Larissa Monteiro1, Adelmir Souza-Machado2, Patrícia Pinho3, Marília Sampaio3, Ana Caline Nóbrega3, Ailton Melo3. 1. Division of Neurology and Epidemiology, Federal University of Bahia, Brazil. Electronic address: menezes.lari@gmail.com. 2. Health Sciences Institute, Federal University of Bahia, Brazil. 3. Division of Neurology and Epidemiology, Federal University of Bahia, Brazil.
Abstract
INTRODUCTION: Swallowing disorders and respiratory impairment are frequent in Parkinson's disease (PD) patients, and aspiration pneumonia remains the leading cause of death among these subjects. OBJECTIVE: The objective of this study was to investigate whether there is an association between pulmonary impairment and swallowing dysfunction in PD patients. METHODS: A cross-sectional study with a comparison group was conducted with PD patients. Subjects were submitted to demographic questionnaires and underwent spirometric and videofluorographic assessments. Significance level was considered at 95% (p<0.05). RESULTS: Among 35 PD patients, 40% presented with swallowing complaints. However, 22% of the clinically asymptomatic patients presented airway food penetration when submitted to videofluoroscopy. In 20% of PD patients material entered the airways and there was contact with the vocal folds in 7%. However, there was an efficient cleaning with residue deglutition in almost all patients. No penetration/aspiration was detected among the controls. Respiratory parameters were below the normal predicted values in PD patients when compared to the healthy controls. CONCLUSION: These data suggest an association between pulmonary dysfunction and swallowing impairment in PD patients; even in patients without swallowing complaints, impaired pulmonary function can be detected.
INTRODUCTION:Swallowing disorders and respiratory impairment are frequent in Parkinson's disease (PD) patients, and aspiration pneumonia remains the leading cause of death among these subjects. OBJECTIVE: The objective of this study was to investigate whether there is an association between pulmonary impairment and swallowing dysfunction in PDpatients. METHODS: A cross-sectional study with a comparison group was conducted with PDpatients. Subjects were submitted to demographic questionnaires and underwent spirometric and videofluorographic assessments. Significance level was considered at 95% (p<0.05). RESULTS: Among 35 PDpatients, 40% presented with swallowing complaints. However, 22% of the clinically asymptomatic patients presented airway food penetration when submitted to videofluoroscopy. In 20% of PDpatients material entered the airways and there was contact with the vocal folds in 7%. However, there was an efficient cleaning with residue deglutition in almost all patients. No penetration/aspiration was detected among the controls. Respiratory parameters were below the normal predicted values in PDpatients when compared to the healthy controls. CONCLUSION: These data suggest an association between pulmonary dysfunction and swallowing impairment in PDpatients; even in patients without swallowing complaints, impaired pulmonary function can be detected.
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