skip to main content

PD Speech – LSVT LOUD — SCE Neurology MCQ

Instant feedback + full explanation. One question, done properly.

HardMovement DisordersPD Speech – LSVT LOUDSCE Neurology

Parkinsonian hypophonia remains functionally limiting despite optimised medication. Which targeted rehabilitation has the strongest mechanistic fit?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — An intensive high-effort voice programme such as LSVT LOUD delivered by specialist speech and language therapy, clinically

The best answer is “An intensive high-effort voice programme such as LSVT LOUD delivered by specialist speech and language therapy, clinically”. LSVT LOUD recalibrates vocal effort and self-monitoring for hypokinetic dysarthria; NICE supports referral to specialist speech and language therapy. “Melodic intonation therapy designed for non-fluent aphasia” is plausible in a different neurological context, but the decisive findings here argue against it. “Routine sign-language replacement despite intelligible speech” is plausible in a different neurological context, but the decisive findings here argue against it. “Passive facial massage without voice practice” is plausible in a different neurological context, but the decisive findings here argue against it. “Permanent communication-device use before a speech assessment” is plausible in a different neurological context, but the decisive findings here argue against it.

Reference: NICE NG71 Parkinson’s disease recommendations: https://www.nice.org.uk/guidance/ng71/chapter/recommendations