Parkinson’s Disease

Hartford Healthcare Rehabilitation Network’s (HHCRN) Outpatient Speech-Language Pathology Services offer rehabilitative programs to improve the communication and swallowing abilities of those individuals with Parkinson’s Disease.

Speech-Language Pathologists (SLPs) are essential members of the team who evaluate and treat persons with movement disorders. SLPs can evaluate and treat difficulties affecting communication, such as problems with language, cognition, speech, and voice. They also lead the assessment, management, and rehabilitation of swallowing problems, known as dysphagia.

With recent advances in research and technology, there are several new effective treatment programs to exercise and rehabilitate the muscles used for speaking and swallowing.


What is SPEAK OUT!® and LOUD Crowd®

SPEAK OUT!®

SPEAK OUT!® is a therapy regimen tailored to people with Parkinson’s disease to improve their voice, and in turn, their swallowing. In this program, speech is transformed from an automatic function to an intentional act. SPEAK OUT!® is typically completed in 12 sessions spanning four weeks, and then the client transitions to the LOUD Crowd®. In this four-week span, the client and speech-language pathologist work their way through a series of speech, voice, and cognitive exercises. Clients report improvement in their speaking, their ability to be heard, and their overall quality of life. 

LOUD Crowd®

LOUD Crowd® is the group-therapy maintenance portion of the program and meets once a week. The sessions provide ongoing vocal practice, accountability, support, and encouragement for skills obtained during SPEAK OUT!®. Hartford Healthcare Rehabilitation Network offers LOUD Crowd® free-of-charge to SPEAK OUT!® graduates.

The SPEAK OUT!® and LOUD Crowd® therapy regimens were developed by Parkinson Voice Project, in Richardson, TX. Visit their website.

When and where can I receive services?

SPEAK OUT!® is available by appointment with one of our trained speech-language pathologists. LOUD Crowd® is offered weekdays at several outpatient Hartford Healthcare Rehabilitation Network locations throughout the state.

Program Locations


I have Parkinson’s disease. When should I begin seeing a speech-language pathologist?

According to studies, up to 89% of people with Parkinson’s disease develop difficulty communicating, and up to 95% develop difficulty swallowing. To postpone and prevent this decline, it is optimal to begin speech therapy as soon as possible. Participation in SPEAK OUT!® and LOUD Crowd® can change the effects that Parkinson’s disease has on your voice. Muscles become weak because they are not used to their full capacity, not because Parkinson’s in making them weak. SPEAK OUT!® and LOUD Crowd® requires you to use the muscles for speaking and swallowing to their full potential.


What other speech therapy services can I receive?

In addition to SPEAK OUT!® and LOUD Crowd®, HHCRN offers additional services to improve and maintain your speech, voice, swallowing, and cognitive-communication skills. 

Respiratory Muscle Training

A rehabilitative treatment approach known as Respiratory Muscle Training (RMT) incorporates the principles of exercise to improve cough function, voice, and swallow safety. A hand-held device called the Expiratory Muscle Strength Trainer (EMST), is used to increase the strength of the respiratory muscles.

Cognitive Rehabilitation

Speech therapy can also address language and cognitive issues that can occur in Parkinson’s disease, such as thinking of the words you want to use, forming complete sentences, memory, and concentration. Our clinicians work with clients to develop an individualized approach to functional daily problems, including compensatory strategies and a home program.

Swallowing Assessments and Rehabilitation

The speech-language pathologist is often the rehabilitation professional who will assist you in maintaining good swallowing function and preventing food or liquid from entering your airway through treatment techniques. If necessary, specialized diagnostic swallowing assessments such as Modified Barium Swallow Studies (MBSS) or Fiberoptic Endoscopic Evaluation of Swallowing studies (FEES) can be completed. The speech-language pathologist will also provide state-of-the-art dysphagia treatment programs to exercise and strengthen the muscles you use for swallowing. 


What costs are associated with these services?

Your insurance company will be billed for speech therapy services provided. Please check your insurance to determine the co-pay or cost associated with these services. Prior to scheduling your appointment, please obtain a prescription from your doctor for a speech evaluation and treatment.


How do I schedule an appointment?

Ask your primary care doctor or neurologist for a referral for speech therapy and have them fax it to any of the Hartford Healthcare Rehabilitation Network locations listed above. Once sent, you can schedule your appointment directly with the clinic of your choice. For further information on any of our programs, please contact Sylvia Fisher, Speech Pathology Program Manager at 860.490.9284 or email HHCRNspeechpathology@hhchealth.org.


Program Locations:

Balance Center
988 Silas Deane Highway Rehab Suite
Wethersfield, CT 06109
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Balance & Falls
Breast Cancer Rehabilitation
Concussion
Head & Neck Cancer Rehabilitation
Headache Management
Physical Therapy
Prosthetic Training
Speech Therapy (adult)
Vestibular Rehabilitation
111 Salem Turnpike
Norwich, CT 06360
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Balance & Falls
Cancer Rehabilitation
Hand Therapy
Head & Neck Cancer Rehabilitation
Lymphedema Therapy
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Occupational Therapy
Pain Management
Pelvic Health
Physiatry
Physical Therapy
Speech Therapy (adult)
Sports Medicine
Surgical Weight Loss Rehab
Swallowing Evaluation
280 South Main Street
Cheshire, CT 06410
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Balance & Falls
Headache Management
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Physiatry
Physical Therapy
Speech Therapy (adult)
Swallowing Evaluation
Thoracic Rehabilitation
Vestibular Rehabilitation
35 Talcottville Road
Vernon, CT 06066
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Balance & Falls
Concussion
Hand Therapy
Headache Management
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Physiatry
Physical Therapy
Prosthetic Training
Speech Therapy (adult)
Swallowing Evaluation
Vestibular Rehabilitation
1064 East Main Street
Meriden, CT 06450
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Balance & Falls
Breast Cancer Rehabilitation
Cancer Rehabilitation
Concussion
Hand Therapy
Head & Neck Cancer Rehabilitation
Headache Management
Lymphedema Therapy
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Occupational Therapy
Pain Management
Physical Therapy
Speech Therapy (adult)
Swallowing Evaluation
Thoracic Rehabilitation
Vestibular Rehabilitation
Bishop's Corner
334 North Main Street
West Hartford, CT 06117
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Balance & Falls
Concussion
Female Incontinence
Hand Therapy
Headache Management
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Occupational Therapy
Physical Therapy
Pilates-Based Rehab
Prosthetic Training
Speech Therapy (adult)
Sports Medicine
Swallowing Evaluation
Vestibular Rehabilitation
Blue Back Square
65 Memorial Road
West Hartford, CT 06107
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Aquatic Therapy
Audiology
Balance & Falls
Breast Cancer Rehabilitation
Cancer Rehabilitation
Concussion
Head & Neck Cancer Rehabilitation
Headache Management
Multi-Disciplinary (PT, OT, ST)
Pain Management
Physiatry
Physical Therapy
Speech Therapy (adult)
Sports Medicine
Swallowing Evaluation
Vestibular Rehabilitation
The Hospital of Central Connecticut
183 North Mountain Road
New Britain, CT 06053
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Balance & Falls
Breast Cancer Rehabilitation
Cancer Rehabilitation
Dry Needling
Female Pelvic Pain
Head & Neck Cancer Rehabilitation
Headache Management
Lymphedema Therapy
Neuro Conditions
Pelvic Health
Physical Therapy
Speech Therapy (adult)
1025 Silas Deane Highway
Wethersfield, CT 06109
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Balance & Falls
Concussion
Hand Therapy
Headache Management
Occupational Therapy
Physical Therapy
Speech Therapy (adult)
Sports Medicine
Swallowing Evaluation
Thoracic Rehabilitation
Vestibular Rehabilitation
The Hospital of Central Connecticut (New Britain General Campus)
100 Grand Street
New Britain, CT 06050
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Balance & Falls
Complex Spine
Dry Needling
Hand Therapy
Headache Management
Lymphedema Therapy
Occupational Therapy
Pain Management
Physiatry
Physical Therapy
Speech Therapy (adult)
Surgical Weight Loss Rehab
Thoracic Rehabilitation
Vestibular Rehabilitation
Family Health Center
5 Founders Street
Willimantic, CT 06226
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Balance & Falls
Breast Cancer Rehabilitation
Hand Therapy
Head & Neck Cancer Rehabilitation
Multi-Disciplinary (PT, OT, ST)
Speech Therapy (adult)
Sports Medicine
Swallowing Evaluation
Thoracic Rehabilitation
Jefferson House
1 John H. Stewart Drive
Newington, CT 06111
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Balance & Falls
Breast Cancer Rehabilitation
Cancer Rehabilitation
Head & Neck Cancer Rehabilitation
Lymphedema Therapy
Multi-Disciplinary (PT, OT, ST)
Occupational Therapy
Physical Therapy
Speech Therapy (adult)
Sky Top
1012 East Main Street
Torrington, CT 06790
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Balance & Falls
Breast Cancer Rehabilitation
Cancer Rehabilitation
Complex Spine
Concussion
Dry Needling
Hand Therapy
Head & Neck Cancer Rehabilitation
Lymphedema Therapy
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Occupational Therapy
Pain Management
Physical Therapy
Speech Therapy (adult)
Sports Medicine
Swallowing Evaluation
Vestibular Rehabilitation
100 Perkins Farm Drive Suite 201
Mystic, CT 06355
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Balance & Falls
Cancer Rehabilitation
Complex Spine
Concussion
Hand Therapy
Head & Neck Cancer Rehabilitation
Multi-Disciplinary (PT, OT, ST)
Occupational Therapy
Physical Therapy
Speech Therapy (adult)
Swallowing Evaluation
Thoracic Rehabilitation
Vestibular Rehabilitation
40 Loeffler Road
Bloomfield, CT 06002
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Aquatic Therapy
Cognitive Assessment
Cognitive Re-training
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Occupational Therapy
Orthopedic Musculoskeletal Conditions
Physical Therapy
Safe Steps
Speech Therapy (adult)
Stroke
Swallowing Evaluation
Vestibular Rehabilitation
Wheelchair Evaluation
190 Universal Drive Suite 102
North Haven, CT 06473
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Balance & Falls
Brain Injury
Female Incontinence
Female Pelvic Pain
Gender Affirming Rehab
Male Incontinence
Male Pelvic Pain
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Occupational Therapy
Pelvic Health
Physical Therapy
Speech Therapy (adult)
Spinal Cord Injury
Stroke
3272 Main Street 2nd floor
Stratford, CT 06614
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Services Offered Here
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Balance & Falls
Breast Cancer Rehabilitation
Cancer Rehabilitation
Gender Affirming Rehab
Hand Therapy
Head & Neck Cancer Rehabilitation
Lymphedema Therapy
Multi-Disciplinary (PT, OT, ST)
Neuro Conditions
Occupational Therapy
Pain Management
Physical Therapy
Speech Therapy (adult)

Hartford HealthCare Rehabilitation Network