MovDisordV3, PubMed, Corpus, bibRecord, 004680

Comparison of swallowing function in Parkinson's disease and progressive supranuclear palsy.

Identifieur interne : 004680 ( PubMed/Corpus ); précédent : 004679; suivant : 004681

Comparison of swallowing function in Parkinson's disease and progressive supranuclear palsy.

Auteurs : B T Johnston ; J A Castell ; S. Stumacher ; A. Colcher ; R M Gideon ; Q. Li ; D O Castell

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1997.

RBID : pubmed:9159726

English descriptors

KwdEn :
- Barium (diagnostic use), Deglutition Disorders (complications), Deglutition Disorders (diagnosis), Humans, Parkinson Disease (complications), Parkinson Disease (diagnosis), Severity of Illness Index, Supranuclear Palsy, Progressive (complications).
MESH :
- chemical , diagnostic use : Barium.
- complications : Deglutition Disorders, Parkinson Disease, Supranuclear Palsy, Progressive.
- diagnosis : Deglutition Disorders, Parkinson Disease.
- Humans, Severity of Illness Index.

Abstract

Dysphagia is common in both Parkinson's disease (PD) and progressive supranuclear palsy (PSP). Although it is believed to be more common in PSP, there are no controlled data and no comparison of swallowing function between these two disorders. Our aim was to assess dysphagia and swallow function in patients with PSP and PD. Seven patients with PSP were matched to seven patients with PD on the basis of disease duration. Self-rated dysphagia, movement disorder disability, modified barium swallow results, and abnormalities noted on manometry of the lower esophageal sphincter, esophageal body, upper esophageal sphincter, and pharynx were compared between the two groups. Neither severity nor duration of dysphagia differed between the two groups. Patients with PSP had a significantly greater degree of disability [median (range) Hoehn & Yahr score, 4 (3-5) vs. 2 (1-2); P < 0.002]. Manometric abnormalities were similar for the two groups. Oral-phase abnormalities on modified barium swallow were significantly more frequent in PSP (four patients with PSP vs. no patients with PD; p < 0.005). Pharyngeal abnormalities did not differ. Modified barium-swallow scores correlated well with self-reported dysphagia severity for patients with PSP (r = 0.93; p < 0.05) but not for those with PD (r = 0.42; p = NS). The frequency of abnormalities noted during the oral phase was significantly increased in PSP. It is hypothesized that the sensory information conveyed due to this may account for the better correlation between symptoms and swallowing abnormalities and the belief that swallowing problems are more common in PSP.

DOI: 10.1002/mds.870120310
PubMed: 9159726

Links to Exploration step

pubmed:9159726

Le document en format XML

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<author><name sortKey="Johnston, B T" sort="Johnston, B T" uniqKey="Johnston B" first="B T" last="Johnston">B T Johnston</name>
<affiliation><nlm:affiliation>Department of Medicine, Graduate Hospital, Philadelphia, Pennsylvania, USA.</nlm:affiliation>
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<author><name sortKey="Castell, J A" sort="Castell, J A" uniqKey="Castell J" first="J A" last="Castell">J A Castell</name>
</author>
<author><name sortKey="Stumacher, S" sort="Stumacher, S" uniqKey="Stumacher S" first="S" last="Stumacher">S. Stumacher</name>
</author>
<author><name sortKey="Colcher, A" sort="Colcher, A" uniqKey="Colcher A" first="A" last="Colcher">A. Colcher</name>
</author>
<author><name sortKey="Gideon, R M" sort="Gideon, R M" uniqKey="Gideon R" first="R M" last="Gideon">R M Gideon</name>
</author>
<author><name sortKey="Li, Q" sort="Li, Q" uniqKey="Li Q" first="Q" last="Li">Q. Li</name>
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<author><name sortKey="Castell, D O" sort="Castell, D O" uniqKey="Castell D" first="D O" last="Castell">D O Castell</name>
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<author><name sortKey="Johnston, B T" sort="Johnston, B T" uniqKey="Johnston B" first="B T" last="Johnston">B T Johnston</name>
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</affiliation>
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<author><name sortKey="Castell, J A" sort="Castell, J A" uniqKey="Castell J" first="J A" last="Castell">J A Castell</name>
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<author><name sortKey="Stumacher, S" sort="Stumacher, S" uniqKey="Stumacher S" first="S" last="Stumacher">S. Stumacher</name>
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<author><name sortKey="Gideon, R M" sort="Gideon, R M" uniqKey="Gideon R" first="R M" last="Gideon">R M Gideon</name>
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<author><name sortKey="Li, Q" sort="Li, Q" uniqKey="Li Q" first="Q" last="Li">Q. Li</name>
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<author><name sortKey="Castell, D O" sort="Castell, D O" uniqKey="Castell D" first="D O" last="Castell">D O Castell</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Humans</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Severity of Illness Index</term>
<term>Supranuclear Palsy, Progressive (complications)</term>
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<term>Parkinson Disease</term>
<term>Supranuclear Palsy, Progressive</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Deglutition Disorders</term>
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<front><div type="abstract" xml:lang="en">Dysphagia is common in both Parkinson's disease (PD) and progressive supranuclear palsy (PSP). Although it is believed to be more common in PSP, there are no controlled data and no comparison of swallowing function between these two disorders. Our aim was to assess dysphagia and swallow function in patients with PSP and PD. Seven patients with PSP were matched to seven patients with PD on the basis of disease duration. Self-rated dysphagia, movement disorder disability, modified barium swallow results, and abnormalities noted on manometry of the lower esophageal sphincter, esophageal body, upper esophageal sphincter, and pharynx were compared between the two groups. Neither severity nor duration of dysphagia differed between the two groups. Patients with PSP had a significantly greater degree of disability [median (range) Hoehn & Yahr score, 4 (3-5) vs. 2 (1-2); P < 0.002]. Manometric abnormalities were similar for the two groups. Oral-phase abnormalities on modified barium swallow were significantly more frequent in PSP (four patients with PSP vs. no patients with PD; p < 0.005). Pharyngeal abnormalities did not differ. Modified barium-swallow scores correlated well with self-reported dysphagia severity for patients with PSP (r = 0.93; p < 0.05) but not for those with PD (r = 0.42; p = NS). The frequency of abnormalities noted during the oral phase was significantly increased in PSP. It is hypothesized that the sensory information conveyed due to this may account for the better correlation between symptoms and swallowing abnormalities and the belief that swallowing problems are more common in PSP.</div>
</front>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Comparison of swallowing function in Parkinson's disease and progressive supranuclear palsy.</ArticleTitle>
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<Abstract><AbstractText>Dysphagia is common in both Parkinson's disease (PD) and progressive supranuclear palsy (PSP). Although it is believed to be more common in PSP, there are no controlled data and no comparison of swallowing function between these two disorders. Our aim was to assess dysphagia and swallow function in patients with PSP and PD. Seven patients with PSP were matched to seven patients with PD on the basis of disease duration. Self-rated dysphagia, movement disorder disability, modified barium swallow results, and abnormalities noted on manometry of the lower esophageal sphincter, esophageal body, upper esophageal sphincter, and pharynx were compared between the two groups. Neither severity nor duration of dysphagia differed between the two groups. Patients with PSP had a significantly greater degree of disability [median (range) Hoehn & Yahr score, 4 (3-5) vs. 2 (1-2); P < 0.002]. Manometric abnormalities were similar for the two groups. Oral-phase abnormalities on modified barium swallow were significantly more frequent in PSP (four patients with PSP vs. no patients with PD; p < 0.005). Pharyngeal abnormalities did not differ. Modified barium-swallow scores correlated well with self-reported dysphagia severity for patients with PSP (r = 0.93; p < 0.05) but not for those with PD (r = 0.42; p = NS). The frequency of abnormalities noted during the oral phase was significantly increased in PSP. It is hypothesized that the sensory information conveyed due to this may account for the better correlation between symptoms and swallowing abnormalities and the belief that swallowing problems are more common in PSP.</AbstractText>
</Abstract>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Comparison of swallowing function in Parkinson's disease and progressive supranuclear palsy.

Comparison of swallowing function in Parkinson's disease and progressive supranuclear palsy.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki