Danse-thérapie et Parkinson

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Tongue control for swallowing in Parkinson's disease: Effects of age, rate, and stimulus consistency

Identifieur interne : 000171 ( Istex/Corpus ); précédent : 000170; suivant : 000172

Tongue control for swallowing in Parkinson's disease: Effects of age, rate, and stimulus consistency

Auteurs : Pascal H. H. M. Van Lieshout ; Catriona M. Steele ; Anthony E. Lang

Source :

RBID : ISTEX:3DA4B8C219056CF137F1926AD8DB9163BBD5C46D

English descriptors

Abstract

Patients with Parkinson's disease often suffer from swallowing problems, especially at more advanced stages of the disease. Efficient swallows require well‐coordinated tongue movements during bolus flow, but little is known about such movements in Parkinson's disease.
The current study presents data on tongue movements for patients with mild to moderate Parkinson's disease (n = 10), age‐matched adults (n = 13), and younger healthy adults (n = 15).
Participants with Parkinson's disease showed smaller and more variable movements in the horizontal movement plane, indicating that tongue movements are affected in early stages of Parkinson's disease.
The small and more variable movements in the horizontal plane of Patients with Parkinson's disease may pose challenges for swallowing liquids efficiently and safely. © 2011 Movement Disorder Society

Url:
DOI: 10.1002/mds.23690

Links to Exploration step

ISTEX:3DA4B8C219056CF137F1926AD8DB9163BBD5C46D

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<keyword xml:id="kwd1">tongue movement</keyword>
<keyword xml:id="kwd2">swallowing; Parkinson's disease</keyword>
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<caption>Supporting Information Figure 1. Electro‐Magnetic Midsagittal Articulograph (EMMA) System as used in this study.</caption>
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<caption>Supporting Information Table 1. Mean (SD) values for GROUP (Older control, Younger controls, Parkinson patients) by STIMULUS (water[H2O], thin apple juice [APP], thick apple juice [HON]) by RATE (DIScrete, SEQuential) by LOCATION (Tongue Body, Tongue Dorsum) for the discrete kinematic variables (amplitude and duration), separate for upward, downward, forward, and backward movements.</caption>
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<caption>Supporting Information Table 2. Main effects and significant interactions for STIMULUS (water[H2O], thin apple juice [APP], thick apple juice [HON]), RATE (DIScrete, SEQuential), and LOCATION (Tongue Body, Tongue Dorsum) for all dependent variables (amplitude, duration, & cyclic Spatio‐Temporal Index [cSTI]), separate for movement direction (Upwards, Downwards, Forwards, Backwards). Cohen's f‐values are also shown.</caption>
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<p>Participants with Parkinson's disease showed smaller and more variable movements in the horizontal movement plane, indicating that tongue movements are affected in early stages of Parkinson's disease.</p>
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<title type="main">Conclusions:</title>
<p>The small and more variable movements in the horizontal plane of Patients with Parkinson's disease may pose challenges for swallowing liquids efficiently and safely. © 2011 Movement Disorder Society</p>
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<affiliation>Institute of Biomaterials & Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada</affiliation>
<affiliation>Department of Psychology, University of Toronto at Mississauga, Mississauga, Ontario, Canada</affiliation>
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<affiliation>Institute of Biomaterials & Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada</affiliation>
<affiliation>Toronto Rehabilitation Institute, Toronto, Ontario, Canada</affiliation>
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<abstract>Patients with Parkinson's disease often suffer from swallowing problems, especially at more advanced stages of the disease. Efficient swallows require well‐coordinated tongue movements during bolus flow, but little is known about such movements in Parkinson's disease.</abstract>
<abstract>The current study presents data on tongue movements for patients with mild to moderate Parkinson's disease (n = 10), age‐matched adults (n = 13), and younger healthy adults (n = 15).</abstract>
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<note type="content">*Relevant conflicts of interest/financial disclosures: Nothing to report.</note>
<note type="content">*This research was supported by funding from the Canadian Institutes of Health Research (Grant 63271) and in part from the Canada Research Chairs Program. Support also came from the Toronto Rehabilitation Institute, which receives funding under the Provincial Rehabilitation Research Program from the Ministry of Health and Long‐term Care in Ontario.</note>
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