273 KB16 KB200820252017Drljepan, Matejaštevilka:1letnik:16str. 61-64ISSN:1580-9315COBISSID_HOST:2335593URN:URN:NBN:SI:doc-7R8UVS06slUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)glasbena terapijaglasen govorhipokentična dizartrijahypokinetic dysarthriaLee Silverman Voice Treatmentloud speechLSVTMusic TherapyParkinson DiseaseParkinsonova bolezenParkinson's diseaserehabilitationtherapeutic useGlasovna terapija Lee Silverman predstavitev in uporaba| Lee Silverman voice treatment - introduction and application|The Lee Silverman voice treatment is an evidence-based treatment approach primarily intended for patients with hypokinetic dysarthria. This condition is most frequently encountered in patients with Parkinson's disease (PD). With the progress of the disease, PD patients start talking with a weaker and quieter voice, which makes it increasingly hard for others to understand them. Due to the disordered perception of their own speech, the patients are not aware that they speak much more quietly. They often report that their family members are having hearing difficulties, and that their own speech is of normal volume. Barely intelligible speech is the main reason for the referral to a speech language therapist. The Lee Silverman voice treatment, which is aimed at improving speech volume and consequently improving speech intelligibility, has turned out to be the most suitable speech therapy method to improve the speech of PD patients. This high-intensity treatment helps patients recognise that their voice is too weak and teaches them to speak louder, while still remaining within the normal volume range, in order to improve their speech intelligibility. With training, the patients are able to increase the volume of their speech quite fast, but the largest challenge both for the speech language therapist and the patient is to transfer this volume into their everyday spontaneous speech. Through therapy and the everyday tasks that they are asked to do even after the end of their treatment, the patients get used to their newly acquired loud speech and begin to use it in their daily livesGlasovna terapija Lee Silverman je z dokazi podprta terapija, ki je namenjena predvsem bolnikom s hipokinetično dizartrijo. Le-to najpogosteje srečamo pri bolnikih s Parkinsonovo boleznijo (PB). Z napredovanjem bolezni začnejo bolniki s PB govoriti s šibkim in tihim glasom, ki postaja za okolico vse slabše razumljiv. Zaradi motenj v zaznavanju lastnega govora se bolniki ne zavedajo, da govorijo z izrazito tišjim glasom. Pogosto navajajo, da so svojci tisti, ki imajo težave s sluhom, njihov govor pa je povsem primerne glasnosti. Slabo razumljiv govor je glavni vzrok za napotitev k logopedu. Kot najustreznejša logopedska metoda za izboljšanje govora oseb s PB se je izkazala glasovna terapija Lee Silverman, ki je usmerjena v izboljšanje glasnosti govora, kar vpliva na boljšo razumljivost. Je visoko intenzivna in bolnikom pomaga priti do spoznanja, da je njihov glas prešibak ter da morajo za boljšo razumljivost uporabljati glasen govor, ki je znotraj običajne glasnosti. Bolniki glasen govor z vajami hitro pridobijo, vendar je največji izziv tako za logopeda kot bolnika, da svoj glas prenesejo v vsakodnevni spontani govor. Preko treninga v terapiji in vsakodnevnih domačih nalogah, ki jih morajo izvajati tudi po zaključeni terapiji, se bolniki navadijo na novo pridobljeni glasen govor in ga začnejo uporabljati v vsakodnevnem življenjuTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča