[PDF] A simple bedside test to assess the swallowing dysfunction in Parkinson's disease | Semantic Scholar (2024)

Dysphagia and aspiration are common in all subgroups of parkinsonism and seen in early stages of H&Y and within the first year of disease duration, so it is recommended that these patients are evaluated early for optimal management and to avoid aspiration-related complications.

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.

Current knowledge on the neurophysiological underpinnings of swallowing impairments in PD, the health outcomes, the relationship of non-motor symptoms with dysphagia and the clinical assessment and management options are discussed, among other important issues in PD management.

A lower BMI is associated with modified foods, mostly eaten to cope with SD, and a lower BMI was found in participants eating porridge consistency rice, significantly related to the severity of SD.

The statements elaborated by the Consensus Panel provide a framework to guide the neurologist in the timely detection and accurate diagnosis of dysphagia in PD.

The mortality outcome of STN DBS in patients with advanced PD is confirmed, with older age of disease onset, preoperative falling score while on medication, and higher preoperative total levodopa equivalent daily dose associated with a higher risk of mortality in time-dependent Cox regression analysis.

Healthcare professionals’ knowledge about procedures involved in dysphagia bedside evaluation in Jordan is insufficient, and speech language pathologists had more knowledge about Procedures involved in bedside Evaluation for dysphagian conditions than other professionals.

Overall, measuring swallowing speed is prone to methodological errors and not suitable as a screening instrument to predict aspiration in PD patients.

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Self-report of ’no difficulty’ is not a reliable indicator of swallowing ability and studies employing more-objective assessment of aspiration risk to compare with water swallow test performance are advocated.

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.

It is concluded that swallowing speed is a reliable and valid index for assessing disordered swallowing in neurological patients and may be of value in monitoring response to therapy.

It was confirmed that patients who were judged as having swallowing disorder (including suspected cases) by the water swallowing test and patients with underlying diseases and complication that may cause the disorder, and patients medicated with drugs that may affect the swallowing ability require appropriate management by medical care staff.

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.

Patients with idiopathic Parkinson's disease should be questioned about dysphagia for food on a regular basis and, if present, should be referred to a speech and language therapist for further assessment and treatment.

Bowel management for these people must remain empirical until well-designed controlled trials with adequate numbers and clinically relevant outcome measures become available, according to the conclusion from the latest Cochrane review on treatment of bowel dysfunction in central neurological diseases.