A THERAPEUTIC MANEUVER FOR OROPHARYNGEAL DYSPHAGIA IN PATIENTS WITH PARKINSON'S DISEASE

作者：Felix Valter Nilton^*; Alves Correa Sabrina Mello; Soares Renato Jose

来源：Clinics, 2008, 63(5): 661-666.

DOI：10.1590/S1807-59322008000500015

• Parkinson's disease
• Oropharyngeal dysphagia
• Rehabilitation
• Effortful swallow
• Biofeedback

OBJECTIVE: This study investigates resources to provide better conditions for oropharyngeal swallowing for improvement in the quality of life of Parkinson's disease patients.
METHOD: Three men and one woman with an average age of 70.25 years had been afflicted with Parkinson's disease for an average of 9.25 years. The patients were submitted to a rehabilitation program for oropharyngeal dysphagia after a clinical evaluation of swallowing. The rehabilitation program consisted of daily sessions for two consecutive weeks during which a biofeedback resource adapted especially for this study was used. The patients were then reevaluated for swallowing ability at follow-up.
RESULTS: The patients presenting difficulties with swallowing water displayed no such problems after rehabilitation. Only one patient exhibited slow oral transit of food and other discrete oropharyngeal food remnants when swallowing a biscuit. The sample variance was used to analyze the pressure measurements, demonstrating a numerical similarity of the results obtained with the swallowing of saliva or of biscuits (VAR = 4.41). A statistical difference was observed between the swallowing of saliva and biscuits, showing a significant pressure increase at the end of the rehabilitation program (p < 0.001).
CONCLUSION: The effortful swallow maneuver reinforced by using biofeedback appears to be a therapeutic resource in the rehabilitation of oropharyngeal dysphagia in Parkinson's disease patients.

• 出版日期2008-10