Hard to swallow: dysphagia in Parkinson’s disease

Miller, Nick; Noble, Emma; Jones, Diana; Burn, David J.

doi:10.1093/ageing/afl105

Cited by 198 publications

(148 citation statements)

References 23 publications

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“…This is of importance, as the data show that a cZI DBS therapy optimized for minimizing a patient's overall motor disturbances does not significantly impair these aspects of the swallowing function. This is essential in clinical practice, as patients with PD are often troubled by dysphagia (1), which both increases the mortality risk and affects quality of life (3,27).…”

Section: Discussionmentioning

confidence: 99%

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Swallowing function in Parkinson's patients following Zona Incerta deep brain stimulation

et al. 2012

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ObjectiveThe purpose of the present study was to examine if there was a negative effect of caudal Zona Incerta deep brain stimulation (cZI DBS) on pharyngeal swallowing function in Parkinson's patients (PD). There are no former reports on swallowing and cZI DBS. MethodsEight patients (aged 49 to 71 years; median 62) were evaluated pre-and postoperatively, at six and 12 months after DBS surgery. Evaluation tools were Fiberoptic Endoscopic Evaluation of Swallowing examinations and patients' self-assessments of the swallowing function including a visual analogue scale and quality of life related questions. The swallowing protocol included Rosenbeck's Penetration-Aspiration Scale, Secretion Severity Scale and parameters for pre-swallow spillage, pharyngeal residue and pharyngeal clearance. ResultsThere was no clear-cut effect of neurostimulation postoperatively at six and 12 months on any of the swallowing parameters except for pre-swallow spillage which was slightly worsened in the stimulation on condition 12m postoperatively. The answers to the self assessment questions did not vary significantly. ConclusionsThe effect of the stimulation on swallowing function varied among individuals but the overall outcome was that cZI DBS did not seem to have a negative influence on swallowing function in the eight patients studied.

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Section: Discussionmentioning

confidence: 99%

“…Dysphagia affects quality of life, as even mild swallowing problems have psychosocial effects for patients with PD and their carers (3). It is thus essential to take dysphagia into account when considering treatment alternatives (3).…”

Section: Introductionmentioning

confidence: 99%

Swallowing function in Parkinson's patients following Zona Incerta deep brain stimulation

et al. 2012

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“…A semi-structured interview of 37 people with PD and their families exploring their experiences of living with impaired swallowing revealed that physical changes affecting swallowing had psychosocial effects on both people with PD and their families 69 . A few family members reported that difficulty with swallowing were significant factors that added to their perceived caring burden.…”

Section: Dysathria Dysphagia and Sialorrhoeamentioning

confidence: 99%

The Effects of Parkinson's Disease on Caregivers and People with Parkinson's Disease: A Literature Review

Bee

Allison

2013

Proceedings of Singapore Healthcare

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Parkinson's disease (PD) is a complex, slowly progressive, neurodegenerative, neurological condition characterised by a wide range of motor problems such as movement disorders, issues with gait and balance, and difficulty with swallowing and speech. In addition, sufferers also experience non-motor symptoms such as disorder of sleep, postural hypotension, mood alterations, lethargy, and cognitive dysfunction. As PD progresses to an advanced stage, people experience periods of debilitating physical and neurological problems and their caregivers face increasing complexity of care. Many people with PD require the support of a caregiver to attend to activities of daily living. This paper will review the literature on the effects of Parkinson's disease on both the patient and caregiver. Findings highlight the progressive nature of the disease affecting both functional and affective domains, and the need for caregiver support to enable the delivery of quality of care to this group throughout the disease trajectory.

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“…8 Other diffi culties with eating and drinking can occur as result of psychological issues, physical restrictions, poor dentition or behavioural problems. 4,6,9,10 The consequences of diffi culties with eating and drinking can be serious and potentially life threatening. If left unrecognised or untreated, dysphagia can lead to choking and aspiration pneumonia.…”

Section: Introductionmentioning

confidence: 99%

Should they have a percutaneous endoscopic gastrostomy? The importance of assessing decision-making capacity and the central role of a multidisciplinary team

et al. 2014

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Should they have a percutaneous endoscopic gastrostomy?The importance of assessing decision-making capacity and the central role of a multidisciplinary team Decisions about percutaneous endoscopic gastrostomy (PEG) can be clinically and ethically challenging, particularly when patients lack decision-making capacity. As the age of the UK population rises, with the associated increase in prevalence of dementias and neurodegenerative diseases, it is becoming an increasingly important issue for clinicians. The recent review and subsequent withdrawal of the Liverpool Care Pathway highlighted feeding as a particular area of concern. The authors undertook a 1-year retrospective review of individuals referred to the feeding issues multidisciplinary team (FIMDT) at Addenbrooke's Hospital, Cambridge, UK, in 2011. The majority of patients referred (n=158) had a primary diagnosis of cancer (44%). The second largest group was those who had had a stroke or brain haemorrhage (13%). Twenty-eight per cent of patients had no, or uncertain, decision-making capacity on at least one occasion during decision-making. There are refl ections on the role of a multidisciplinary team in the process of decision-making for these complex patients.

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Hard to swallow: dysphagia in Parkinson’s disease

Abstract: the psychosocial consequences of the physical changes concerned people most. The importance of the early detection of changes for health and quality of life is underlined.

Cited by 198 publications

References 23 publications

Swallowing function in Parkinson's patients following Zona Incerta deep brain stimulation

Swallowing function in Parkinson's patients following Zona Incerta deep brain stimulation

The Effects of Parkinson's Disease on Caregivers and People with Parkinson's Disease: A Literature Review

Should they have a percutaneous endoscopic gastrostomy? The importance of assessing decision-making capacity and the central role of a multidisciplinary team

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