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The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease
Abstract Introduction Deep brain stimulation (DBS) is an established treatment for Parkinson's disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia. Objective To assess the swallowing and quality of life of individuals with PD before and after DBS surgery....
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Published in: | International Archives of Otorhinolaryngology 2018-04, Vol.22 (2), p.125-129 |
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creator | Olchik, Maira Rozenfel Ghisi, Marciéle Ayres, Annelise Schuh, Arthur Francisco Shumacher Oppitz, Paulo Petry Rieder, Carlos Roberto de Mello |
description | Abstract
Introduction
Deep brain stimulation (DBS) is an established treatment for Parkinson's disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia.
Objective
To assess the swallowing and quality of life of individuals with PD before and after DBS surgery.
Methods
Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient's swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale.
Results
The sample included 10 individuals, all male, with a mean age of 57.3 years (±4.7), a mean disease duration of 13.0 years (±2.4), and mean level education of 8.1 years (±4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients' motor subtype and swallowing pre- and post-DBS.
Conclusion
There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function. |
doi_str_mv | 10.1055/s-0037-1603466 |
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fullrecord | <record><control><sourceid>scielo_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_ce69964db09a4a758334382f9f138d67</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><scielo_id>S1809_48642018000200125</scielo_id><doaj_id>oai_doaj_org_article_ce69964db09a4a758334382f9f138d67</doaj_id><sourcerecordid>S1809_48642018000200125</sourcerecordid><originalsourceid>FETCH-LOGICAL-c533t-286273e8292629e8f1803bbf53705e8628a46e0886267d85f86db1592f5b7cad3</originalsourceid><addsrcrecordid>eNp1UUtvEzEQXiEQrUqvnH3jtGXWXr8uSNDyiBQJUMrZ8q7txGHXjmynUf89DomoekCy5JG_x4zna5q3Hdx0QOn73AIQ3nYMSM_Yi-ayEyDbXrD-5bmWnPOL5jrnLQB0pIdewuvmAkvWSZDyskn3G4sW806PBUWH7qzdoU9J-4BWxc_7SRcfA6qnVN7PvZ58eTwSl95ZpINBq4OepnjwYY2qaBGMf_Cm8jI6-LJBP3T67UOO4V1Gdz5bne2b5pWruL0-31fNry-f72-_tcvvXxe3H5ftSAkpLRYMc2IFlphhaYWrHyLD4CjhQG0Fhe6ZBVErxo2gTjAzdFRiRwc-akOumsXJ10S9VbvkZ50eVdRe_X2Iaa10Kn6crBotk5L1ZgCpe82pIKQnAjvpOiIM49Xr5uSVR2-nqLZxn0IdXq2Oa1bHlWOoJQCue8a0Cj6cBLv9MFsz2lCSnp5N8RwJfqPW8UFRITBh9KnjmGLOybp_2g7UMX2V1TF9dU6_CtqToGy8ne3TiP_h_wGKRaud</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease</title><source>Open Access: PubMed Central</source><source>SciELO Brazil</source><source>Thieme Connect Journals Open Access</source><creator>Olchik, Maira Rozenfel ; Ghisi, Marciéle ; Ayres, Annelise ; Schuh, Arthur Francisco Shumacher ; Oppitz, Paulo Petry ; Rieder, Carlos Roberto de Mello</creator><creatorcontrib>Olchik, Maira Rozenfel ; Ghisi, Marciéle ; Ayres, Annelise ; Schuh, Arthur Francisco Shumacher ; Oppitz, Paulo Petry ; Rieder, Carlos Roberto de Mello</creatorcontrib><description>Abstract
Introduction
Deep brain stimulation (DBS) is an established treatment for Parkinson's disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia.
Objective
To assess the swallowing and quality of life of individuals with PD before and after DBS surgery.
Methods
Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient's swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale.
Results
The sample included 10 individuals, all male, with a mean age of 57.3 years (±4.7), a mean disease duration of 13.0 years (±2.4), and mean level education of 8.1 years (±4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients' motor subtype and swallowing pre- and post-DBS.
Conclusion
There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function.</description><identifier>ISSN: 1809-9777</identifier><identifier>ISSN: 1809-4864</identifier><identifier>EISSN: 1809-4864</identifier><identifier>DOI: 10.1055/s-0037-1603466</identifier><identifier>PMID: 29619099</identifier><language>eng</language><publisher>Rio de Janeiro, Brazil: Thieme Revinter Publicações Ltda</publisher><subject>deep brain stimulation ; neurology ; Original Research ; OTORHINOLARYNGOLOGY ; parkinson's disease ; speech therapy ; swallowing</subject><ispartof>International Archives of Otorhinolaryngology, 2018-04, Vol.22 (2), p.125-129</ispartof><rights>This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c533t-286273e8292629e8f1803bbf53705e8628a46e0886267d85f86db1592f5b7cad3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882365/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882365/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,20890,24149,27923,27924,53790,53792,54586,54614</link.rule.ids></links><search><creatorcontrib>Olchik, Maira Rozenfel</creatorcontrib><creatorcontrib>Ghisi, Marciéle</creatorcontrib><creatorcontrib>Ayres, Annelise</creatorcontrib><creatorcontrib>Schuh, Arthur Francisco Shumacher</creatorcontrib><creatorcontrib>Oppitz, Paulo Petry</creatorcontrib><creatorcontrib>Rieder, Carlos Roberto de Mello</creatorcontrib><title>The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease</title><title>International Archives of Otorhinolaryngology</title><addtitle>Int Arch Otorhinolaryngol</addtitle><description>Abstract
Introduction
Deep brain stimulation (DBS) is an established treatment for Parkinson's disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia.
Objective
To assess the swallowing and quality of life of individuals with PD before and after DBS surgery.
Methods
Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient's swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale.
Results
The sample included 10 individuals, all male, with a mean age of 57.3 years (±4.7), a mean disease duration of 13.0 years (±2.4), and mean level education of 8.1 years (±4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients' motor subtype and swallowing pre- and post-DBS.
Conclusion
There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function.</description><subject>deep brain stimulation</subject><subject>neurology</subject><subject>Original Research</subject><subject>OTORHINOLARYNGOLOGY</subject><subject>parkinson's disease</subject><subject>speech therapy</subject><subject>swallowing</subject><issn>1809-9777</issn><issn>1809-4864</issn><issn>1809-4864</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>0U6</sourceid><sourceid>DOA</sourceid><recordid>eNp1UUtvEzEQXiEQrUqvnH3jtGXWXr8uSNDyiBQJUMrZ8q7txGHXjmynUf89DomoekCy5JG_x4zna5q3Hdx0QOn73AIQ3nYMSM_Yi-ayEyDbXrD-5bmWnPOL5jrnLQB0pIdewuvmAkvWSZDyskn3G4sW806PBUWH7qzdoU9J-4BWxc_7SRcfA6qnVN7PvZ58eTwSl95ZpINBq4OepnjwYY2qaBGMf_Cm8jI6-LJBP3T67UOO4V1Gdz5bne2b5pWruL0-31fNry-f72-_tcvvXxe3H5ftSAkpLRYMc2IFlphhaYWrHyLD4CjhQG0Fhe6ZBVErxo2gTjAzdFRiRwc-akOumsXJ10S9VbvkZ50eVdRe_X2Iaa10Kn6crBotk5L1ZgCpe82pIKQnAjvpOiIM49Xr5uSVR2-nqLZxn0IdXq2Oa1bHlWOoJQCue8a0Cj6cBLv9MFsz2lCSnp5N8RwJfqPW8UFRITBh9KnjmGLOybp_2g7UMX2V1TF9dU6_CtqToGy8ne3TiP_h_wGKRaud</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Olchik, Maira Rozenfel</creator><creator>Ghisi, Marciéle</creator><creator>Ayres, Annelise</creator><creator>Schuh, Arthur Francisco Shumacher</creator><creator>Oppitz, Paulo Petry</creator><creator>Rieder, Carlos Roberto de Mello</creator><general>Thieme Revinter Publicações Ltda</general><general>Fundação Otorrinolaringologia</general><scope>0U6</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>GPN</scope><scope>DOA</scope></search><sort><creationdate>20180401</creationdate><title>The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease</title><author>Olchik, Maira Rozenfel ; Ghisi, Marciéle ; Ayres, Annelise ; Schuh, Arthur Francisco Shumacher ; Oppitz, Paulo Petry ; Rieder, Carlos Roberto de Mello</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c533t-286273e8292629e8f1803bbf53705e8628a46e0886267d85f86db1592f5b7cad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>deep brain stimulation</topic><topic>neurology</topic><topic>Original Research</topic><topic>OTORHINOLARYNGOLOGY</topic><topic>parkinson's disease</topic><topic>speech therapy</topic><topic>swallowing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olchik, Maira Rozenfel</creatorcontrib><creatorcontrib>Ghisi, Marciéle</creatorcontrib><creatorcontrib>Ayres, Annelise</creatorcontrib><creatorcontrib>Schuh, Arthur Francisco Shumacher</creatorcontrib><creatorcontrib>Oppitz, Paulo Petry</creatorcontrib><creatorcontrib>Rieder, Carlos Roberto de Mello</creatorcontrib><collection>Thieme Connect Journals Open Access</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SciELO</collection><collection>Directory of Open Access Journals</collection><jtitle>International Archives of Otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olchik, Maira Rozenfel</au><au>Ghisi, Marciéle</au><au>Ayres, Annelise</au><au>Schuh, Arthur Francisco Shumacher</au><au>Oppitz, Paulo Petry</au><au>Rieder, Carlos Roberto de Mello</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease</atitle><jtitle>International Archives of Otorhinolaryngology</jtitle><addtitle>Int Arch Otorhinolaryngol</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>22</volume><issue>2</issue><spage>125</spage><epage>129</epage><pages>125-129</pages><issn>1809-9777</issn><issn>1809-4864</issn><eissn>1809-4864</eissn><abstract>Abstract
Introduction
Deep brain stimulation (DBS) is an established treatment for Parkinson's disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia.
Objective
To assess the swallowing and quality of life of individuals with PD before and after DBS surgery.
Methods
Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient's swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale.
Results
The sample included 10 individuals, all male, with a mean age of 57.3 years (±4.7), a mean disease duration of 13.0 years (±2.4), and mean level education of 8.1 years (±4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients' motor subtype and swallowing pre- and post-DBS.
Conclusion
There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function.</abstract><cop>Rio de Janeiro, Brazil</cop><pub>Thieme Revinter Publicações Ltda</pub><pmid>29619099</pmid><doi>10.1055/s-0037-1603466</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | deep brain stimulation neurology Original Research OTORHINOLARYNGOLOGY parkinson's disease speech therapy swallowing |
title | The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease |
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