The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/179394 |
Resumo: | Introduction Deep brain stimulation (DBS) is an established treatment for Parkinson’s disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia. Objective To assess the swallowing and quality of life of individuals with PD before and after DBS surgery. Methods Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient’s swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale. Results The sample included 10 individuals, all male, with a mean age of 57.3 years ( 4.7), a mean disease duration of 13.0 years ( 2.4), and mean level education of 8.1 years ( 4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients’ motor subtype and swallowing pre- and post-DBS. Conclusion There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function. |
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Olchik, Maira RozenfeldGhisi, MarcieleAyres, AnneliseSchuh, Artur Francisco SchumacherOppitz, Paulo PetryRieder, Carlos Roberto de Mello2018-06-15T02:48:50Z20181809-9777http://hdl.handle.net/10183/179394001065552Introduction Deep brain stimulation (DBS) is an established treatment for Parkinson’s disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia. Objective To assess the swallowing and quality of life of individuals with PD before and after DBS surgery. Methods Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient’s swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale. Results The sample included 10 individuals, all male, with a mean age of 57.3 years ( 4.7), a mean disease duration of 13.0 years ( 2.4), and mean level education of 8.1 years ( 4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients’ motor subtype and swallowing pre- and post-DBS. Conclusion There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function.application/pdfengInternational Archives of Otorhinolaryngology. São Paulo. Vol. 22, no. 2 (2018), p. 125-129FonoterapiaAerofagiaDoença de ParkinsonEstimulação encefálica profundaNeurologySpeech therapySwallowingParkinson’s diseaseDeep brain stimulationThe impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Diseaseinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/otherinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001065552.pdf001065552.pdfTexto completo (inglês)application/pdf162960http://www.lume.ufrgs.br/bitstream/10183/179394/1/001065552.pdf66c6ae0f911416ea9a2aa8ac3b522824MD51TEXT001065552.pdf.txt001065552.pdf.txtExtracted Texttext/plain25256http://www.lume.ufrgs.br/bitstream/10183/179394/2/001065552.pdf.txt3a6fec72e21217dd58eddd743226f201MD5210183/1793942018-06-16 03:13:52.711966oai:www.lume.ufrgs.br:10183/179394Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-06-16T06:13:52Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease |
title |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease |
spellingShingle |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease Olchik, Maira Rozenfeld Fonoterapia Aerofagia Doença de Parkinson Estimulação encefálica profunda Neurology Speech therapy Swallowing Parkinson’s disease Deep brain stimulation |
title_short |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease |
title_full |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease |
title_fullStr |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease |
title_full_unstemmed |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease |
title_sort |
The impact of deep brain stimulation on the quality of life and swallowing in individuals with Parkinson's Disease |
author |
Olchik, Maira Rozenfeld |
author_facet |
Olchik, Maira Rozenfeld Ghisi, Marciele Ayres, Annelise Schuh, Artur Francisco Schumacher Oppitz, Paulo Petry Rieder, Carlos Roberto de Mello |
author_role |
author |
author2 |
Ghisi, Marciele Ayres, Annelise Schuh, Artur Francisco Schumacher Oppitz, Paulo Petry Rieder, Carlos Roberto de Mello |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Olchik, Maira Rozenfeld Ghisi, Marciele Ayres, Annelise Schuh, Artur Francisco Schumacher Oppitz, Paulo Petry Rieder, Carlos Roberto de Mello |
dc.subject.por.fl_str_mv |
Fonoterapia Aerofagia Doença de Parkinson Estimulação encefálica profunda |
topic |
Fonoterapia Aerofagia Doença de Parkinson Estimulação encefálica profunda Neurology Speech therapy Swallowing Parkinson’s disease Deep brain stimulation |
dc.subject.eng.fl_str_mv |
Neurology Speech therapy Swallowing Parkinson’s disease Deep brain stimulation |
description |
Introduction Deep brain stimulation (DBS) is an established treatment for Parkinson’s disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia. Objective To assess the swallowing and quality of life of individuals with PD before and after DBS surgery. Methods Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient’s swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale. Results The sample included 10 individuals, all male, with a mean age of 57.3 years ( 4.7), a mean disease duration of 13.0 years ( 2.4), and mean level education of 8.1 years ( 4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients’ motor subtype and swallowing pre- and post-DBS. Conclusion There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function. |
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2018 |
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2018 |
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1809-9777 |
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International Archives of Otorhinolaryngology. São Paulo. Vol. 22, no. 2 (2018), p. 125-129 |
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