Dysphagia treatments in Parkinson's disease: A systematic review and meta‐analysis

Cheng, Ivy; Sasegbon, Ayodele; Hamdy, Shaheen

doi:10.1111/nmo.14517

Cited by 8 publications

(9 citation statements)

References 52 publications

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“…Electroacupuncture is a treatment method that combines traditional acupuncture with current to expand the scope of acupuncture treatment, increase the amount of stimulation, improve muscle amplitude and reduce swallowing time, providing strong evidence for the treatment of swallowing disorders by acupuncture. [ 7 , 24 ] The reason for the improvement of patients’ swallowing function is that acupuncture points can strengthen the coordination function of muscle movements related to swallowing and the flexibility of swallowing reflex and prevent disuse muscle atrophy and pulmonary complications in the pharyngeal muscle group. [ 25 ] It has a good effect on the recovery of swallowing function, the reconstruction of neural pathways, and the self-care ability of patients’ daily life.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of the therapeutic effect of acupuncture on dysphagia in patients with Parkinson disease

Jiayu,

Minmin,

Zhu

2023

Medicine

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Objective: To systematically evaluate the therapeutic effect of acupuncture on dysphagia in patients with Parkinson disease (PD). Method: We searched CNKI, WF, VIP, CBM, Cochrane Library, and Web of Chinese Biomedical Literature Randomized controlled trials on the efficacy of acupuncture in the treatment of dysphagia in patients with PD was retrieved from Science, Embase, and PubMed databases from establishment to October 2022. Outcome indicators included clinical efficacy, swallowing function, hemoglobin, and serum albumin. Literature screening and data extraction of included literature were conducted independently by 2 reviewers, and literature quality was evaluated according to the standards of the Cochrane Collaboration network. Data analysis was performed using Review Manager 5.3 and Stata14.0 software. Results: 466 patients were included in 7 literature, 234 in the observation, and 232 in the control groups. The results of the meta-analysis showed the clinical efficacy in the observation group [odd ratio = 0.25, 95% confidence interval (95%CI) (0.15, 0.40), P < .01]. Swallowing function [standardized mean difference (SMD) = −0.96, 95%CI (−1.24, −0.68), P < .01]; hemoglobin index level [SMD = −0.72, 95%CI (−1.25, −0.20), P < .01]; serum albumin index level [SMD = −1.25, 95%CI (−2.19, −0.31), P < .01]. Conclusion: Acupuncture has a specific curative effect on dysphagia in patients with PD, and the therapeutic effect is more significant than that in the control group, which can improve the dysphagia function and nutrition level in patients with PD more effectively.

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Section: Discussionmentioning

confidence: 99%

Meta-analysis of the therapeutic effect of acupuncture on dysphagia in patients with Parkinson disease

Jiayu,

Minmin,

Zhu

2023

Medicine

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“…Dysphagia is among the most common GI symptoms in PD. Studies of dysphagia prevalence in this population have largely focused on oropharyngeal dysphagia, the management of which has been thoroughly reviewed elsewhere 16 . The etiology of esophageal dysphagia is not yet well-understood but has long been thought to involve defective coordination of the esophageal musculature due to the involvement of the dorsal nuclear vagus of the brainstem 17 .…”

Section: Esophageal Dysphagiamentioning

confidence: 99%

“…Studies of dysphagia prevalence in this population have largely focused on oropharyngeal dysphagia, the management of which has been thoroughly reviewed elsewhere. 16 The etiology of esophageal dysphagia is not yet well-understood but has long been thought to involve defective coordination of the esophageal musculature due to the involvement of the dorsal nuclear vagus of the brainstem. 17 However, like other GI symptoms, dysphagia has been known to occur before motor manifestations of PD, and patients with PD demonstrate marked histopathologic abnormalities of the esophageal ENS.…”

Section: Esophageal Dysphagiamentioning

confidence: 99%

Management of Gastrointestinal Symptoms in Parkinson’s Disease

Pasricha,

Guerrero-Lopez,

Kuo

2024

Journal of Clinical Gastroenterology

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Gastrointestinal symptoms in Parkinson’s disease (PD) are among the most prevalent and debilitating of complications and present unique diagnostic and management challenges. Patients with PD commonly experience dysphagia, nausea, bloating, and constipation related to pathologic involvement of the enteric nervous system. In turn, gastrointestinal complications may impact motor fluctuations and the efficacy of levodopa therapy. This review will explore the common gastrointestinal manifestations of PD with an emphasis on clinical presentation, workup, and treatment strategies.

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“…Multiple therapies have been identified as important in the care of people with PD (PwP) [8]. This review focuses on the roles of physical therapy (PT), occupational therapy (OT), speech and language therapy (ST), and psychological therapies in prodromal and early PD, as they have a robust body of evidence, including strong randomized controlled trials (RCT) [9][10][11][12], meta-analyses [7,[13][14][15][16], and systematic reviews [6,[17][18][19][20][21][22][23][24][25] that guide clinical practice recommendations [26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Stemming the Tide: The Proactive Role of Allied Health Therapy in Parkinson’s Disease

Rafferty,

Foster,

Roberts

et al. 2024

JPD

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Motor and nonmotor symptoms occur in early Parkinson’s disease (PD), or even in the prodromal stage. Many of these symptoms can be addressed by allied health therapies, including physical therapy, occupational therapy, speech therapy, and psychological therapies. However, referrals to these services early in the disease are low. We provide a review summarizing the efficacy of proactive allied health interventions on motor and nonmotor symptoms and daily function in prodromal and early disease. We also highlight areas for additional research and provide recommendations to improve care for individuals with early PD within each discipline. We recognize the overlapping roles of the allied health disciplines and support integrated or transdisciplinary care beginning soon after diagnosis to help stem the tide in the progression of PD symptoms and disability.

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Dysphagia treatments in Parkinson's disease: A systematic review and meta‐analysis

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 8 publications

References 52 publications

Meta-analysis of the therapeutic effect of acupuncture on dysphagia in patients with Parkinson disease

Meta-analysis of the therapeutic effect of acupuncture on dysphagia in patients with Parkinson disease

Management of Gastrointestinal Symptoms in Parkinson’s Disease

Stemming the Tide: The Proactive Role of Allied Health Therapy in Parkinson’s Disease

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