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Int Arch Otorhinolaryngol 2016; 20(03): 202-206
DOI: 10.1055/s-0036-1582450
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

The Impact of Dysphagia Therapy on Quality of Life in Patients with Parkinson's Disease as Measured by the Swallowing Quality of Life Questionnaire (SWALQOL)

Annelise Ayres
1   Post-Graduation Program of Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, RS, Brazil
,
Geraldo Pereira Jotz
2   Department of Morphological Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Carlos Roberto de Mello Rieder
3   Movement Disorders Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
,
Artur Francisco Schumacher Schuh
4   Department of Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Maira Rozenfeld Olchik
5   Department of Surgery and Orthopaedics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
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Publikationsverlauf

16. November 2015

16. Februar 2016

Publikationsdatum:
19. April 2016 (online)

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Abstract

Introduction Dysphagia is a common symptom in Parkinson's disease (PD) and it has been associated with poor quality of life (QoL), anxiety, depression.

Objective The aim of this study was to evaluate the quality of life in individuals with PD before and after SLP therapy.

Methods The program consisted of four individual therapy sessions. Each session comprised guidelines regarding food and postural maneuvers (chin down). The Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire was applied before and after therapy.

Results The sample comprised of 10 individuals (8 men), with a mean (SD) age of 62.2 (11.3) years, mean educational attainment of 7.5 (4.3) years, and mean disease duration of 10.7 (4.7) years. Thirty percent of patients were Hoehn and Yahr (H&Y) stage 2, 50% were H&Y stage 3, and 20% were H&Y stage 4. Mean scores for all SWAL-QOL domains increased after the intervention period, with significant pre- to post-therapy differences in total score (p = 0.033) and domain 4 (symptom frequency) (p = 0.025). There was also a bias significance for domain 5 (food selection) (p = 0.095).

Conclusion Patients exhibited improvement in swallowing-related quality of life after a SLP therapy program. The earlier in the course of PD, greater the improvement observed after therapy.

Keywords

Parkinson disease - quality of life - deglutition disorders - dysphagia - rehabilitation
 

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