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Rehabilitation Practice and Science

Translated Title

巴金森患者之吞嚥功能－和發病時間及分期的相關性研究

Abstract

Oropharyngeal dysphagia is a common complication of Parkinson's disease (PD). Swallowing assessment scales, videofluoroscopics wallowing study (VFSS), and fiberoptic endoscopic evaluation of swallowing (FEES) are used to evaluate the swallowing function of patients with dysphagia. However, few studies have been conducted that assessed tongue muscle strength and hyoid bone movement in patients with PD. To better understand the correlation between disease duration, Hoehn and Yahr (H&Y) stage and swallowing function in patients with PD, this study evaluated the swallowing function in patients with PD using ultrasonography and Iowa Oral Performance Instrument (IOPI). Ultrasonography was performed to evaluate hyoid movement, and IOPI was used to assess tongue muscle strength. In total, 30 patients with PD (10 males, 20 females) with self-reported dysphagia were enrolled. They were divided into two groups based on disease duration and H&Y stage. The swallowing assessment included Eating Assessment Tool-10 (Eat-10), Swallowing Quality of Life Questionnaire (SWAL-QOL), Functional Oral Intake Scale (FOIS), IOPI, and ultrasonography. Between the groups based on disease duration, no significant differences were noted regarding sex, age, or any other variable. However, between the two groups with H&Y stage≥3 and ＜3, we found significant correlations in terms of Eat-10 (13.9 ± 9.5, 7.4 ± 9.8, p=0.023), maximum isometric pressures of the anterior tongue (34.8 ± 15.1 kPa, 43.1 ± 14.0 kPa, p =0.029), posterior tongue (29.5 ± 12.9 kPa, 40.1 ± 14.4 kPa, p=0.033), and SWAL-QOL communication domain (5.4 ± 1.8, 3.5 ± 1.7, p=0.005), but not hyoid displacement and hyoid velocity measurement. Our results show no evidence of differences in swallowing function attributable to PD duration; however, differences were found to be related to H&Y stage. As H&Y stages advance, tongue muscle strength is affected, along with worsening of communication function.

Language

Traditional Chinese

First Page

17

Last Page

27

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