Parkinson's disease is a progressive, neurological disorder that affects movement and is caused by the destruction of nerve cells in the brain that release certain chemicals responsible for normal movement. The disease is characterized by stooped posture, tremors in the arms and legs and an abnormal gait. Speech problems also are a common symptom, with 60 percent to 90 percent of Parkinson's patients developing speech issues. These speech issues generally worsen over time, but can be treated with certain exercises.
Specific Speech-Related Problems
Parkinson's-related speech problems can include hypophonia, or the tendency to speak in a very soft voice. According to the Family Caregiver Alliance website, you also might experience a variety of speech impairments, such as weak, slow or uncoordinated speaking. In addition, your voice might sound harsh and your pitch might be affected.
Musical Exercise
This exercise, composed of two parts, helps work the pitch and volume of your voice. To start, take a deep breath and say "ah" in a loud voice as long as you can, states the National Parkinson Foundation. Next, loudly sing musical scales using the word "la." Follow the scale up and down. Perform both parts for 10 to 15 minutes each daily without interruptions, recommends the site.
Awareness Exercise
This exercise helps increase your awareness of how soft your voice is and also will make you aware of what volume is appropriate for listeners. While on the phone or in a conversation, take note of how many times your listener asks you to repeat your statement. Increase your volume and take note of how many times, post-increase, your listener asks you to repeat yourself.
Volume Exercise
Once you've identified a volume suitable for listeners, you can practice using it via the volume exercise. The exercise also will help you with being comfortable speaking at that volume. Start by using your loud voice in short phrases such as "Shut the door," "I love you" and "Goodnight." Gradually increase the intensity by enlarging the sentences and including paragraphs. After you're comfortable at that stage, try your loud volume during conversation.
Considerations
Speech exercises alone might not be enough to help in restoring vocal ability, according to Caring.com. A speech therapist can work with you to better your speech and also recommend assisting tools that can help you communicate better. Such devices include a portable microphone system that allows you to increase the volume of your soft voice. If you're in a more advanced stage and have lost the ability to speak, she might recommend a computer that will audibly repeat the phrases you type in, states the site.
Other Ways to Better Your Communication
There are many habits you can initiate that can boost your communication skills. The Cleveland Clinic site suggests you plan times for vocal rest before phone calls or meetings, and ensure your listener can see your face. The site also recommends that you over-articulate speech by exaggerating vowels and consonants.
