The Impact of Dysphagia Therapy on Quality of Life in Patients with Parkinson's Disease as Measured by the Swallowing Quality of Life Questionnaire (SWALQOL)

Ayres, A. Jean; Jotz, Geraldo Pereira; Rieder, Carlos Roberto de Mello; Schuh, Artur Francisco Schumacher; Olchik, Maira Rozenfeld

doi:10.1055/s-0036-1582450

Cited by 36 publications

(51 citation statements)

References 20 publications

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“…Nevertheless, even patients with slighter deglutition abnormalities would benefit from an early dysphagia therapy. In addition to effective speech‐language pathologist based interventions for dysphagia and compensation maneuvers, there are by now promising therapeutic methods, such as expiratory muscle strength training (EMST) or video‐assisted swallowing therapy (VAST) available. Timely swallowing therapy can prevent aspiration pneumonia, the most common cause of death in PD, and improves swallowing‐related quality of life of PD patients …”

Section: Discussionmentioning

confidence: 99%

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Nienstedt

Bihler

Niessen

et al. 2018

Neurogastroenterology Motil

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Background Do the current swallow‐specific subquestions of neurological diagnostic tools reflect the objective swallowing function in Parkinson's disease (PD) patients or are clinical factors superior to predict critical aspiration? Methods In a cross‐sectional, observational study a total of 119 Parkinson outpatients were examined clinically and by flexible‐endoscopic evaluation of swallowing (FEES). Self‐reported dysphagia by subquestions of the MDS‐UPDRS and NMS questionnaire and history of subjective aspiration signs were collected. Key Results Nearly, all PD patients showed deglutition abnormalities in FEES (113/119) while only 12%‐27% of them reported swallowing problems in the swallow‐specific subquestions of neurological standard diagnostic tools (MDS‐UPDRS and NMS‐Quest), and the answers were heterogeneous and poorly reproducible. With a sensitivity of up to a maximum of 50%, self‐reported dysphagia is therefore no reliable tool for identifying dysphagia in PD. While most clinical parameters were linked to dysphagia to some extent, logistic regression analysis revealed high age (Odds Ratio (OR) 1.1 in years, 95% CI 1.03‐1.18, P < 0.01), gender (OR 0.3 for females, 95% CI 0.08‐0.97, P = 0.04), and affirmed subjective aspiration signs (OR 8.6, 95% CI 3.05‐26.52, P < 0.001) as the most significant predictors for critical dysphagia. Conclusions and Inferences Self‐perception of swallowing is no reliable tool for identifying dysphagia and questionnaires are insufficient for detecting previous aspiration. Consequent and specific asking for previous subjective aspiration signs is the single most important measure for identifying PD patients at risk for critical aspiration.

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Section: Discussionmentioning

confidence: 99%

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Nienstedt

Bihler

Niessen

et al. 2018

Neurogastroenterology Motil

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“…The total score for each domain ranges from 0 to 100: the lower the score, the worse the quality of life associated with swallowing. SWAL-QOL also has four additional questions regarding possible impairments or need for adaptation of the elderly during the feeding process (13) .…”

Section: Methodsmentioning

confidence: 99%

Deglutição orofaríngea, nutrição e qualidade de vida no indivíduo com doença pulmonar crônica

Wegner

Steidl

Pasqualoto

et al. 2018

CoDAS

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“…Luchesi et al [17] observed a significant improvement in swallowing functionality after 10 months of SLP therapy in DP patients. Moreover, these patients frequently show an increase of quality of life after the SLP therapy [42,43].…”

Section: Management Of Dysphagia In Pdmentioning

confidence: 99%

Dysphagia in Parkinson’s disease: Prevalence, Impact and Management Challenges

Luchesi¹,

Toledo²,

Mourão³

2017

JOENTR

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The aim of this review is to present an update of the prevalence, impact and management challenges of dysphagia in Parkinson's disease. In the last 5 years, the prevalence of dysphagia in Parkinson's disease (PD) has been reported with a wide range of values in the literature. The dysphagia prevalence ranged from 11% to 100% of the patients with PD. This variation, generally, depended on the disease stage and the procedure of swallowing assessment. In the management of dysphagia, compensatory techniques, rehabilitation exercises and deep-brain stimulation have been conducted. Despite of the lack of high scientific evidences of efficiency of the majority of these interventions, the positive aspects and benefits are described in the actual literature. Moreover, this review paper discuss about the importance of the dysphagia assessment and treatment in the best timing to prevent complications, as pulmonary and nutritional impairment, and to improve quality of life.

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The Impact of Dysphagia Therapy on Quality of Life in Patients with Parkinson's Disease as Measured by the Swallowing Quality of Life Questionnaire (SWALQOL)

Cited by 36 publications

References 20 publications

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Predictive clinical factors for penetration and aspiration in Parkinson's disease

Deglutição orofaríngea, nutrição e qualidade de vida no indivíduo com doença pulmonar crônica

Dysphagia in Parkinson’s disease: Prevalence, Impact and Management Challenges

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