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Swallowing Training in Parkinson's Disease

NCT ID: NCT01131494

Last Updated: 2011-11-08

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-03-31

Study Completion Date

2010-12-31

Brief Summary

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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).

Detailed Description

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Conditions

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Parkinson's Disease Deglutition Disorders Voice Disorders

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Swallowing exercises

Group Type EXPERIMENTAL

Motor exercises for swallowing, breathing and phonation

Intervention Type OTHER

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.

Interventions

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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.

Intervention Type OTHER

Eligibility Criteria

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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
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federal University of Bahia

OTHER

Sponsor Role lead

Responsible Party

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Natalie Argolo Pereira Ponte

PhD Student

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ana Caline Nóbrega, PhD

Role: STUDY_CHAIR

Federal University of Bahia

Locations

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Federal University of Bahia

Salvador, Estado de Bahia, Brazil

Site Status

Countries

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Brazil

Other Identifiers

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249/2008

Identifier Type: -

Identifier Source: org_study_id