John Dean – Parkinson’s and the SLP: Treatment Approaches for Voice, Speech, Language, Cognition and Other Issues – PESI

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Exploring the Essential Features of “John Dean – Parkinson’s and the SLP: Treatment Approaches for Voice, Speech, Language, Cognition and Other Issues – PESI”

Speaker: John Dean, MA, CCC-SLP
Format: Audio and Video
Media Type: Digital Seminar

Description
Motor symptoms in Parkinson’s, such as slowness of movement, rigidity, and tremor have long been the focus of identification, assessment, and treatment with rehab as well as with medications and surgery.

However, the problem is some of the earliest symptoms to appear—the non-motor issues—impact speech, language, and cognition and are often overlooked until these symptoms become more pronounced and visible. Also, of concern, many of these issues are not responsive to pharmacological or surgical intervention. This is where treatment with speech-language pathologists comes into play.

Join international Parkinson’s expert, John Dean, MA, CCC-SLP, as he helps you find the clinical answers you’ve been seeking for clients with symptoms that are not responsive to pharmacological or surgical intervention.

This workshop will be a fast-moving intensive look at a range of common communication and cognitive issues associated with Parkinson’s as they intersect with the speech-language pathology scope of practice, including voice and speech as well as language and cognition. You will learn how to skillfully implement a range of treatment approaches to meet your clients’ needs and goals!

Speaker
John Dean, MA, CCC-SLP, has been specializing in the treatment of Parkinson’s and related disorders since 2007. In addition to clinical work, he has been involved in an array of Parkinson’s-related projects ranging from the development of interdisciplinary Parkinson’s rehab networks for a large healthcare company, founding startups that build technologies for people living with Parkinson’s and even a stint as a member of the senior leadership at the Davis Phinney Foundation.

John currently divides his time between Lisbon and Colorado, collaborating with physiotherapist Josefa Domingos to develop exercise activities that combine movement, voice, and cognition, as well as running a startup that creates technologies to help scale up dual-task training for patients around the world.

Speaker Disclosures:
Financial: John Dean maintains a private practice. He receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: John Dean serves on the scientific advisory board for the Davis Phinney Foundation and is committee chair for the International Parkinson and Movement Disorder Society. He is a member of the American Speech Language Hearing Association and the International Parkinson and Movement Disorder Society.

Objectives

1. Evaluate key areas of cognitive dysfunction associated with Parkinson’s and potential implications upon communication.
2. Investigate core features of Parkinson’s with respect to communication deficits and swallowing dysfunction and relevant treatment approaches for each.
3. Employ computer and/or smart phone-based technologies that can be employed by the speech language pathologist to help improve speech and voice in patients with Parkinson’s.

Outline

Hallmarks of Parkinson’s-Speech

• Quiet voice/hypophonia
• Sloppy articulation – excess noise due to frication
• Visualization of the vocal folds

Treatment Approaches

• LSVT LOUD (formally Lee Silverman Voice Therapy)
• SPEAK OUT (Parkinson’s Voice Project)
• PLVT (Pitch Limited Voice Therapy)
• Apps

Articulation Difficulties & Fluency Disorders

• Parkinson’s Swallowing
• Drooling and risk for swallowing dysfunction
• Potential impacts for each stage of swallowing
• Emerging tools and other possible ways to help
• Other interventions with strong evidence

Cognition – The Intersection of Language and Cognition

• Influence of other cognitive domains
• Attention
• Set shifting
• Disinhibition
• Executive function

Target Audience

• Speech-Language Pathologist

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