Effects of carbonated liquid on swallowing dysfunction in dementia with Lewy bodies and Parkinson’s disease dementia
| Autor: | Victoria Larsson, Margareta Bülow, Gustav Torisson, Elisabet Londos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Lewy Body Disease
Male medicine.medical_specialty Parkinson's disease carbonated beverages dysphagia Aspiration pneumonia Pneumonia Aspiration 030507 speech-language pathology & audiology 03 medical and health sciences 0302 clinical medicine Swallowing Interquartile range therapeutics Medicine Dementia Humans deglutition swallowing disorders Original Research Aged Retrospective Studies business.industry Dementia with Lewy bodies Swallowing Disorders digestive oral and skin physiology Parkinson Disease General Medicine Middle Aged medicine.disease Dysphagia Surgery Clinical Interventions in Aging Anesthesia Quality of Life Female Geriatrics and Gerontology medicine.symptom 0305 other medical science business video recording Deglutition Disorders 030217 neurology & neurosurgery |
| Zdroj: | Clinical Interventions in Aging |
| ISSN: | 1178-1998 1176-9092 |
| Popis: | Victoria Larsson,1 Gustav Torisson,1,2 Margareta Bülow,3 Elisabet Londos1 1Clinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, 2Department of Infectious Diseases, 3Diagnostic Centre of Imaging and Functional Medicine, Skåne University Hospital, Malmö, Sweden Background: Swallowing dysfunction is an increasingly recognized problem in patients with dementia with Lewy bodies (DLB) and Parkinson’s disease dementia (PDD), which can result in aspiration pneumonia and death. Few studies have examined potential ways of improving swallowing function in this fragile patient group. The aim of this study was to evaluate swallowing dysfunction and carbonated liquid using videofluoroscopy in DLB and PDD patients. Methods: A total of 48 patients with DLB and PDD were referred for a clinical examination with videofluoroscopy. Descriptive overall assessments were provided at the time of the examination regarding swallowing function and the effects of different modifications, including carbonated thin liquid (CTL). Additionally, a repeated measures quantitative retrospective analysis has been performed comparing 1) thin liquids; 2) thickened liquids and 3) CTLs, with regard to the quantitative variables 1) pharyngeal transit time (PTT); 2) pharyngeal retention and 3) tracheal penetration. Results: In all, 40/48 (83%) of the patients had a swallowing dysfunction, which was confirmed on videofluoroscopy, with 34/40 (85%) patients having a pharyngeal-type dysfunction. A total of 14/40 (35%) patients with an objective swallowing impairment did not have any subjective swallowing symptoms. Out of the patients with swallowing dysfunction, 87% had an overall improved swallowing function with carbonated liquid. PTT for carbonated liquid (median 633ms, interquartile range [IQR] 516–786ms) was quicker than for thin liquid (760ms, IQR 613–940ms, P=0.014) and thickened liquid (880.0ms, IQR 600–1,500ms, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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