Parkinson’s & Neuro Rehab Program

SPEAK OUT!® consists of one-on-one outpatient speech therapy sessions conducted by a Speech- Language Pathologist. To learn More about SPEAK OUT!® click HERE.


Boone Hospital Center also offers the intensive LSVT-BIG® program for patients with Parkinson’s Disease and other neurological conditions. To learn more about Big® (LSVT-BIG®) click HERE.

Parkinson Voice Project at Boone Therapy

WHO: Individuals diagnosed with Parkinson’s disease, Progressive Supranuclear Palsy, Multiple System Atrophy, Corticobasal degeneration, or Essential tremor who have noticed a change in their speech or voice.

WHAT: Parkinson Voice Project has a two-part therapy approach that strengthens the muscles used for speaking and swallowing by combining individual speech therapy (SPEAK OUT!®) with ongoing group therapy (The LOUD Crowd®).

SPEAK OUT!® consists of one-on-one outpatient speech therapy sessions conducted by a Speech- Language Pathologist. Together, the patient and clinician work their way through a series of speech, voice, and cognitive exercises emphasizing speaking with intent to convert speech from an automatic function to an intentional act.

The LOUD Crowd consists of weekly group speech therapy sessions. This program provides camaraderie, support and encouragement for people who are battling a progressive, degenerative condition and helps patients maintain the benefits gained from SPEAK OUT!® sessions.

WHY: 90% of people with Parkinson’s will develop speech difficulty. Additionally, aspiration pneumonia due to swallowing issues accounts for an estimated 70% of the mortality rate in this population. We believe in the power of communication, as well as the power of living with intent, and want to help you or your loved one live a more fulfilled life.

WHERE: Sessions are held at Boone Therapy on the lower level of Broadway Medical Plaza 1, located across from Boone Hospital Center.

To schedule a consultation, an order for Speech Therapy must be obtained from your physician.

If you have any questions about SPEAK OUT!® or speech therapy, please contact our Speech-Language Pathologist at or 573.815.2709.

Neuro Rehabilitation Program

Lee Silverman Voice Treatment – Big® (LSVT-BIG®)

Live Your Life BIG

Boone Hospital Center offers the intensive LSVT-BIG® program for patients with Parkinson’s Disease and other neurological conditions.  This program is designed to teach patients to make bigger, more quality movements in their everyday lives.

Is This Program Right for Me?

The LSVT-BIG® program is customized to each patient based on their individual needs.  If you struggle with small, shuffling steps, slowness with everyday movements or difficulty with daily activities, this program may be for you.  The LSVT-BIG® program can be completed by patients at all ability levels.


LSVT-BIG® is administered by an OT/PT team on an intensive schedule of 16 individual, 60-minute sessions over 4 weeks.  Typically, this means 4 days a week, 1-hour sessions for 4 weeks.  Interested in learning more?  Contact Boone Therapy for more information at 573.815.3868.