Benefit from the chin-down maneuver in the swallowing performance and self-perception of Parkinson’s Disease patients

• Autor(a) principal: Ayres, Annelise
• Data de Publicação: 2017
• Outros Autores: Jotz, Geraldo Pereira, Rieder, Carlos Roberto de Mello, Olchik, Maira Rozenfeld
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFRGS
• Texto Completo: http://hdl.handle.net/10183/169032
• topic: Transtornos de deglutição; Doença de Parkinson; Fonoaudiologia

Aims. To verify the effectiveness of themaneuver application in swallowing therapy with PD. Materials and Method. We performed an open-label trial, with three groups compounds by PD individuals: the experimental group, control group, and orientation group. The study included PD patients with dysphagia. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Swallowing assessment was performed through (1) fiberoptic endoscopic evaluation of swallowing (FEES); (2) clinical evaluation and FunctionalOral Intake Scale (FOIS); and (3) assessment of the quality life related to swallowing (SWALQOL). A therapeutic program, which consisted of chin-down postural maneuver and orientations on feeding, was applied. Both groups (EG and OG) received on-month therapeutic program. Results. A significant improvement in swallowing, evaluated by clinical assessment, was observed in solid ( < 0.001) and liquid ( = 0.022) consistencies in EG when compared to OG and CG. Patients in EG presented improvement inQoL, with the significant difference in comparison with the other groups, about domain frequency of symptoms ( = 0.029) in SWALQOL questionnaire. Conclusion. The postural maneuver chin-down improved swallowing performance and self-perception, but not the laryngeal signs.This trial is registered with registration number NCT02973698.