Abstract:
OBJECTIVE:To investigate the effect of motor swallowing exercises on swallowing dynamic, quality of life and swallowing complaints in Parkinson's disease (PD). DESIGN:A before-after trial. SETTING:University Medical Center. PARTICIPANTS:Parkinson's disease patients with dysphagia complaints. INTERVENTIONS:Motor swallowing exercises designed to increase the strength and range of motion of the mouth, larynx and pharyngeal structures, coordination between breathing and swallowing, and airway protection. Patients should perform the exercises twice a day, five days a week, for five weeks. MAIN OUTCOME MEASURE(S):The primary outcome was the difference before and after the intervention in number of swallowing videofluoroscopic events (Swallowing Score). The secondary outcomes were quality of life (QOL) and swallowing complaints. RESULTS:Fifteen patients concluded the study (10 man/5 woman; mean age 59.2 ± 9.17). The videofluoroscopic events with greater improvement were loss of bolus control (P < 0.03), piecemeal swallow (P = 0.05) and residue on the tongue (P < 0.01), valleculae (P = 0.01) and pyriform sinuses (P = 0.05). Lingual pumping and dental absence were interfering factors associated with treatment failure (beta standardized coefficient = -16.6, 26.2; P = 0.02, 0.002, respectively). The domains with greater improvements in QOL were fear (P = 0.02) and symptom frequency (P = 0.05). Regarding swallowing complaints, patients reported to have reduced mainly their difficulty in moving food in the mouth when chewing (P = 0.02). Reduction in swallowing disorders was not related with QOL improvement (cor = 0.13, [95% CI, 0.6-0.4], P = 0.63). CONCLUSIONS:Motor swallowing exercises may reduce swallowing disorders in PD patients without lingual pumping and dental absence and impact positively QOL and swallowing complaints in individuals with PD.
journal_name
NeuroRehabilitationjournal_title
NeuroRehabilitationauthors
Argolo N,Sampaio M,Pinho P,Melo A,Nóbrega ACdoi
10.3233/NRE-130918subject
Has Abstractpub_date
2013-01-01 00:00:00pages
949-55issue
4eissn
1053-8135issn
1878-6448pii
W942283455301M21journal_volume
32pub_type
杂志文章abstract::The purpose of this study was to examine the Functional Ambulation Performance Score (FAP; a quantitative gait measure) in persons with Parkinson's Disease (PD) using the auditory stimulation of a metronome (ASM). Participants (n = 16; 5F/11M; range 60--84 yrs.) had a primary diagnosis of PD and were all independent a...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:We investigated if longer weaning is associated with inferior rehabilitative outcome in critical illness polyneuropathy (CIP) and cerebrovascular diseases (CVD). METHODS:We analysed retrospectively weaning protocols and medical histories of 171 tracheotomized patients with CIP and CVD. We assessed weaning d...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-141066
更新日期:2014-01-01 00:00:00
abstract::Praxis is defined as skilled, purposive limb movement. While it has been a consistent finding that lesions of the left cerebral hemisphere result in significantly worse performance on praxis testing than lesions of the right cerebral hemisphere, recently some investigators have proposed that the right hemisphere may a...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1997-9105
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Attention deficits are common after acquired brain injury (ABI) and adversely impact academic, vocational and social outcomes. The role of cognitive interventions in post-ABI attention rehabilitation remains unclear. OBJECTIVE:To evaluate effectiveness of cognitive interventions in treating attention defici...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.3233/NRE-151225
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Sleep disturbances are common following traumatic brain injury (TBI). The Pittsburgh Sleep Quality Index (PSQI) is a widely used measure of sleep quality that has been used in numerous populations. Although this measure has been used in TBI research, there are few studies examining the psychometric propertie...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-141141
更新日期:2014-01-01 00:00:00
abstract::The management of pain in persons with neurological injuries is challenging and complex. A holistic view and clinical approach are necessary when addressing pain in patients with neurological impairment because interpreting signs and symptoms and deciphering sources of pain is never a straightforward process. This pro...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-208003
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:Best practice guidelines for neurorehabilitation recommend coordinated rehabilitation programmes to ensure seamless service transitions and comprehensive rehabilitation practices. However, this recommendation for practice and the evidence informing its advancement is based on unexamined assumptions. Therefore, ...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161301
更新日期:2016-01-01 00:00:00
abstract::This article provides a short history of the hawing aspects of community integration in the United States for persons with permanent and/or long-term physical, affective, and cognitive disabilities. Included in this history are the philosophy behind the process, some pitfalls that have been found to be important to av...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1994-4206
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:The minimal number of studies have documented the impact of Vestibular rehabilitation (VR) on the recovery rate of patients with Chronic Unilateral Vestibular Hypofunction (CUVH) and Bilateral Vestibular Hypofunction (BVH). OBJECTIVES:The goal of the study was to show and compare the impact of vestibular re...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-182524
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Stroke continues to be a major public health concern in the United States. Motor recovery in the post-acute stages of stroke is possible due to neuroplasticity, or the capacity of the brain to reorganize. OBJECTIVE:This case study tracks neuroplastic and motor change in a subject with severe hemiparesis fol...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130968
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Physical exercise combined with occupational therapy (OT) can lead to a global improvement in personal well-being. OBJECTIVE:To assess in PD patients: 1) if a rehabilitation program involving OT, Nordic walking (NW) and therapeutic touch (TT) yields motor/non-motor benefits; 2) if the time collocation of OT...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-192772
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:The restoration of trunk function following stroke is a key component of rehabilitation, however there is limited evidence of the efficacy of additional trunk training. OBJECTIVES:To evaluate the efficacy of trunk exercises added to conventional rehabilitation on functional outcomes. METHODS:Relevant rando...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,meta分析,评审
doi:10.3233/NRE-141123
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:to determine the potential impacts of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) on the incidence of TBI-related hospitalization in the active duty US Army. METHODS:All active duty Army personnel hospitalized with a TBI diagnosis during fiscal years 2000 through 2006 were identified i...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-2010-0556
更新日期:2010-01-01 00:00:00
abstract::Mild to severe cognitive impairment and depression are common among patients with Parkinson's disease (PD) and play a significant role in disability. Effective treatment planning requires a holistic assessment of cognitive and emotional difficulties. A brief neuropsychological protocol was developed to examine the pat...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract::Up to 85% of children treated for brain tumor survive beyond five years; hence optimizing quality of life in survivorship has become a priority. As multiple factors contribute to the heterogeneity of neurocognitive and language outcomes for individual children following treatment, a means of monitoring subsequent deve...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-130834
更新日期:2013-01-01 00:00:00
abstract::Individuals with acquired brain injuries often display problematic behaviors, such as impulsivity, disinhibition, lack of initiation, isolation, and aggression, that impact their readiness to return to home and/or the community. The occurrence and treatment of these behaviors is often complicated by impairments in cog...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2012-0773
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Falls are of great concern among persons with multiple sclerosis (MS). OBJECTIVE:To examine differences in metrics of mobility, postural control, and cognition in persons with MS with distinct fall risk status; and to investigate predictors of fall risk group membership using discriminant analysis. METHODS...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161401
更新日期:2017-01-01 00:00:00
abstract::Neuroprostheses electrically stimulate paralyzed muscles to provide functional enhancement for individuals with neurological disorders, especially among persons with spinal cord injuries. Fully implanted neuroprostheses are reliable, require minimal maintenance and are user-friendly. These systems provide a variety of...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-2009-0500
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Boxing training including traditional stretching, muscular strength training, and duration training would be considered to be effective for improved functional stretching, dynamic balance, walking speed, and quality of life. OBJECTIVE:We aimed to investigate upper limb function, balance, gait, and quality o...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-161392
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Many with a history of mild traumatic brain injury (TBI) experience sleep problems, which are also common symptoms of stress-related and mood disorders. OBJECTIVE:To determine if sleep problems contributed unique variance to post-concussive symptoms above and beyond symptoms of posttraumatic stress disorder...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192702
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Contemporary goals of rehabilitation after traumatic brain injury (TBI) aim to improve cognitive and motor function by applying concepts of neuroplasticity. This can be challenging to carry out in TBI patients with motor, balance, and cognitive impairments. OBJECTIVE:To determine whether use of dynamic body...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-192898
更新日期:2019-12-18 00:00:00
abstract::A cognitive education program was developed to facilitate acquisition of cognitive skills and address the learning deficits of adolescent students with neurological, developmental disabilities, and autism. This study examined the outcomes of incorporating mediated cognitive education into special education classrooms....
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract::Clients who have experienced a brain injury often are damaged by a third party who is perceived responsible for the consequences of their actions. In the United States, a common method of seeking financial compensation for the injury is to file a personal injury law suit. This article will outline the RAPEL method for...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1996-7204
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:Many persons with late effects of polio experience new or increased impairments, which can lead to walking limitations in daily life. No study has comprehensively analyzed how various self-reported impairments are associated with different aspects of self-reported walking limitations. OBJECTIVE:To determine...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-151261
更新日期:2015-01-01 00:00:00
abstract::Many issues face the National Institute on Disability and Rehabilitation Research (NIDRR) and its role in the encouragement of Traumatic Brain Injury (TBI) rehabilitation research and the development of the TBI model systems of care. Yet, even though many complex difficulties face individuals who have sustained TBI, t...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1996-7306
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the effect of Kinesio Taping on body stability in subjects with MS. STUDY DESIGN:Non controlled intervention study in a Rehabilitation Unit. INTERVENTION:A consecutive convenience sample of 15 individuals with multiple sclerosis was assessed. Kinesio Tex Tape was applied ...
journal_title:NeuroRehabilitation
pub_type: 临床试验,杂志文章
doi:10.3233/NRE-2011-0665
更新日期:2011-01-01 00:00:00
abstract::Family caregivers of older individuals in rehabilitation have unique needs and concerns that should be addressed in rehabilitation and in community-based programs. Their concerns have a direct bearing on their health and on the health and well-being of their care-recipients. In this paper, we review the major problems...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract::The purpose of this study was to examine and compare the cognitive profiles of three groups of Israeli individuals who exhibit cognitive deficits for diverse reasons, using the Neurobehavioural Cognitive Status Examination (Cognistat, former name NCSE). The test is a standardized cognitive screening instrument which i...
journal_title:NeuroRehabilitation
pub_type: 杂志文章
doi:10.3233/NRE-1997-9302
更新日期:1997-01-01 00:00:00
abstract::The purpose of this paper was to examine the reliability and validity (concurrent and construct) of a newly developed online Chinese version of the Rivermead Behavioral Memory Test (OL-RBMT) and its equivalence with the face-to-face version (FTF-RBMT). The OL-RBMT and FTF-RBMT were administered to 30 subjects with str...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.3233/NRE-2009-0473
更新日期:2009-01-01 00:00:00
abstract:INTRODUCTION:The importance of work or productive activity for the well-being, community integration, and quality of life of people living with disabilities is addressed, with implications for life care planning and case management. BACKGROUND:The role of work or productive activity in our society, and consequences of...
journal_title:NeuroRehabilitation
pub_type: 杂志文章,评审
doi:10.3233/NRE-151215
更新日期:2015-01-01 00:00:00