The Voice – Mary’s Blog

When Medications Become Unaffordable

When Medications Become Unaffordable

This week a patient with Parkinson's disease told me that his insurance would not pay for a much needed medication. This is not the first time I have had a patient tell me that a necessary medication has become unaffordable. It just so happened that this week I...

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Parkinson’s Awareness Month: Speak UP and See the Light!

Parkinson’s Awareness Month: Speak UP and See the Light!

Anywhere from 70-90% of persons with Parkinson’s have speech and voice problems, collectively referred to as hypokinetic dysarthria. Problems of reduced loudness, reduced effort, and inaccurate feedback are also related to a breakdown in the multisensory integration...

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Not Wearing Hearing Aids: Bad for Brain and Relationships

Not Wearing Hearing Aids: Bad for Brain and Relationships

For 30 years of practice in Florida, I have had hundreds of couples in my office with a similar complaint: "he/she doesn't speak loud enough and he/she doesn't hear." Since so much of my practice is devoted to serving people with Parkinson's disease and related...

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The 12 Days of PD Speech Therapy: A Christmas Carol

The 12 Days of PD Speech Therapy: A Christmas Carol

On the 1st day of treatment, a patient said to me I ‘m here for some speech therapy. On the 2nd day of treatment, a patient said to me, my wife can’t hear me, so I’m here for some speech therapy. On the 3rd day of treatment, a patient said to me, I have a problem, my...

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You are So Much More than a Diagnosis

You are So Much More than a Diagnosis

I have a telehealth patient that self-referred to me approximately five weeks ago requesting voice treatment for some symptoms related to Parkinson's disease. Each visit, we review progress, and then typically get right to work. I always know a little bit about the...

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Collecting Voice Data at a Distance: VoiceEvalU8

Collecting Voice Data at a Distance: VoiceEvalU8

Although I have offered Online Coaching for over 10 years, the onset of the pandemic in 2020, ushered in a whole new world of telehealth, including the ability of patients to access speech therapy treatment from the comfort of their home. Programs that I offer in...

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Mary Spremulli of Voice Aerobics writes a monthly news article in the “Healthy Body” section of Florida Weekly

Home Programs & Training:

  • Voice Aerobics® – 3-Part Workout
  • SpeechVive Device for Persons with Parkinson’s
  • Lingraphica® Aphasia Communication Device
  • Constant Therapy App for aphasia
  • Computerized Home Aphasia Therapy Program (CHAT®)
  • Passy-Muir® Tracheostomy and Ventilator Swallowing and Speaking Valve

SpeechVive thumbnailSpeechVive Device for Persons with Parkinson’s
Ask me about your VA benefit for this device!

SPEAK OUT!® Speech Therapy for Parkinson’s patients

Mary Spremulli is Certified in:

Lee Silverman Voice Treatment (LSVT) Lessac-Madsen Resonant Voice Treatment (LMRVT) Neurodevelopmental Treatment

A Certified Member of ASHA Certified Member