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Helping Parkinson's patients feel bigger and get louder

Parkinson's disease can leave you looking small and sounding quiet due to these common issues:

  • Soft voice
  • Hoarse voice
  • Monotone
  • Mumbled speech
  • Slower movement
  • Tremors
  • Loss of balance

You or a loved one can feel bigger and get louder with help from therapists at Bryan Rehabilitation Services. At Bryan West Campus, we have LSVT Certified Clinicians to help you or a loved one improve communication and movement.

The Lee Silverman Voice Treatment (LSVT) has proven outcomes backed by 25 years of research. LSVT consists of two different programs - LOUD and BIG. LSVT LOUD teaches patients how to use their voice at a normal volume. Following the same principles, LSVT BIG helps patients improve their body movements.


A speech language pathologist will deliver this one-on-one treatment in one month:

  • One-hour sessions
  • Four sessions per week
  • Four consecutive weeks
  • Daily 10-15 minute exercises on your own

The goal is to generate a stronger voice for daily communication. This does not mean that it teaches the patient to shout. Instead, the treatment retrains the perception in the brain to develop a voice that can you can use without strain at an appropriate volume. Through daily practice, this will become a lifelong habit, even after the sessions are complete.


The occupational therapist will deliver this one-on-one treatment in one month:

  • One-hour sessions
  • Four sessions per week
  • Four consecutive weeks
  • Daily 10-15 minute exercises on your own

The goal is to train Parkinson's disease patients to use their body more normally. It has been shown to improve daily living activities, such as walking, getting dressed or getting up from a chair. These improvements will come through daily practice, even after the sessions are complete.

Ask Your Doctor for a Referral & Prescription

Ask your doctor about referrals to speech, physical and occupational therapies:

  • Speech therapy for LSVT LOUD
  • Physical or occupational therapy for LSVT BIG
  • The prescription should be for evaluation as well as treatment

To schedule an appointment, call 402-481-5121
For information and questions, call 402-481-9445

cathryn breutzmann

Cathryn Breutzmann, occupational therapist

Cathryn Breutzmann, OTD, OTR/L earned her bachelor’s degree in psychology with a neuroscience minor from Gustavus Adolphus College in St. Peter, MN. She earned a doctorate in occupational therapy from Creighton University in Omaha. She has experience working with a wide variety of diagnoses including neurological, orthopedic, trauma, mental health and general medical conditions. Cathryn is an ergonomic specialist and licensed in physical agent modalities and LSVT BIG for Parkinson's disease. She is also a member of the American Occupational Therapy Association.

Provides therapy at: Bryan West Campus

Dan KasparekDaniel Kasparek, speech language pathologist

Daniel Kasparek, MA, CCC-SLP earned his bachelor's degree at the University of Nebraska at Omaha and master's degrees in both Linguistics and in speech-language pathology at the University of Kansas. He has worked in both inpatient and outpatient rehabilitation settings gaining experience in swallowing disorders, voice disorders, stroke recovery, cognitive-communication disorders and degenerative diseases. Daniel in certified in Vital Stimulation for swallow recovery and LSVT LOUD for those with Parkinson's disease.  

Provides therapy at: Bryan West Campus


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