Measurement of Voluntary Cough Production and Airway Protection in Parkinson Disease
| Autor: | Erin Silverman, Christine M. Sapienza, James Yeager, Giselle D. Carnaby, Bari Hoffman-Ruddy, Floris F. Singletary |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
Cross-sectional study medicine.medical_treatment Airflow Physical Therapy Sports Therapy and Rehabilitation Peak Expiratory Flow Rate macromolecular substances Severity of Illness Index Article 030507 speech-language pathology & audiology 03 medical and health sciences 0302 clinical medicine Swallowing Severity of illness Medicine Humans Peak flow meter measurement_unit Aged business.industry digestive oral and skin physiology Rehabilitation Parkinson Disease Middle Aged respiratory tract diseases Respiratory Function Tests Cross-Sectional Studies Cough Anesthesia Respiratory Aspiration measurement_unit.measuring_instrument Airway management Female 0305 other medical science business Airway Deglutition Disorders 030217 neurology & neurosurgery |
| Zdroj: | Archives of physical medicine and rehabilitation. 97(3) |
| ISSN: | 1532-821X |
| Popis: | Objective To examine relations between peak expiratory (cough) airflow rate and swallowing symptom severity in participants with Parkinson disease (PD). Design Cross-sectional study. Setting Outpatient radiology clinic at an acute care hospital. Participants Men and women with PD (N=68). Interventions Participants were cued to cough into an analog peak flow meter then swallowed three 20-mL thin liquid barium boluses. Analyses were directed at detecting potential relations among disease severity, swallowing symptom severity, and peak expiratory (cough) airflow rate. Main Outcome Measures Peak expiratory (cough) airflow rate and swallow symptom severity. Results Peak expiratory (cough) airflow rate varied significantly across swallowing severity classifications. Participants with more severe disease displayed a significant, linear decrease in peak expiratory (cough) airflow rate than those participants with earlier stage, less severe disease. Swallowing symptom severity varied significantly across groups when comparing participants with less severe PD with those with more severe PD. Participants with early stage PD demonstrated little to no swallowing symptoms and had the highest measures of peak expiratory (cough) airflow rate. In contrast, participants with the most severe swallowing symptoms also displayed the lowest measures of peak expiratory (cough) airflow rate. Conclusions Relations existed among PD severity, swallowing symptom severity, and peak expiratory (cough) airflow rate in participants with PD. Peak expiratory (cough) airflow rate may eventually stand as a noninvasive predictor of aspiration risk in those with PD, particularly those with later stage disease. Inclusion of peak expiratory (cough) airflow rates into existing clinical swallowing assessments may increase the sensitivity and predictive validity of these assessments. |
| Databáze: | OpenAIRE |
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