scholarly journals Changes in Timing of Swallow Events in Parkinson’s Disease

2018 ◽  
Vol 128 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Breanne L. Schiffer ◽  
Katherine Kendall
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Matched Control ◽  
Protocol Design ◽  
Barium Swallow ◽  
Airway Closure ◽  
Common Causes ◽  
Liquid Bolus ◽  
Therapy Protocol ◽  
Swallow Therapy

Objectives: The prevalence of Parkinson’s disease (PD) increases as the population ages. Dysphagia and subsequent aspiration pneumonia are common causes of morbidity and mortality in those with PD. To maximize the benefit of swallowing therapy, protocol design should be based on an understanding of the physiologic swallowing deficits present in the PD population. The aim of this study was to compare the timing of swallow events in a cohort of patients with PD with that in normal age-matched control subjects to characterize variations in the coordination of structural displacement and bolus movement that may contribute to dysphagia. Methods: This retrospective study included 68 adults with diagnoses of PD. Liquid bolus swallows during modified barium swallow studies were analyzed and compared with those from an age- and sex-matched cohort of 48 adults without PD. Results: Patients with PD were significantly slower in initiating and completing airway closure. Hyoid elevation was prolonged in this patient population. Conclusions: Patients with PD demonstrate slower initiation of airway closure and a delay in relaxation of hyoid elevation during swallow. Delays increased with larger boluses. These findings may be related to impaired pharyngeal sensation and increased muscular rigidity. The results of this study will be helpful in guiding swallow therapy for patients with PD.

scholarly journals The Impact of an Application of TelerehabilitationTechnology on Caregiver Burden

2009 ◽  
Vol 1 (1) ◽  
pp. 3-8 ◽  
Author(s):  
Lyn R. Tindall ◽  
Ruth A. Huebner
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Caregiver Burden ◽  
Speech Therapy ◽  
Structured Interview ◽  
Elderly Persons ◽  
Work Time ◽  
Financial Obligation ◽  
The Impact ◽  
Therapy Protocol

The objective of this research was to assess the effects of an application of telerehabilitation reducing time and financial obligation on caregiver burden among eleven caregivers of elderly persons with Parkinson’s disease. Clients (care receivers) participated in speech therapy delivered via videophones in their homes; the protocol required 16 treatments delivered four times a week for four weeks. At the conclusion of treatment, caregivers completed a structured interview about the impact of telerehabilitation on time and financial aspects of the burden of care. On average, this speech therapy protocol delivered by videophones saved 48 hours of time, more than 92 hours of work time, and $1024 for each caregiver. Savings were significant and previous research demonstrated nearly equal outcomes using the videophone delivery method. Implications for practice and research are discussed. Keywords: Telerehabilitation, Speech Therapy, Parkinson’s Disease.  

scholarly journals Swallowing dysfunctions in Parkinson’s disease patients: a novel challenge for the internist

2019 ◽  
Vol 13 (2) ◽  
pp. 91-94 ◽  
Author(s):  
Elena Barbagelata ◽  
Antonello Nicolini ◽  
Paola Tognetti
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Clinical Practice ◽  
Aspiration Pneumonia ◽  
Neurodegenerative Disorder ◽  
Movement Pattern ◽  
Morbidity And Mortality ◽  
Motor Symptoms ◽  
Common Causes ◽  
Non Motor Symptoms

Parkinson’s disease (PD) is a chronic neurodegenerative disorder with a typical movement pattern, as well as different, less studied non-motor symptoms such as dysphagia. Disease-related disorders in efficacy or safety in the process of swallowing usually lead to malnutrition, dehydration or pneumonia. Dysphagia and subsequent aspiration pneumonia are common causes of morbidity and mortality in those with PD. The aim of this review is to identify and evaluate the existing literature on swallowing disorders in PD and providing recommendations for clinical practice routine.

The Modified Barium Swallow Impairment Profile as a Predictor of Clinical Outcomes of Admission for Pneumonia or Choking in Dysphagic Patients with Parkinson’s Disease

Dysphagia ◽  
2019 ◽  
Vol 34 (6) ◽  
pp. 896-903 ◽  
Author(s):  
Amanda Hui-Juan Kooi ◽  
Jasmine Pei-Ling Boo ◽  
Samuel Yong-Ern Ng ◽  
Sanchalika Acharyya ◽  
Kwang-Hwee Goh ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Clinical Outcomes ◽  
Barium Swallow ◽  
Modified Barium Swallow ◽  
Dysphagic Patients

scholarly journals Repeated tongue and hand strength measurements in normal adults and individuals with Parkinson's Disease

2005 ◽  
Vol 31 (1) ◽  
pp. 15-25
Author(s):  
Carol O'Day ◽  
◽  
Elaine Frank ◽  
Allen Montgomery ◽  
Michele Nichols ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Matched Control ◽  
Hand Strength ◽  
Control Group ◽  
Small Decrease ◽  
Tongue Strength ◽  
Oral Performance ◽  
Matched Control Group ◽  
Normal Adults

Changes in tongue and hand strength measurements of men with Parkinson’s Disease and aged-matched controls across multiple days were examined. The Iowa Oral Performance Instrument measured tongue and hand strength during four consecutive days and at day 11. Peak tongue strength measurements occurred on day 3 with a small decrease on day 4, which was maintained at day 11, indicating a significant increase in tongue strength measurements with task repetition in multiple days. No change in hand strength measurements was noted over days. Significant differences in mean tongue and hand strength measurements between the PD and age-matched control group were found. Tongue and hand strength measurements were lower for the PD group compared with the control group on average across days.

scholarly journals Impairments in Deductive Reasoning and Working Memory in Parkinson’s Disease

1997 ◽  
Vol 10 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Shelley Channon
Keyword(s):  
Parkinson’S Disease ◽  
Working Memory ◽  
Parkinson's Disease ◽  
Deductive Reasoning ◽  
Matched Control ◽  
Memory Updating ◽  
Strategic Processing ◽  
Control Subjects

This study was designed to investigate the nature and extent of executive impairments in medicated subjects with Parkinson's disease (PD) and matched control subjects. They performed two tasks involving strategic processing, deductive reasoning and memory updating. PD patients differed significantly from controls in solving two- and four-dimensional deductive reasoning problems, and they also showed impairment in memory updating. The findings are discussed in relation to previous studies which have shown deficits in strategic processing in PD.

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