Therapeutic singing as an early intervention for swallowing in persons with Parkinson's disease
| Autor: | Paul R. Hibbing, J. Wingate, H. Radig, Elizabeth L. Stegemöller |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Complementary and Manual Therapy
Male medicine.medical_specialty Music therapy Parkinson's disease Singing Unified Parkinson's disease rating scale Cohort Studies 030507 speech-language pathology & audiology 03 medical and health sciences 0302 clinical medicine Quality of life Swallowing Early Intervention Educational Medicine Humans Music Therapy Aged Advanced and Specialized Nursing business.industry Electromyography Parkinson Disease Middle Aged medicine.disease Dysphagia Deglutition Complementary and alternative medicine Physical therapy Quality of Life Female medicine.symptom 0305 other medical science business Deglutition Disorders 030217 neurology & neurosurgery Cohort study Oropharyngeal dysphagia |
| Zdroj: | Complementary therapies in medicine. 31 |
| ISSN: | 1873-6963 |
| Popis: | Objective For persons with Parkinson's disease (PD), secondary motor symptoms such as swallow impairment impact the quality of life and are major contributors to mortality. There is a present need for therapeutic interventions aimed at improving swallow function during the early stages of PD. The purpose of this pilot study was to examine the effects of a group therapeutic singing intervention on swallowing in persons with PD with no significant dysphagia symptoms. Design Cohort study. Setting University in the United States. Participants Twenty-four participants with PD. Intervention Eight weeks of group therapeutic singing. Main outcome measures Electromyography (EMG) was used to assess muscle activity associated with swallow pre and post the group singing intervention. Swallow quality of life (SWAL-QOL) and the Unified Parkinson's Disease Rating Scale (UPDRS) were also obtained pre- and post-intervention. Results Participants reported minimal difficulty with swallowing, yet results revealed a significant increase in EMG outcome measures, as well as significant improvement in UPDRS total and UPDRS motor scores. No significant differences were revealed for SWAL-QOL. Conclusion Increases in EMG timing measures may suggest that group singing results in the prolongation of laryngeal elevation, protecting the airway from foreign material for longer periods of time during swallow. Combined with the improvement in UPDRS clinical measures, therapeutic singing may be an engaging early intervention strategy to address oropharyngeal dysphagia while also benefiting additional clinical symptoms of PD. |
| Databáze: | OpenAIRE |
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