The Relationship Between Limit of Dysphagia and Average Volume Per Swallow in Patients with Parkinson's Disease

被引:16
作者
Belo, Luciana Rodrigues [6 ]
Costa Gomes, Nathalia Angelina [2 ]
Wanderley de Sales Coriolano, Maria das Gracas [3 ]
de Souza, Elizabete Santos [4 ]
Alves Moura, Danielle Albuquerque [2 ]
Asano, Amdore Guescel [5 ]
Lins, Otavio Gomes [1 ]
机构
[1] Univ Fed Pernambuco, Dept Neuropsychiat & Behav Sci, BR-50670901 Recife, PE, Brazil
[2] Univ Fed Pernambuco, Dept Speech, BR-50670420 Recife, PE, Brazil
[3] Univ Fed Pernambuco, Dept Anat, BR-50670901 Recife, PE, Brazil
[4] Univ Fed Pernambuco, Res Grp Clin & Expt Neurophysiol, BR-50670901 Recife, PE, Brazil
[5] Clin Hosp Pernambuco, Proparkinson Program, BR-50670901 Recife, PE, Brazil
[6] Clin Hosp Pernambuco, Proparkinson Program, BR-52051270 Recife, PE, Brazil
关键词
Surface electromyography; Parkinson's disease; Piecemeal deglutition; Dysphagia limit; Deglutition; Deglutition disorders; DISORDERS; DRINKING;
D O I
10.1007/s00455-013-9512-7
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The goal of this study was to obtain the limit of dysphagia and the average volume per swallow in patients with mild to moderate Parkinson's disease (PD) but without swallowing complaints and in normal subjects, and to investigate the relationship between them. We hypothesize there is a direct relationship between these two measurements. The study included 10 patients with idiopathic PD and 10 age-matched normal controls. Surface electromyography was recorded over the suprahyoid muscle group. The limit of dysphagia was obtained by offering increasing volumes of water until piecemeal deglutition occurred. The average volume per swallow was calculated by dividing the time taken by the number of swallows used to drink 100 ml of water. The PD group showed a significantly lower dysphagia limit and lower average volume per swallow. There was a significantly moderate direct correlation and association between the two measurements. About half of the PD patients had an abnormally low dysphagia limit and average volume per swallow, although none had spontaneously related swallowing problems. Both measurements may be used as a quick objective screening test for the early identification of swallowing alterations that may lead to dysphagia in PD patients, but the determination of the average volume per swallow is much quicker and simpler.
引用
收藏
页码:419 / 424
页数:6
相关论文
共 19 条
[1]   Motor strategy in rapid sequential swallowing: New insights [J].
Chi-Fishman, G ;
Sonies, BC .
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, 2000, 43 (06) :1481-1492
[2]   Swallowing in Patients with Parkinson's Disease: A Surface Electromyography Study [J].
Coriolano, Maria das Gracas W. S. ;
Belo, Luciana R. ;
Carneiro, Danielle ;
Asano, Amdore G. ;
Oliveira, Paulo Jose A. L. ;
da Silva, Douglas Monteiro ;
Lins, Otavio G. .
DYSPHAGIA, 2012, 27 (04) :550-555
[3]   Mechanism of sequential swallowing during straw drinking in healthy young and older adults [J].
Daniels, SK ;
Corey, DM ;
Hadskey, LD ;
Legendre, C ;
Priestly, DH ;
Rosenbek, JC ;
Foundas, AL .
JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, 2004, 47 (01) :33-45
[4]   Swallowing physiology of sequential straw drinking [J].
Daniels, SK ;
Foundas, AL .
DYSPHAGIA, 2001, 16 (03) :176-182
[5]   EFFECT OF SWALLOWED BOLUS VARIABLES ON ORAL AND PHARYNGEAL PHASES OF SWALLOWING [J].
DANTAS, RO ;
KERN, MK ;
MASSEY, BT ;
DODDS, WJ ;
KAHRILAS, PJ ;
BRASSEUR, JG ;
COOK, IJ ;
LANG, IM .
AMERICAN JOURNAL OF PHYSIOLOGY, 1990, 258 (05) :G675-G681
[6]   Piecemeal deglutition and dysphagia limit in normal subjects and in patients with swallowing disorders [J].
Ertekin, C ;
Aydogdu, I ;
Yuceyar, N .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 61 (05) :491-496
[7]   Electrophysiological evaluation of pharyngeal phase of swallowing in patients with Parkinson's disease [J].
Ertekin, C ;
Tarlaci, S ;
Aydogdu, I ;
Kiylioglu, N ;
Yuceyar, N ;
Turman, AB ;
Secil, Y ;
Esmeli, F .
MOVEMENT DISORDERS, 2002, 17 (05) :942-949
[8]  
Feodrippe Paulo, 2012, Rev. CEFAC, V14, P498
[9]   The economic impact of Parkinson's disease [J].
Findley, Leslie J. .
PARKINSONISM & RELATED DISORDERS, 2007, 13 :S8-S12
[10]   The coordination of breathing and swallowing in Parkinson's disease [J].
Gross, Roxann Diez ;
Atwood, Charles W., Jr. ;
Ross, Sheryl B. ;
Eichhorn, Kimberly A. ;
Olszewski, Joan W. ;
Doyle, Patrick J. .
DYSPHAGIA, 2008, 23 (02) :136-145