Swallowing Training in Parkinson`s Disease

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Natalie Argolo Pereira Ponte, Federal University of Bahia
ClinicalTrials.gov Identifier:
NCT01131494
First received: May 25, 2010
Last updated: October 4, 2011
Last verified: October 2011

May 25, 2010
October 4, 2011
March 2009
October 2010   (final data collection date for primary outcome measure)
Oropharyngeal Swallowing Score [ Time Frame: five weeks ] [ Designated as safety issue: No ]
Based on videofluoroscopy, were awarded points for the swallowing events according to their clinical relevance. The sum of these points results in the OSP (Oropharyngeal Swallowing Score), so that higher scores signify greater impairment in swallowing. OSP-score range from 0 to 243.5. This tool is being validated for that group.
Swallowing dynamics [ Time Frame: six weeks ] [ Designated as safety issue: Yes ]
Assessments with modified barium swallow
Complete list of historical versions of study NCT01131494 on ClinicalTrials.gov Archive Site
Quality of Life [ Time Frame: five weeks ] [ Designated as safety issue: No ]
Measured by the Swal-qol (Quality of life in Swallowing disorders). In this questionnaire the score range from 0 to 100 and higher scores is better quality of life.
  • vocal quality [ Time Frame: six weeks ] [ Designated as safety issue: Yes ]
  • quality of life [ Time Frame: six weeks ] [ Designated as safety issue: Yes ]
Not Provided
Not Provided
 
Swallowing Training in Parkinson`s Disease
Dysphagia Therapy for Parkinson`s Disease: the Role of the Oral Motor Exercises

Dysphagia in Parkinson's disease(PD) is common and its presence is related to motor and sensory abnormalities, and incoordination between swallowing and breathing. Despite harming as respiratory infections and increased risk of death, treatment of this condition remains uncertain. This study aims to evaluate the effect of oral motor exercises on the swallowing dynamics and quality of life of dysphagic Parkinson's disease patients. This study is an open trial, self-paired and blinded to the examiner. The participants will perform oropharyngeal exercises for five weeks and will be evaluated before and after intervention by swallowing videofluoroscopy and questionnaires about quality of life in dysphagia (SWAL-QOL).

Not Provided
Interventional
Not Provided
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
  • Parkinson's Disease
  • Deglutition Disorders
  • Voice Disorders
Other: Motor exercises for swallowing, breathing and phonation
This exercises aimed to increase strength and range of motion of mouth, larynx and pharynx structures. All patients made sustained vowel phonation of /a/, pushing plosive phonemes /pa/, /ta/, /ka/ in a forceful manner, suction of wet gauze, swallowing with tongue hold and modified supraglottic maneuver, in ten repetitions, ascending and descending gliding phonation of vowel /a/ and /u/, five repetitions of each vowel, and tongue rotation in oral vestibule, 3 series of 5 repetitions to each side. Patients underwent oral motor exercises twice a day, five days a week, for five weeks.
Experimental: Swallowing exercises
Intervention: Other: Motor exercises for swallowing, breathing and phonation
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
17
December 2010
October 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Clinical diagnosis of Parkinson disease
  • Complaint of dysphagia

Exclusion Criteria:

  • Hoehn and Yahr stage 5
  • Other neurological conditions
  • Therapy for swallowing in the last 3 months
  • Cognitive disorders
  • Psychiatric disorders
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
Brazil
 
NCT01131494
249/2008
Yes
Natalie Argolo Pereira Ponte, Federal University of Bahia
Federal University of Bahia
Not Provided
Study Chair: Ana Caline Nóbrega, PhD Federal University of Bahia
Federal University of Bahia
October 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP