Scholarlink

<p>To evaluate the impact of the elevation training mask (ETM) on swallowing safety and swallowing efficiency in patients with Parkinson’s disease (PWP) when used as a respiratory muscle strengthening tool. Study Design. Prospective cohort study. Setting. Tertiary university-affiliated medical center. Thirteen PWP underwent Fiberoptic Endoscopic Evaluation of Swallowing and spirometry assessments both before and after a 4-week ETM use, which included incrementally increasing resistance each week. Measurements taken included EAT-10, swallowing disturbances questionnaire (SDQ), Penetration Aspiration Score (PAS), Yale Pharyngeal Residue Severity Rating Scale, and Peak Expiratory Flow (PEF). Disease severity was assessed using the Unified Parkinson’s Disease Rating Scale (UPDRS). Eleven out of 13 male participants (median age 70&#xa0;years, UPDRS 33, disease duration 8.5&#xa0;years) completed the 4-week protocol (84.6% completion rate). Vallecular residue significantly decreased for solids (median from 3.0 [IQR: 2.0–3.0] to 2.0 [IQR: 1.0–2.0], p = 0.028) and semi-solids (from 3.0 [IQR: 2.0–4.0] to 2.0 [IQR: 1.0–3.0], p = 0.025), with a non-significant improvement for liquids (from 2.0 [IQR: 2.0–2.0] to 2.0 [IQR: 1.0–2.0], p = 0.19). Patient-reported outcomes (EAT-10, SDQ, VHI-10, RSI) and PEF showed non-significant trends toward improvement. A 4-week use of ETM, serving as a form of respiratory muscle strengthening, demonstrated specific improvements in vallecular residue for semi-solid and solid consistencies in PWP with dysphagia. While other swallowing and respiratory measures showed positive trends, these changes did not reach statistical significance. Further research with a larger cohort is needed to evaluate ETM’s role in swallowing rehabilitation.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Effect of Elevation Training Mask on Swallowing Function in Individuals with Parkinson’s Disease

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年2月25日

查看全文
  • Yuval Nachalon,
  • Dina Shpunt,
  • Anat Zait,
  • Yael Oestreicher-Kedem,
  • Liav Hayat,
  • Yarden Ashkenazi,
  • Nogah Nativ-Zeltzer,
  • Peter C. Belafsky,
  • Gadi Maayan Eshed,
  • Tanya Gurevich,
  • Yael Manor

摘要

To evaluate the impact of the elevation training mask (ETM) on swallowing safety and swallowing efficiency in patients with Parkinson’s disease (PWP) when used as a respiratory muscle strengthening tool. Study Design. Prospective cohort study. Setting. Tertiary university-affiliated medical center. Thirteen PWP underwent Fiberoptic Endoscopic Evaluation of Swallowing and spirometry assessments both before and after a 4-week ETM use, which included incrementally increasing resistance each week. Measurements taken included EAT-10, swallowing disturbances questionnaire (SDQ), Penetration Aspiration Score (PAS), Yale Pharyngeal Residue Severity Rating Scale, and Peak Expiratory Flow (PEF). Disease severity was assessed using the Unified Parkinson’s Disease Rating Scale (UPDRS). Eleven out of 13 male participants (median age 70 years, UPDRS 33, disease duration 8.5 years) completed the 4-week protocol (84.6% completion rate). Vallecular residue significantly decreased for solids (median from 3.0 [IQR: 2.0–3.0] to 2.0 [IQR: 1.0–2.0], p = 0.028) and semi-solids (from 3.0 [IQR: 2.0–4.0] to 2.0 [IQR: 1.0–3.0], p = 0.025), with a non-significant improvement for liquids (from 2.0 [IQR: 2.0–2.0] to 2.0 [IQR: 1.0–2.0], p = 0.19). Patient-reported outcomes (EAT-10, SDQ, VHI-10, RSI) and PEF showed non-significant trends toward improvement. A 4-week use of ETM, serving as a form of respiratory muscle strengthening, demonstrated specific improvements in vallecular residue for semi-solid and solid consistencies in PWP with dysphagia. While other swallowing and respiratory measures showed positive trends, these changes did not reach statistical significance. Further research with a larger cohort is needed to evaluate ETM’s role in swallowing rehabilitation.