Swallowing disorders in Parkinson's disease

Potulska, Anna; Friedman, Andrzej; Królicki, Leszek; Spychała, Andrzej

doi:10.1016/s1353-8020(03)00045-2

Cited by 193 publications

(150 citation statements)

References 18 publications

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“…Discrepancy between self-perception and objective findings regarding swallowing function has been seen in dysphagic patients (8,14,15,32,33). In this study the discrepancy could have several explanations.…”

Section: Discussionmentioning

confidence: 56%

“…The cause of swallowing dysfunction is often not known for PD patients, but a dysfunctional regulation pattern in the medulla oblongata (10) has been speculated (11). Studies of dysphagia have shown inconsistencies between objective-, and self-estimated swallowing dysfunction with low numbers of deglutition abnormalities when self-reported data are used (12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

“…The oral and pre-oral phases are voluntarily controlled; the pharyngeal phase can be initiated either voluntarily or by reflexes, whereas the esophageal phase is under autonomic control. Abnormalities reported in the oral phase include labial bolus leakage, lingual tremor, poor bolus formation and control, resulting in slowed oral transit time (OTT) and preswallow spillage (5,11,14,15). Pharyngeal abnormalities are stated as penetration and aspiration of bolus, delayed initiation of the swallowing reflex, slowed pharyngeal transit time (PTT), and retention in the valleculae and pyriform sinuses (5,11,15).…”

Section: Introductionmentioning

confidence: 99%

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Deep brain stimulation - effects on swallowing function in Parkinson's disease

et al. 2012

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ObjectiveIn patients with Parkinson's disease (PD), deep brain stimulation of the subthalamic nucleus (STN DBS) is well recognized in improving limb function, but the outcome on swallowing function has rarely been studied. The aim of this work was to evaluate the effect of STN DBS on pharyngeal swallowing function in PD patients using self-estimation and fiberoptic endoscopic evaluation of swallowing. MethodsEleven patients (aged 41-72, median 61 years) were evaluated preoperatively and at 6 and 12 months after STN DBS surgery. All patients were evaluated with self-estimation on a visual analogue scale and eight of them with a fiberoptic endoscopic examination with a predefined swallowing protocol including Rosenbek's Penetration-Aspiration Scale, Secretion Severity Scale, preswallow spillage, pharyngeal residue and pharyngeal clearance. ResultsThe self-assessments of swallowing function revealed a swallowing improvement with STN DBS stimulation whereas the data from the swallowing protocol did not show any significant effect of the STN DBS treatment itself. The prevalence of aspiration was not affected by the surgery. ConclusionsThe results show that swallowing function was neither improved nor negatively affected by STN DBS and the risk of aspiration did not increase. Self-estimation of swallowing function showed an improvement due to stimulation.

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Section: Discussionmentioning

confidence: 56%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Deep brain stimulation - effects on swallowing function in Parkinson's disease

et al. 2012

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“…Impairments in the esophageal phase of swallowing include reduced peristalsis and reduced transit time. All of these disturbances occur together with the traditional motor symptoms of PD (bradykinesia and rigidity) as a result of degeneration of the autonomic nerve system and voluntary muscle system [29,30].…”

Section: Clinical Features and Diagnosis Of Dysphagia In Parkinson's mentioning

confidence: 99%

Dysphagia in Parkinson’s Disease

Santos¹,

Camargo²,

Abdulmassih³

et al. 2015

Seminars in Dysphagia

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“…Although dysphagia is frequent in PD, the cause and the mechanism of dysphagia in PD remain obscure as the physiopathology is little known 26,27 . The articles of Fuh et al 22 and Monte et al 23 presented similar study designs, they evaluated swallowing in PD patients of both genders, with similar average age (60-70).…”

Section: Literature Reviewmentioning

confidence: 99%

Relação entre disfagia e tipos clínicos na doença de Parkinson

et al. 2014

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A disfagia é um sintoma comum na doença de Parkinson, porém a causa e o mecanismo permanecem obscuros. Sabe-se que manifestações disfágicas podem provir de sintomas motores característicos da doença de Parkinson. Sendo assim, o estudo tem como objetivo investigar se a literatura indica a relação entre disfagia e os tipos clínicos (sintomas predominantes) na doença de Parkinson, e se a Levodopa influencia na deglutição desses pacientes. A busca foi realizada utilizando as bases de dados: portal da Bireme (Medline, Lilacs, Ibecs, Scielo, Biblioteca Cochrane, entre outros bancos desse portal) e portal Pubmed. Não houve restrição quanto ao ano de publicação e idioma. Os descritores utilizados foram: Parkinson or Parkinsonism and Deglutition or Swallowing or Swallow and Dysphagia and Levodopa. Foram encontrados 29 artigos, dos quais apenas 2 foram incluídos segundo os critérios de elegibilidade. Porém os artigos selecionados não fazem uma relação clara entre a disfagia e os sintomas clássicos da doença de Parkinson, entretanto demonstram resultados que apontam para uma melhora da deglutição após levodopa em alguns pacientes ou em pacientes com discinesia. São necessários novos estudos que possam esclarecer tal pergunta, contribuindo para norteamento de intervenções terapêuticas mais específicas e eficazes.

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Swallowing disorders in Parkinson's disease

Cited by 193 publications

References 18 publications

Deep brain stimulation - effects on swallowing function in Parkinson's disease

Deep brain stimulation - effects on swallowing function in Parkinson's disease

Dysphagia in Parkinson’s Disease

Relação entre disfagia e tipos clínicos na doença de Parkinson

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