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The Relationship Between Limit of Dysphagia and Average Volume Per Swallow in Patients with Parkinson’s Disease

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Abstract

The goal of this study was to obtain the limit of dysphagia and the average volume per swallow in patients with mild to moderate Parkinson’s disease (PD) but without swallowing complaints and in normal subjects, and to investigate the relationship between them. We hypothesize there is a direct relationship between these two measurements. The study included 10 patients with idiopathic PD and 10 age-matched normal controls. Surface electromyography was recorded over the suprahyoid muscle group. The limit of dysphagia was obtained by offering increasing volumes of water until piecemeal deglutition occurred. The average volume per swallow was calculated by dividing the time taken by the number of swallows used to drink 100 ml of water. The PD group showed a significantly lower dysphagia limit and lower average volume per swallow. There was a significantly moderate direct correlation and association between the two measurements. About half of the PD patients had an abnormally low dysphagia limit and average volume per swallow, although none had spontaneously related swallowing problems. Both measurements may be used as a quick objective screening test for the early identification of swallowing alterations that may lead to dysphagia in PD patients, but the determination of the average volume per swallow is much quicker and simpler.

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Conflicts of interest

The authors have no conflicts of interest to disclose.

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Authors and Affiliations

  1. Department of Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Avenida Prof. Moraes Rego, Cidade Universitária, Recife, PE, 50670-901, Brazil

    Otávio Gomes Lins

  2. Department of Speech, Federal University of Pernambuco, Rua Prof. Artur de Sá, s/n – Cidade Universitária, Recife, PE, 50670-420, Brazil

    Nathália Angelina Costa Gomes & Danielle Albuquerque Alves Moura

  3. Department of Anatomy, Federal University of Pernambuco, Avenida Prof. Moraes Rego, Cidade Universitária, Recife, PE, 50670-901, Brazil

    Maria das Graças Wanderley de Sales Coriolano

  4. Research Group of Clinical and Experimental Neurophysiology, Federal University of Pernambuco, Avenida Prof. Moraes Rego, Cidade Universitária, Recife, PE, 50670-901, Brazil

    Elizabete Santos de Souza

  5. Pró-Parkinson Program, Clinical Hospital of Pernambuco, Avenida Prof. Moraes Rego 1235 - Cidade Universitária, Recife, PE, 50670-901, Brazil

    Amdore Guescel Asano

  6. Pro-Parkinson Program, Clinical Hospital of Pernambuco, Rua Abel de Sá Bezerra Cavalcanti, 161/601, Casa Amarela, Recife, PE, CEP: 52051-270, Brazil

    Luciana Rodrigues Belo

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  1. Luciana Rodrigues Belo
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  2. Nathália Angelina Costa Gomes
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  3. Maria das Graças Wanderley de Sales Coriolano
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  4. Elizabete Santos de Souza
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  5. Danielle Albuquerque Alves Moura
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  6. Amdore Guescel Asano
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  7. Otávio Gomes Lins
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Correspondence to Luciana Rodrigues Belo.

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Belo, L.R., Gomes, N.A.C., Coriolano, M.G.W.S. et al. The Relationship Between Limit of Dysphagia and Average Volume Per Swallow in Patients with Parkinson’s Disease. Dysphagia 29, 419–424 (2014). https://doi.org/10.1007/s00455-013-9512-7

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  • DOI: https://doi.org/10.1007/s00455-013-9512-7

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