Effectiveness of expiratory flow acceleration in patients with Parkinson's disease and swallowing deficiency: A preliminary study

Riboldazzi, Giulio; Spinazza, Giada; Beccarelli, Laura; Prato, Paola; Grecchi, Bruna; D’Abrosca, Francesco; Nicolini, Antonello

doi:10.1016/j.clineuro.2020.106249

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Respiratory muscle weakness may be an important factor in the respiratory complications observed in PD [ 8 , 9 , 10 , 11 ]. Respiratory muscle strength training, such as the use of expiratory flow acceleration EFA ® technology [ 12 ], has the potential to improve expiratory muscle strength, reducing the risk of respiratory complications.…”

Section: Introductionmentioning

confidence: 99%

Exercise Intolerance and Oxygen Desaturation in Patients with Parkinson’s Disease: Triggers for Respiratory Rehabilitation?

Vitacca

Olivares

Comini

et al. 2021

IJERPH

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The role that oxygen desaturation plays in exercise tolerance and its rehabilitative implications in patients with Parkinson’s disease (PD) are unclear. We aimed to test exercise tolerance and oxygen saturation levels both during exercise and at night in PD patients to better define their rehabilitative needs. In clinically stable PD patients, undergoing inpatient rehabilitation, and in “ON” phase, we prospectively assessed clinical data, sleepiness, comorbidities, PD severity (Hoehn&Yahr, HY), motor function (ADLs, UPDRSII and UPDRSIII, Barthel Index, Functional Independence Measure), balance, spirometry, respiratory muscles (MIP/MEP), peak cough expiratory flow (PCEF), continuous night oxygen monitoring, and meters at 6MWT. Of 55 patients analyzed (28 with moderate–severe PD, HY ≥ 2.5), 37% and 23% showed moderate–severe impairment on UPDRSII and UPDRSIII, respectively; 96% had reduced exercise tolerance and severe respiratory muscles impairment (MIP/MEP < 45% pred.); 21.8% showed desaturations during exercise; and 12.7% showed nocturnal desaturations. At multiple regression, low exercise tolerance and low mean nocturnal and exercise-induced saturation correlated with several respiratory and motor function and disability indices (all p < 0.03). Exercise tolerance, exercise-induced desaturations, and nocturnal desaturations were extremely frequent in PD patients and were worse in more severe PD patients. This suggests considering a combined role for motor and respiratory rehabilitation in these patients.

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Section: Introductionmentioning

confidence: 99%

Exercise Intolerance and Oxygen Desaturation in Patients with Parkinson’s Disease: Triggers for Respiratory Rehabilitation?

Vitacca

Olivares

Comini

et al. 2021

IJERPH

View full text Add to dashboard Cite

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The effects of physiotherapy treatments on dysphagia in Parkinson’s disease: A systematic review of randomized controlled trials

Wen

Liu

et al. 2022

Brain Research Bulletin

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Therapeutic singing and expiratory muscle strength training in Parkinson's disease: a mixed methods comparison

Brown,

Stegemöller

2024

Front. Rehabil. Sci.

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IntroductionThe purpose of this study was to understand how two respiratory strengthening protocols, therapeutic singing (TS) and expiratory muscle strength training (EMST), compare on measures of quality of life (QOL), depression and anxiety for persons with Parkinson's disease. An equally important aim was to understand participants' perceptions of both treatments.MethodsQuantitative and qualitative datasets were integrated in a convergent mixed methods design within a randomized crossover intervention trial. Thirteen persons with mild-moderate PD (Hoehn and Yahr stage 1–3) completed both interventions, in random order, for 4 weeks, 5 days per week, for approximately 20 min per day. Participants completed self-report questionnaires (Geriatric Depression Scale, Parkinson's Anxiety Scale, Parkinson's Disease Questionnaire-39, and a Survey after Treatment) after each intervention, and twelve participants' qualitative data were analyzed.ResultsQuantitative data did not reveal significant differences between the interventions in depression on the Geriatric Depression Scale or anxiety on the Parkinson's Anxiety Scale and the qualitative data support those findings. There were no significant differences between interventions in QOL as measured by the Parkinson's Disease Questionnaire-39, but there was a main effect of time, with a significant decline (p = 0.01) in perceived QOL between baseline and the final visit. The quantitative data diverged from the qualitative data as there were no themes that emerged to corroborate a decrease in QOL. Five qualitative themes were derived from thematic analysis: Benefits, Accessibility, Acceptability, Advice/Feedback, and Preference. Participants' perceptions of the interventions were closely aligned to individual differences and preferences, with an equal split of participants preferring TS and EMST.ConclusionsFindings from this mixed methods comparison of two respiratory interventions will help to improve the acceptability and accessibility of the interventions to better facilitate adherence to the interventions and promote continued engagement, thereby delaying respiratory decline in those with PD.

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Effectiveness of expiratory flow acceleration in patients with Parkinson's disease and swallowing deficiency: A preliminary study

Cited by 3 publications

References 25 publications

Exercise Intolerance and Oxygen Desaturation in Patients with Parkinson’s Disease: Triggers for Respiratory Rehabilitation?

Exercise Intolerance and Oxygen Desaturation in Patients with Parkinson’s Disease: Triggers for Respiratory Rehabilitation?

The effects of physiotherapy treatments on dysphagia in Parkinson’s disease: A systematic review of randomized controlled trials

Therapeutic singing and expiratory muscle strength training in Parkinson's disease: a mixed methods comparison

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