Oropharyngeal freezing and its relation to dysphagia – An analogy to freezing of gait

Parkinsonism & Related Disorders, Год журнала: 2020, Номер 75, С. 1 - 6

Опубликована: Май 8, 2020

Язык: Английский

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An intensive neurorehabilitation programme with sEMG biofeedback to improve swallowing in idiopathic Parkinson's disease (IPD): A feasibility study

International Journal of Language & Communication Disorders, Год журнала: 2022, Номер 58(3), С. 813 - 825

Опубликована: Дек. 8, 2022

Studies suggest swallow intervention programmes that incorporate visual biofeedback and motor programming principles can improve swallowing quality of life for people with idiopathic Parkinson's disease (IPD) dysphagia. Few studies have examined outcomes using instrumentation.Using fibreoptic endoscopic examination (FEES), this study examines the effectiveness a neurorehabilitation involving via surface electromyography (sEMG) to in IPD, explore feasibility approach.We recruited 12 participants IPD A total 10 completed study. Intervention was delivered 1 h per day, 5 days week, 4 weeks (20 h). Swallowing tasks sEMG incorporated learning neuroplasticity. Instrumental non-instrumental assessment, including quality-of-life measures carried out at four different time points (two pre-treatment two post-treatment). The final assessment 3 months post-intervention.Statistically significant improvement (p < 0.05) oral intake methods (95% confidence interval (CI) = 4.70-5.50) pharyngeal residue from saliva CI 2.14-3.15) solids 2.4-3.5) post-intervention were confirmed FEES improvements months. protocol well tolerated. Participants reported positive change control duration mealtimes as unanticipated voice cognitive attention.An intensive shows effects improving function IPD. This is feasible amendments inform larger clinical trial.What already known on subject Biofeedback has increasing most common method used deliver population. evidence intervention, based findings recent systematic review, low. Included review heterogeneous terms type frequency biofeedback, design outcome measures. majority subjective higher examine efficacy are needed. What adds Recognizing limitations earlier studies, within-subject an sample dysphagia Valid reliable repeated after 3-month period. methodological approach also tested qualitative component included Positive evident. Qualitative information added new perspectives provided direction be future studies. helps further research trials practice. Clinical implications neuroplasticity led not only but unexpected benefits such improved production general attention skills. No adverse events reported. Improvement retained post-intervention. Despite small size, described treatment, enjoyed tasks, especially game mode. suggests acceptable these participants. merit worth considering

Язык: Английский

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Ausbildungscurriculum zum Zertifikat „Diagnostik und Therapie oropharyngealer Dysphagien, inklusive FEES“ der Deutschen Gesellschaft für Phoniatrie und Pädaudiologie und der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie

Laryngo-Rhino-Otologie, Год журнала: 2019, Номер 98(10), С. 695 - 700

Опубликована: Окт. 1, 2019

In Germany, about 5 million people of all ages suffer from dysphagia. Due to demographic change and improved medical care, the incidence swallowing disorders is expected increase. Dysphagia associated with an increased morbidity mortality leads a considerable financial burden on health systems. The two most common causes dysphagia are neurological head neck cancer. Diagnostics therapy have developed continuously over past decades. particular, flexible endoscopic evaluation (FEES) has become established part diagnostics.The certificate "Diagnostics Therapy Oropharyngeal Dysphagia, incl. FEES" was by German Society for Phoniatrics Pedaudiology (DGPP) Otolaryngology, Head Neck Surgery (DGHNO KHC) in cooperation Professional Association Otolaryngologists.It consists three parts: modules (A, B C), indirect supervision practical examination. Structure, detailed contents requirements obtaining described following article. qualification lecturers auditors also defined.The systematic training serves quality assurance establishment standards diagnostics oropharyngeal area phoniatrics ear, nose throat medicine.In Deutschland leiden ca. Millionen Menschen jeden Lebensalters einer Dysphagie. Durch den demografischen Wandel und die verbesserte medizinische Versorgung ist mit Zunahme der Inzidenz von Schluckstörungen zu rechnen. Die Dysphagie erhöhten Morbiditäts- Mortalitätsrate assoziiert führt erheblichen finanziellen Belastung Gesundheitssysteme. zwei häufigsten Ursachen Schluckstörung sind neurologische Erkrankungen Kopf-Hals-Tumore. Diagnostik Therapie haben sich letzten Jahrzehnten kontinuierlich weiterentwickelt. Insbesondere flexibel-endoskopische Beurteilung des Schluckaktes einem festen Bestand Abklärung geworden.Das Zertifikat „Diagnostik oropharyngealer Dysphagien, inkl. FEES“ wurde Deutschen Gesellschaft für Phoniatrie Pädaudiologie Hals-Nasen-Ohren-Heilkunde, Kopf- Hals-Chirurgie Zusammenarbeit dem Berufsverband Hals-Nasen-Ohrenärzte entwickelt.Es besteht aus drei Teilen: Modulen indirekten Supervision praktischen Prüfung. Aufbau, detaillierte Inhalte Anforderungen zur Erlangung Zertifikates werden im folgenden Artikel beschrieben. Ebenso Qualifikationen Dozenten Prüfer festgesetzt.Die systematische Ausbildung dient Qualitätssicherung Etablierung Standards oropharyngealen Dysphagien Hals-, Nasen- Ohrenheilkunde.

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Medication Lubricants for Oral Delivery of Drugs: Oral Processing Reduces Thickness, Changes Characteristics, and Improves Dissolution Profile

Pharmaceutics, Год журнала: 2024, Номер 16(3), С. 417 - 417

Опубликована: Март 18, 2024

Swallowing oral solid dosage forms is challenging for those who have medication swallowing difficulties, including patients with dysphagia. One option to mix the drug (whole or crushed) a thick vehicle (medication lubricant). Previous in vitro studies consistently suggest that vehicles could impact dissolution of forms, potentially influencing their therapeutic effectiveness, but do not account changes happen during processing and swallowing. This study aims investigate potential lubricants on release examine effect processing. In whole crushed paracetamol tablets mixed five commercially available (two IDDSI level 2, two 3, one 4) were tested without processing; lubricant with/without was placed mouth (five healthy volunteers), prepared swallowing, then expectorated assessed physical characteristics release. Medication lubricants, both alone tablets, showed significant decrease viscosity after Without processing, 3 4 significantly delayed tablets. After particularly there substantial increase rate. These findings testing overestimates dissolution. Therefore, using tests predict rate medications discouraged. It essential consider ways incorporate effects environment used administration.

Язык: Английский

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Sublingual apomorphine in the treatment of Parkinson’s disease

Journal of Neural Transmission, Год журнала: 2024, Номер 131(10), С. 1209 - 1216

Опубликована: Май 14, 2024

Язык: Английский

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The effect of underlying diseases on pneumonia risk in patients with neurogenic or tumor-related dysphagia: a retrospective cohort study

European Archives of Oto-Rhino-Laryngology, Год журнала: 2024, Номер 281(11), С. 5991 - 5999

Опубликована: Июль 11, 2024

To analyze the association of neurological disorders (ND) and head neck cancer (HNC) with dysphagia severity aspiration pneumonia occurrence.

Язык: Английский

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Consensus-Based Recommendations for Advance Directives of People with Parkinson’s Disease in Regard to Typical Complications by German Movement Disorder Specialists

Journal of Clinical Medicine, Год журнала: 2020, Номер 9(2), С. 449 - 449

Опубликована: Фев. 6, 2020

A huge proportion of people with Parkinson’s disease (PwP) in Germany have written an advance directive (AD). However, the content these forms regard to specific (PD)-related complications is rather low. There urgent need specify ADs PwP and consequently improve decision-making concerning end-of-life aspects for affected patients. Evidence- consensus-based PD-specific recommendations might help close this gap. Delphi study two online rounds was initiated. Initial were built on findings from previous studies derived evidence-based literature. Consensus defined as ≥80% concordance regarding clarity formulated relevance clinical practice. total 22 experts (15.2% response rate) predominantly workgroup ‘neuro-palliative care’ performed rounds. achieved 14 24 initially presented recommendations. Recommendations relating dopaminergic therapy well non-oral options considered important by expert panel. The should be taken into account when developing giving advice PwP. Health professionals trained counselling integrating during course PD.

Язык: Английский

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Gastrointestinal Care of the Parkinson Patient

Clinics in Geriatric Medicine, Год журнала: 2019, Номер 36(1), С. 81 - 92

Опубликована: Сен. 6, 2019

Язык: Английский

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Stellenwert der COMT-Hemmer in der Therapie motorischer Fluktuationen

Der Nervenarzt, Год журнала: 2022, Номер 93(10), С. 1035 - 1045

Опубликована: Янв. 19, 2022

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Solid Oral Dosage Forms Use in Adults with Neurological Disorders and Swallowing Difficulties: A Scoping Review

Dysphagia, Год журнала: 2021, Номер 37(4), С. 909 - 922

Опубликована: Окт. 15, 2021

Язык: Английский

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