Neuromuscular Electrical Stimulation Versus Traditional Therapy in Patients with Parkinson's Disease and Oropharyngeal Dysphagia: Effects on Quality of Life

Overview

Journal Dysphagia

Date 2011 Nov 15

PMID 22081122

Citations 40

Authors

B J Heijnen

R Speyer

L W J Baijens

H C A Bogaardt

Affiliations

Soon will be listed here.

Abstract

This study compares the effects of traditional logopedic dysphagia treatment with those of neuromuscular electrical stimulation (NMES) as adjunct to therapy on the quality of life in patients with Parkinson's disease and oropharyngeal dysphagia. Eighty-eight patients were randomized over three treatment groups. Traditional logopedic dysphagia treatment and traditional logopedic dysphagia treatment combined with NMES at sensor or motor level stimulation were compared. At three times (pretreatment, post-treatment, and 3 months following treatment), two quality-of-life questionnaires (SWAL-QOL and MD Anderson Dysphagia Inventory) and a single-item Dysphagia Severity Scale were scored. The Functional Oral Intake Scale was used to assess the dietary intake. After therapy, all groups showed significant improvement on the Dysphagia Severity Scale and restricted positive effects on quality of life. Minimal group differences were found. These effects remained unchanged 3 months following treatment. No significant correlations were found between dietary intake and quality of life. Logopedic dysphagia treatment results in a restricted increased quality of life in patients with Parkinson's disease. In this randomized controlled trial, all groups showed significant therapy effects on the Dysphagia Severity Scale and restricted improvements on the SWAL-QOL and the MDADI. However, only slight nonsignificant differences between groups were found.

Citing Articles

Management and Treatment for Dysphagia in Neurodegenerative Disorders.

Ueha R, Cotaoco C, Kondo K, Yamasoba T J Clin Med. 2024; 13(1).

PMID: 38202163 PMC: 10779554. DOI: 10.3390/jcm13010156.

Effects of interferential current electrical stimulation (IFCS) on mastication and swallowing function in healthy young adults: A preliminary study.

Iizumi Y, Ihara Y, Koike J, Takahashi K Clin Exp Dent Res. 2023; 9(3):491-499.

PMID: 37158140 PMC: 10280604. DOI: 10.1002/cre2.748.

[Dysphagia in Parkinsonian Syndromes].

Gandor F, Berger L, Gruber D, Warnecke T, Vogel A, Claus I Nervenarzt. 2023; 94(8):685-693.

PMID: 37115255 DOI: 10.1007/s00115-023-01475-7.

KSNR Clinical Consensus Statements: Rehabilitation of Patients with Parkinson's Disease.

Kim D, Oh H, Bok S, Chang W, Choi Y, Chun M Brain Neurorehabil. 2023; 13(2):e17.

PMID: 36744191 PMC: 9879460. DOI: 10.12786/bn.2020.13.e17.

Prevalence of Malnutrition in Patients with Parkinson's Disease: A Systematic Review.

Kacprzyk K, Milewska M, Zarnowska A, Panczyk M, Rokicka G, Szostak-Wegierek D Nutrients. 2022; 14(23).

PMID: 36501224 PMC: 9738273. DOI: 10.3390/nu14235194.

References

HOEHN M, Yahr M . Parkinsonism: onset, progression and mortality. Neurology. 1967; 17(5):427-42. DOI: 10.1212/wnl.17.5.427. View

Martin L, Cometti G, Pousson M, Morlon B . Effect of electrical stimulation training on the contractile characteristics of the triceps surae muscle. Eur J Appl Physiol Occup Physiol. 1993; 67(5):457-61. DOI: 10.1007/BF00376463. View

Wintzen A, Badrising U, Roos R, Vielvoye J, Liauw L, Pauwels E . Dysphagia in ambulant patients with Parkinson's disease: common, not dangerous. Can J Neurol Sci. 1994; 21(1):53-6. DOI: 10.1017/s0317167100048770. View

Fraser C, Rothwell J, Power M, Hobson A, Thompson D, Hamdy S . Differential changes in human pharyngoesophageal motor excitability induced by swallowing, pharyngeal stimulation, and anesthesia. Am J Physiol Gastrointest Liver Physiol. 2003; 285(1):G137-44. DOI: 10.1152/ajpgi.00399.2002. View

Speyer R, Heijnen B, Baijens L, Vrijenhoef F, Otters E, Roodenburg N . Quality of life in oncological patients with oropharyngeal dysphagia: validity and reliability of the Dutch version of the MD Anderson Dysphagia Inventory and the Deglutition Handicap Index. Dysphagia. 2011; 26(4):407-14. PMC: 3224721. DOI: 10.1007/s00455-011-9327-3. View

Plowman-Prine E, Sapienza C, Okun M, Pollock S, Jacobson C, Wu S . The relationship between quality of life and swallowing in Parkinson's disease. Mov Disord. 2009; 24(9):1352-8. PMC: 3614344. DOI: 10.1002/mds.22617. View

Bulow M, Speyer R, Baijens L, Woisard V, Ekberg O . Neuromuscular electrical stimulation (NMES) in stroke patients with oral and pharyngeal dysfunction. Dysphagia. 2008; 23(3):302-9. DOI: 10.1007/s00455-007-9145-9. View

Oh B, Kim D, Paik N . Recovery of swallowing function is accompanied by the expansion of the cortical map. Int J Neurosci. 2007; 117(9):1215-27. DOI: 10.1080/00207450600936254. View

Folstein M, Folstein S, McHugh P . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. DOI: 10.1016/0022-3956(75)90026-6. View

10.

Ali G, Wallace K, Schwartz R, DeCarle D, Zagami A, Cook I . Mechanisms of oral-pharyngeal dysphagia in patients with Parkinson's disease. Gastroenterology. 1996; 110(2):383-92. DOI: 10.1053/gast.1996.v110.pm8566584. View

11.

Nagaya M, Kachi T, Yamada T . Effect of swallowing training on swallowing disorders in Parkinson's disease. Scand J Rehabil Med. 2000; 32(1):11-5. DOI: 10.1080/003655000750045677. View

12.

Kirshner H . Causes of neurogenic dysphagia. Dysphagia. 1989; 3(4):184-8. DOI: 10.1007/BF02407221. View

13.

Crary M, Carnaby Mann G, Groher M . Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005; 86(8):1516-20. DOI: 10.1016/j.apmr.2004.11.049. View

14.

McHorney C, Bricker D, Kramer A, Rosenbek J, Robbins J, Chignell K . The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia. 2000; 15(3):115-21. DOI: 10.1007/s004550010012. View

15.

Ekberg O, Hamdy S, Woisard V, Ortega P . Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia. 2002; 17(2):139-46. DOI: 10.1007/s00455-001-0113-5. View

16.

Nagaya M, Kachi T, Yamada T, Igata A . Videofluorographic study of swallowing in Parkinson's disease. Dysphagia. 1998; 13(2):95-100. DOI: 10.1007/PL00009562. View

17.

Freed M, Freed L, Chatburn R, Christian M . Electrical stimulation for swallowing disorders caused by stroke. Respir Care. 2001; 46(5):466-74. View

18.

Mari F, Matei M, Ceravolo M, Pisani A, Montesi A, Provinciali L . Predictive value of clinical indices in detecting aspiration in patients with neurological disorders. J Neurol Neurosurg Psychiatry. 1997; 63(4):456-60. PMC: 2169753. DOI: 10.1136/jnnp.63.4.456. View

19.

Ludlow C, Humbert I, Saxon K, Poletto C, Sonies B, Crujido L . Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal Dysphagia. Dysphagia. 2006; 22(1):1-10. PMC: 1790908. DOI: 10.1007/s00455-006-9029-4. View

20.

El Sharkawi A, Ramig L, Logemann J, Pauloski B, Rademaker A, Smith C . Swallowing and voice effects of Lee Silverman Voice Treatment (LSVT): a pilot study. J Neurol Neurosurg Psychiatry. 2002; 72(1):31-6. PMC: 1737706. DOI: 10.1136/jnnp.72.1.31. View