Parkinson's disease and voice rehabilitation

LSVT-LOUD compatible biofeedback plus intonation training for your patients with Parkinson's disease.

+6 dB

average vocal gain with LSVT LOUD (Ramig et al., 2001)

6 tasks

in the built-in Parkinson's assessment, about 35 minutes

Videos

Videos to share with your patients

Short, captioned explainers to send to a patient or their family after a session.

The Parkinson's voice: hypophonia, monopitch, dysarthria

Parkinson's disease leads to hypokinetic dysarthria: a voice that is too soft (hypophonia), too monotone (loss of F0 variation), with reduced articulation and sometimes a festinating rate. Patients cannot perceive on their own that their voice has become inaudible. That is the heart of the therapeutic challenge.

ICD-10: G20

Hypophonia: soft voice, constant effort to be heard

Monotone voice: loss of melodic variation (flat F0)

Festinating rate: uncontrolled acceleration mid-utterance

Reduced articulation: imprecise consonants, low amplitude

Monitoring deficit: the patient believes they are speaking normally

What Talk Slower brings to this indication

Intonation module (F0): Parkinson's prosody

Real-time visualization of the melodic contour via NSDF autocorrelation. 11 prosodic and emotional intentions. Voice coaching segment by segment. Ideal for countering monotone speech, a symptom that is often under-treated.

Neuro articulation exercises

PA-TA-KA, oral-facial praxis, tongue twisters. Optional combined articulation plus intensity work for patients who are both dysarthric and hypophonic. 20 dedicated exercises.

Assessment and longitudinal tracking

Intensity progress curve over several weeks, session history, replayable recordings. See the gains between two appointments.

Try it live

These modules run right in your browser, microphone optional. This is what your patients see between sessions.

Vocal projection biofeedback: LSVT-LOUD principle

Read this sentence aloud:

“Hello, my name is Marie and I've lived in Lyon for twenty years.”

Keep your level in the green zone for 10 seconds.

How it fits into your practice

1

1. Calibration

The patient reads a neutral sentence for 5 seconds. The app measures their resting conversational voice.

2

2. Projection exercise

They read a text following the gauge. The green zone = LSVT goal reached.

3

3. Intonation

They practice melodic contours across 11 intentions. Their F0 curve displays in real time.

4

4. Assessment

Session result: % of time in the projection zone, average intensity, progress curve over time.

5

5. Follow-up

You review the history from your dashboard. You adjust the goals at each session.

Clinical assessmentsBeta · orientation aid

Parkinsonian speech, measured task by task

The patient speaks, the analysis engine pre-fills the measures, you keep control of every value - and the Word report is ready at the end.

Parkinson's assessment

Voice & speech · MPT, GRBAS, diadochokinesis

6 tasks · ~35 min
  • Maximum phonation time and diadochokinesis (tempo, regularity) measured on audio
  • GRBAS and voice-impact questionnaire built in, with norms displayed alongside
  • Orientation towards vocal projection and intonation exercises
Automatic comparison with the previous assessment (T0 → T1)

Clinical orientation aids, to be validated in consultation. The app does not establish any diagnosis.

Clinical references

LSVT-LOUD produces an average gain of +6 dB, maintained at 6 and 12 months with daily practice.

Ramig et al. (2001), Movement Disorders

Meta-analysis of behavioral speech treatments in PD: intensive approaches targeting vocal intensity (LSVT-type) yield the strongest evidence.

Atkinson-Clement, Sadat, Pinto (2015), Neurodegenerative Disease Management

Parkinsonian dysarthria has three components, dysphonia, dysprosody (F0 monotony) and dysarthria, which progress gradually over the course of the disease.

Pinto, Ghio, Teston, Viallet (2010), Revue Neurologique

Early speech therapy intervention is decisive. Too many patients are referred late, even though speech therapy is effective from the first vocal signs.

Gentil, Esnault, Danaila, Broussolle (2016), Pratique Neurologique

Comparison of available tools

What the main tools offer for this indication, according to their official websites.

ToolVoice biofeedbackSPS measurement (rate)Browser-basedNo installationRemote trackingFree for patients
Talk Slower
LSVT Coach
Voice Analyst
SPEAK OUT!

= partial or limited feature. Sources: official tool websites, May 2026.

Extend the impact of your sessions between appointments

Your patients practice at home with the same biofeedback as in session. You see their progress before they even walk in.

Frequently asked questions