Journal ArticleDOI
Hard to swallow: dysphagia in Parkinson’s disease
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TLDR
If and how changes in swallowing impact on the lives of people with Parkinson's disease is established and the psychosocial consequences of the physical changes concerned people most.Abstract:
Background: swallowing changes occur from the earliest stages of Parkinson’s disease (PD), even in cases asymptomatic for dysphagia. Little empirical evidence exists concerning the individual’s own perception of changes, the impact these have on their life and coping strategies to deal with them.
Objective: to establish if and how changes in swallowing impact on the lives of people with PD.
Design: in-depth interviews with qualitative analysis of content.
Setting: community.
Subjects: a total of 23 men and 14 women and their carers.
Methods: participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of swallowing symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification.
Results: two broad themes emerged: (i) effects on swallowing of underlying physical changes, with subthemes of oral-pharyngeal-laryngeal changes, manual changes, effects of fatigue and (ii) psychosocial impact, with subthemes of alterations to eating habits, feelings of stigma, need for social adjustment and carers’ issues. Coping strategies could aid swallowing problems but often to the detriment of others in the family through altered demands on preparation and organisation. Presence of significant impact was not necessarily associated with abnormal range scores on objective swallowing assessments.
Conclusions: the psychosocial consequences of the physical changes concerned people most. The importance of the early detection of changes for health and quality of life is underlined.read more
Citations
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Non-motor Symptoms of Parkinson's Disease
TL;DR: The characteristics, pathophysiology, epidemiology, and management of non-motor symptoms of Parkinson's disease including cognitive declines, psychiatric disturbances, and autonomic failures are discussed.
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Dysphagia in Parkinson's Disease
Inga Suttrup,Tobias Warnecke +1 more
TL;DR: An overview on current stages of epidemiology, pathophysiology, diagnosis, and treatment of PD-associated dysphagia is given, which might be helpful for neurologists, speech-language therapists, and other clinicians in their daily work with PD patients and associated swallowing difficulties.
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ESPEN guideline clinical nutrition in neurology
Rosa Burgos,Irene Bretón,Emanuele Cereda,Jean Claude Desport,Rainer Dziewas,Laurence Genton,Filomena Gomes,Pierre Jésus,Andreas H. Leischker,Maurizio Muscaritoli,K.A. Poulia,Jean-Charles Preiser,Marjolein A. van der Marck,Rainer Wirth,Pierre Singer,Stephan C. Bischoff +15 more
TL;DR: An evidence- and consensus-based guideline addresses clinical questions on best medical nutrition therapy in patients with neurological diseases and offers 88 recommendations for use in clinical practice for amyotrophic lateral sclerosis, Parkinson's disease, stroke and multiple sclerosis.
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The relationship between quality of life and swallowing in Parkinson's disease†
Emily K. Plowman-Prine,Christine M. Sapienza,Michael S. Okun,Stephenie L. Pollock,Charles E. Jacobson,Samuel S. Wu,John C. Rosenbek +6 more
TL;DR: These exploratory data highlight the psychosocial sequelae that swallowing impairment can have in those with IPD and suggest a possible association between swallowing, social function, and depression.
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Speech and swallowing disorders in Parkinson disease.
TL;DR: A rat model for studying neuropharmacologic effects on vocalization in Parkinson disease has been developed and changes in brain activity due to LSVT LOUD provide preliminary evidence for neural plasticity.
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Journal ArticleDOI
Life with communication changes in Parkinson’s disease
TL;DR: Speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent, and the role of early referral to speech and language therapy is therefore worthy of detailed investigation.