Skill Training for Swallowing Rehabilitation in Patients With Parkinson's Disease

Athukorala, Ruvini P.; Jones, Richard D.; Sella, Oshrat; Huckabee, Maggie‐Lee

doi:10.1016/j.apmr.2014.03.001

Cited by 140 publications

(134 citation statements)

References 31 publications

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“…For submental MEP recording, two surface electrodes were placed externally, in the midsagittal plane, overlying the floor-of-mouth muscle group. Hence, electrical activity was collectively registered primarily from right and left anterior belly of digastric, right and left mylohyoid, and right and left geniohyoid muscles (Athukorala et al 2014). The electrodes were placed between the posterior, midline aspect of the mandible, and the superior palpable edge of the thyroid cartilage, with an inter-electrode distance of 10 mm.…”

Section: Methodsmentioning

confidence: 99%

Age and gender effects on submental motor-evoked potentials

Sella

Jones

Huckabee

2014

AGE

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It is not known whether there are ageand/or gender-related differences in magnitude of motor-evoked potentials (MEPs) of the submental muscles. Knowledge of this is important in investigations of neurophysiological aspects of swallowing. Forty healthy participants (20 males, 20 females; 20 young [21-35 years], 20 old [53-88 years]) were recruited. Surface electromyography (EMG) electrodes were placed at midline underlying the submental muscle group. Age-and genderrelated differences were evaluated in two neurophysiologic measures of swallowing: MEPs stimulated by single-pulse transcranial magnetic stimulation (TMS) over the motor cortex and surface electromyography (sEMG) recorded from the same submental muscle group during non-stimulated swallows. The older participants had larger MEPs during saliva swallowing than the young participants (p = 0.04, d=0.86). Conversely, the older participants had lower amplitude submental EMG activity during nonstimulated swallows (p=0.045, d=0.67). Gender had no significant effect on MEP magnitude and on submental activity during saliva swallowing. There were no effects of age or gender on MEP latencies. These findings suggest deterioration in muscle function with age in a sample of healthy adults presenting with functional swallowing. We speculate that muscular decline is partially ameliorated by increased cortical activity-i.e., increased submental MEPs-so as to preserve swallowing function in healthy older subjects. These findings emphasize the need for different reference points for evaluation of submental MEPs of different age groups.

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Section: Methodsmentioning

confidence: 99%

Age and gender effects on submental motor-evoked potentials

Sella

Jones

Huckabee

2014

AGE

Self Cite

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“…The benefits, of swallowing and communication treatment in PD, both in short and long term, have being reported by some studies in the last 5 years.17, [39][40][41]. The results showed improvement in quality of life and swallowing functionality, and reduction of the residues after swallowing, among other benefits.…”

Section: Management Of Dysphagia In Pdmentioning

confidence: 57%

Dysphagia in Parkinson’s disease: Prevalence, Impact and Management Challenges

Luchesi¹,

Toledo²,

Mourão³

2017

JOENTR

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The aim of this review is to present an update of the prevalence, impact and management challenges of dysphagia in Parkinson's disease. In the last 5 years, the prevalence of dysphagia in Parkinson's disease (PD) has been reported with a wide range of values in the literature. The dysphagia prevalence ranged from 11% to 100% of the patients with PD. This variation, generally, depended on the disease stage and the procedure of swallowing assessment. In the management of dysphagia, compensatory techniques, rehabilitation exercises and deep-brain stimulation have been conducted. Despite of the lack of high scientific evidences of efficiency of the majority of these interventions, the positive aspects and benefits are described in the actual literature. Moreover, this review paper discuss about the importance of the dysphagia assessment and treatment in the best timing to prevent complications, as pulmonary and nutritional impairment, and to improve quality of life.

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“…As a treatment for dysphagia, rehabilitation professionals may provide exercises to strengthen the suprahyoid muscles and/or coach patients to improve swallowing posture [7][8][9]. On the other hand, occupational therapists recommended chin-down posture is recommended for swallowing [10].…”

Section: Introductionmentioning

confidence: 99%

The effect of a wheelchair designed to prevent forward head posture on swallowing duration and integrated electromyography of suprahyoid muscles

Okuno¹,

Hatta²,

Kishigami³

et al. 2017

Integr Mol Med

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Aspiration is a severe problem for elderly patients with disabilities. The causes of aspiration include forward head posture and muscle weakness. Forward Head Posture leads to a chin-up posture and affects the activity of the suprahyoid muscles. This study aimed to assess the utility of a wheelchair incorporating an increased seat to back support angle to improve swallowing. The study cohort included 21 healthy individuals (9 males and 12 females; mean age = 20.8 ± 0.9 years). Two wheelchairs were used in this study: model RX-1 and model RX_ABS Lo, which is a modification of RX-1 with a different back support system. Subjects were instructed to sit in each wheelchair and swallow 15 mL of water. Suprahyoid muscle activity was measured in a resting position and during swallowing, while posture in the sagittal plane was recorded using a digital video camera. We also measured buttock and back support pressure distribution. Swallowing duration, integrated electromyography, posture and pressure distribution between the two wheelchairs were compared using paired-samples t-tests. After the exclusion of five subjects, 16 were included for analysis. Swallowing duration and integrated electromyography significantly were decreased with RX_ABS Lo compared to RX-1. Head and neck alignment were more erect and trunk alignment more inclined in RX_ABS Lo compared to RX-1. RX_ABS Lo led to decreased buttock pressure and increased back support pressure; further, the improved forward head posture observed with RX_ABS Lo facilitated better chin alignment. In conclusion, use of RX_ABS Lo resulted in decreased swallowing duration and integrated electromyography due to improvement in forward head posture.

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Skill Training for Swallowing Rehabilitation in Patients With Parkinson's Disease

Cited by 140 publications

References 31 publications

Age and gender effects on submental motor-evoked potentials

Age and gender effects on submental motor-evoked potentials

Dysphagia in Parkinson’s disease: Prevalence, Impact and Management Challenges

The effect of a wheelchair designed to prevent forward head posture on swallowing duration and integrated electromyography of suprahyoid muscles

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