
Upon completion of SPEAK OUT! ® , patients transition to the LOUD Crowd®. This maintenance program consists of weekly group sessions led by a speech pathologist.

The SPEAK OUT! ® exercises are performed, and group members provide support, encouragement, and accountability to one another.
Participation in The LOUD Crowd ® , along with daily home practice and six-month re-evaluations, has been shown to help patients maintain their communication skills throughout the progression of Parkinson’s.