A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease
OBJECTIVE: This study investigates resources to provide better conditions for oropharyngeal swallowing for improvement in the quality of life of Parkinson's disease patients. METHOD: Three men and one woman with an average age of 70.25 years had been afflicted with Parkinson's disease for...
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Faculdade de Medicina / USP
2008-01-01
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doaj-5282808af81e48ffbb06c66325b5742c2020-11-24T22:51:50ZengFaculdade de Medicina / USPClinics1807-59321980-53222008-01-0163566166610.1590/S1807-59322008000500015A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's diseaseValter Nilton FelixSabrina Mello Alves CorrêaRenato José SoaresOBJECTIVE: This study investigates resources to provide better conditions for oropharyngeal swallowing for improvement in the quality of life of Parkinson's disease patients. METHOD: Three men and one woman with an average age of 70.25 years had been afflicted with Parkinson's disease for an average of 9.25 years. The patients were submitted to a rehabilitation program for oropharyngeal dysphagia after a clinical evaluation of swallowing. The rehabilitation program consisted of daily sessions for two consecutive weeks during which a biofeedback resource adapted especially for this study was used. The patients were then reevaluated for swallowing ability at follow-up. RESULTS: The patients presenting difficulties with swallowing water displayed no such problems after rehabilitation. Only one patient exhibited slow oral transit of food and other discrete oropharyngeal food remnants when swallowing a biscuit. The sample variance was used to analyze the pressure measurements, demonstrating a numerical similarity of the results obtained with the swallowing of saliva or of biscuits (VAR = 4.41). A statistical difference was observed between the swallowing of saliva and biscuits, showing a significant pressure increase at the end of the rehabilitation program (p < 0.001). CONCLUSION: The effortful swallow maneuver reinforced by using biofeedback appears to be a therapeutic resource in the rehabilitation of oropharyngeal dysphagia in Parkinson's disease patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322008000500015Parkinson's diseaseOropharyngeal dysphagiaRehabilitationEffortful swallowBiofeedback |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Valter Nilton Felix Sabrina Mello Alves Corrêa Renato José Soares |
spellingShingle |
Valter Nilton Felix Sabrina Mello Alves Corrêa Renato José Soares A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease Clinics Parkinson's disease Oropharyngeal dysphagia Rehabilitation Effortful swallow Biofeedback |
author_facet |
Valter Nilton Felix Sabrina Mello Alves Corrêa Renato José Soares |
author_sort |
Valter Nilton Felix |
title |
A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease |
title_short |
A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease |
title_full |
A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease |
title_fullStr |
A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease |
title_full_unstemmed |
A therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease |
title_sort |
therapeutic maneuver for oropharyngeal dysphagia in patients with parkinson's disease |
publisher |
Faculdade de Medicina / USP |
series |
Clinics |
issn |
1807-5932 1980-5322 |
publishDate |
2008-01-01 |
description |
OBJECTIVE: This study investigates resources to provide better conditions for oropharyngeal swallowing for improvement in the quality of life of Parkinson's disease patients. METHOD: Three men and one woman with an average age of 70.25 years had been afflicted with Parkinson's disease for an average of 9.25 years. The patients were submitted to a rehabilitation program for oropharyngeal dysphagia after a clinical evaluation of swallowing. The rehabilitation program consisted of daily sessions for two consecutive weeks during which a biofeedback resource adapted especially for this study was used. The patients were then reevaluated for swallowing ability at follow-up. RESULTS: The patients presenting difficulties with swallowing water displayed no such problems after rehabilitation. Only one patient exhibited slow oral transit of food and other discrete oropharyngeal food remnants when swallowing a biscuit. The sample variance was used to analyze the pressure measurements, demonstrating a numerical similarity of the results obtained with the swallowing of saliva or of biscuits (VAR = 4.41). A statistical difference was observed between the swallowing of saliva and biscuits, showing a significant pressure increase at the end of the rehabilitation program (p < 0.001). CONCLUSION: The effortful swallow maneuver reinforced by using biofeedback appears to be a therapeutic resource in the rehabilitation of oropharyngeal dysphagia in Parkinson's disease patients. |
topic |
Parkinson's disease Oropharyngeal dysphagia Rehabilitation Effortful swallow Biofeedback |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322008000500015 |
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