Therapy

Research shows that intense exercise is the only way to stall/change/interrupt the progression of Parkinson’s Disease. We provide a safe place and innovative techniques to interrupt the course of PD.

Skilled Therapy Services

Our skilled therapy services include physical therapy (PT), occupational therapy (OT), and speech language pathology (SLP). These therapy services are primarily Parkinson’s-specific but also cover patients with neurological diagnoses. We also provide care for other PwPD (person with Parkinson’s Disease) injuries such as orthopedic injuries from falling. In addition to Parkinson’s care, Heartland Neurological therapists are available to treat issues facing caregivers, such as back pain.

Heartland Neurological Therapy and Wellness Center therapists are specifically trained in Parkinson’s assessment and treatment. Certifications include:

  • LSVT BIG (PT/OT)/ LSVT LOUD (SLP)

  • SPEAK OUT! (SLP)

  • Parkinson’s Wellness Recovery PWR! (PT/OT)

  • DualTask Training (PT/OT/SLP)

  • Parkinson’s Foundation Allied Team Training in Parkinson’s (PT/ST/group fitness)

Physical Therapy utilizes evidence-based interventions to target mobility, strength, posture, balance, fall prevention, and pain management. PT specializes in PD-specific gait training to address difficulties with freezing and selecting appropriate assistive devices.

Occupational Therapy utilizes evidence-based interventions to address daily living skills, fine motor coordination and upper extremity motor control, adaptive strategies, energy conservation techniques, home safety, and handwriting skills. 


Speech Therapy utilizes evidence-based interventions to addressvoice, swallowing, cognition, and communication. Our Speech Therapists also address breath support and provide respiratory training using specialized equipment called the Omni Flow.

What is SPEAK OUT!

SPEAK OUT! is a therapy program specifically designed for people with Parkinson’s Disease to improve their voicing. While the primary focus of the program is voice and communication, the musculature of swallowing is also addressed in the exercises. In this program speech is transformed from an automatic function to an intentional task. The program is usually completed in 12 sessions spanning across 4 weeks. Following these sessions, the patient then transitions to the SPEAK OUT! Group. In the four week span, patients report improvement in their speaking, their ability to be heard and understood, and in their overall quality of life.