Video-assisted swallowing therapy for patients with Parkinson's disease

Manor, Yosef; Mootanah, Rajshree; Freud, Debora; Giladi, Nir; Cohen, Jacob T.

doi:10.1016/j.parkreldis.2012.10.004

Cited by 113 publications

(123 citation statements)

References 24 publications

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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: 92%

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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Section: Management Of Dysphagia In Pdmentioning

confidence: 92%

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

Luchesi¹,

Toledo²,

Mourão³

2017

JOENTR

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“…-El uso de la postura de bajar la barbilla hacia el pecho con líquidos poco espesos es menos eficaz en la prevención de la aspiración en comparación con utilizar líquidos espesos solos; no reduce eficazmente la incidencia de neumonía en las poblaciones con EP y demencia (nivel de evidencia 1-) (39). -En pacientes con EP sin alteración cognoscitiva que tienen trastornos de la deglución se asocia la terapia de deglución asistida por vídeo (VAST, por sus siglas en inglés) con una mejor calidad de vida relacionada con la deglución y menos residuos en la faringe (nivel de evidencia 1+) (42). Recomendaciones: -Se recomienda valorar la utilización de la terapia VAST para la mejora de la deglución en personas con EP (grado de recomendación B) (42).…”

Section: Logopedia -Degluciónunclassified

Sumario de recomendaciones nutricionales basadas en la evidencia de la Guía de Prácti ca Clínica para el manejo de pacientes con enfermedad de Parkinson

2016

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Objetivos: dar a conocer las recomendaciones relacionadas con la Nutrición Humana y Dietética (NHyD) de la Guía de Práctica Clínica para elmanejo de la enfermedad de Parkinson del Sistema Nacional de Salud (GPC-EP/SNS) y favorecer su difusión e implementación en la práctica.El objetivo secundario es presentar la implicación de los profesionales de la NHyD en la elaboración de la guía.Material y métodos: siguiendo el Manual Metodológico de Elaboración de Guías de Práctica Clínica en el Sistema Nacional de Salud, se formularonlas preguntas clínicas, se realizó una búsqueda sistemática para cada pregunta en bases de datos (PubMed/Medline, Embase, CochraneLibrary, CRD, LILACS, IBECS y ClinicalTrials), se defi nieron los criterios de elegibilidad, al menos dos investigadores seleccionaron los estudios,se realizó lectura crítica de la literatura se resumió en tablas de síntesis de evidencia y se establecieron las recomendaciones.Resultados: se propusieron 14 preguntas relacionadas directamente con NHyD-Parkinson, de las cuales solamente 3 pudieron incluirse. Seformuló una pregunta relacionada con la terapia de logopedia aplicada en personas con EP que presentan problemas de deglución, tratamientodonde se imbrican los profesionales de la NHyD. De 642 artículos localizados, únicamente 2 pudieron ser incluidos para contestar las correspondientespreguntas. De las evidencias halladas, se derivaron 11 recomendaciones directa o indirectamente relacionados con la NHyD.Conclusiones: la implicación de profesionales sanitarios en equipos multidisciplinares mejora el resultado fi nal de las guías y la atención sanitariade los pacientes. Es necesario que los profesionales sanitarios de la NHyD (los/las dietistas-nutricionistas) se impliquen en iniciativas basadasen la mejor evidencia científi ca disponible y que formen parte de los equipos de trabajo multidisciplinares.

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“…A metaanalysis showed that the prevalence of subjective oropharyngeal dysphagia in PD is 35% (95% CI: [28][29][30][31][32][33][34][35][36][37][38][39][40][41], but that objective swallowing changes can occur in up to 82% (95% CI: 77-87) of patients [9]. One explanation may be that patients with PD are less aware of changes in motor functioning, similar to other changes in motor behavior (e.g., reduced intelligibility) [10].…”

Section: Oropharyngeal Dysphagia In Pdmentioning

confidence: 99%

“…In addition, flexible endoscopic evaluation of swallowing can be used as a biofeedback tool during treatment [37]. Treatment of oropharyngeal dysphagia in PD can be behavioral and/or medical.…”

Section: Dysphagiamentioning

confidence: 99%

“…Several small studies [52,53] have suggested the benefit of exercise training for swallowing efficiency of patients with PD, while two larger studies [37,54] have shown more specific approaches. Manor et al showed a significant improvement with exercising forceful swallowing in 42 patients, demonstrating typical pharyngeal residue [37]. Half of the patients who received additional support with the use of endoscopy as visual feedback (videoassisted swallowing therapy) gained even more improvement, which was still present after 6 months followup.…”

Section: Rehabilitative Treatmentmentioning

confidence: 99%

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Management of Dysphagia and Drooling in Patients With Parkinson’s Disease

2013

Neurodegen. Dis. Manage.

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SUMMARY Dysphagia and drooling are frequently reported consequences of Parkinson’s disease (PD) and this article aims to review their management. Several PD-specific and validated instruments are available for the screening and evaluation of dysphagia and drooling, including the Swallowing Disturbance Questionnaire (SDQ), Sialorrhea Clinical Scale for Parkinson’s disease (SCS-PD), Radboud Oral Motor Inventory for Parkinson’s Disease (ROMP), subscales for swallowing and saliva, and non-motor questionnaires that include items on dysphagia and drooling (e.g., Scales for Outcomes in Parkinson’s disease-Autonomic [SCOPA-AUT]; Non-motor Symptoms Questionnaire for Parkinson’s disease [PD-NMSQuest]; and Non-motor Symptoms Assessment Scale for Parkinson’s disease [NMSS]). For the behavioral treatment of dysphagia traditional techniques are helpful, however, exercise training might be more effective. Dysphagia appears to be resistant to drug treatment, but dysphagic patients may benefit from deep brain stimulation. For the treatment of drooling, swallow compensations should be tried, but when saliva reduction is required, botulinum-toxin injections are currently the best option. Overall, there is an urgent need for new approaches to treat dysphagia and drooling in PD.

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Video-assisted swallowing therapy for patients with Parkinson's disease

Cited by 113 publications

References 24 publications

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

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

Sumario de recomendaciones nutricionales basadas en la evidencia de la Guía de Prácti ca Clínica para el manejo de pacientes con enfermedad de Parkinson

Management of Dysphagia and Drooling in Patients With Parkinson’s Disease

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