stimulation are important for maintaining communication skills and overall well-being.

[1] Ramig, L. O., Halpern, A., Spielman, J., Fox, C., & Freeman, K. (2018). Speech treatment in Parkinson's disease: Randomized controlled trial (RCT). Movement Disorders, 33(11), 1777-1791.

[2] Bourgeois, M. S., Brush, J., Elliot, G., & Kelly, A. (2016). Join the Revolution: How Montessori for Aging and Dementia can Change Long-Term Care Culture. Seminars in Speech and Language, 37(3), 177–188.