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Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation
INTRODUCTION: Parkinson's disease (PD) leads to various types of swallowing disorders. We investigated the effect of cervical percutaneous interferential current stimulation on dysphagia. By conducting detailed qualitative and quantitative analysis of videofluoroscopic examination, we aimed to...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664245/ https://www.ncbi.nlm.nih.gov/pubmed/38020611 http://dx.doi.org/10.3389/fneur.2023.1279161 |
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author | Nakamori, Masahiro Toko, Megumi Yamada, Hidetada Hayashi, Yuki Haruta, Azusa Hiraoka, Aya Yoshikawa, Mineka Nagasaki, Toshikazu Ushio, Kai Yoshikawa, Kohei Shimizu, Yoshitaka Mikami, Yukio Maruyama, Hirofumi |
author_facet | Nakamori, Masahiro Toko, Megumi Yamada, Hidetada Hayashi, Yuki Haruta, Azusa Hiraoka, Aya Yoshikawa, Mineka Nagasaki, Toshikazu Ushio, Kai Yoshikawa, Kohei Shimizu, Yoshitaka Mikami, Yukio Maruyama, Hirofumi |
author_sort | Nakamori, Masahiro |
collection | PubMed |
description | INTRODUCTION: Parkinson's disease (PD) leads to various types of swallowing disorders. We investigated the effect of cervical percutaneous interferential current stimulation on dysphagia. By conducting detailed qualitative and quantitative analysis of videofluoroscopic examination, we aimed to understand dysphagia in patients with PD and investigate its effects on swallowing function. METHODS: Patients received cervical percutaneous interferential current stimulation for 20 min twice a week for 8 weeks. In this exploratory study, we evaluated aspiration/laryngeal penetration, oral cavity residue, vallecular residue, and pharyngeal residue. In addition, we performed temporal analysis. RESULTS: Twenty-five patients were completely evaluated. At baseline, the proportions of laryngeal penetration/aspiration, oral cavity residue, epiglottic vallecula residue, and pharyngeal residue were 40.0, 88.0, 72.0, 60.0, and 16.0%, respectively. Conversely, pharyngeal transit time, laryngeal elevation delay time, pharyngeal delay time, and swallowing reflex delay were nearly within the normal ranges. Cervical percutaneous interferential current sensory stimulation improved only oral cavity residue at the end of the intervention, from 88.0 to 56.0%. DISCUSSION: Patients with PD demonstrated remarkably high frequencies of residues in the oral and pharyngeal regions. The usefulness of cervical interferential current stimulation was partially demonstrated for oral cavity residue. Considering that PD exhibits diverse symptoms, further accumulation of cases and knowledge is warranted. TRIAL REGISTRATION: jRCTs062220013. |
format | Online Article Text |
id | pubmed-10664245 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106642452023-11-07 Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation Nakamori, Masahiro Toko, Megumi Yamada, Hidetada Hayashi, Yuki Haruta, Azusa Hiraoka, Aya Yoshikawa, Mineka Nagasaki, Toshikazu Ushio, Kai Yoshikawa, Kohei Shimizu, Yoshitaka Mikami, Yukio Maruyama, Hirofumi Front Neurol Neurology INTRODUCTION: Parkinson's disease (PD) leads to various types of swallowing disorders. We investigated the effect of cervical percutaneous interferential current stimulation on dysphagia. By conducting detailed qualitative and quantitative analysis of videofluoroscopic examination, we aimed to understand dysphagia in patients with PD and investigate its effects on swallowing function. METHODS: Patients received cervical percutaneous interferential current stimulation for 20 min twice a week for 8 weeks. In this exploratory study, we evaluated aspiration/laryngeal penetration, oral cavity residue, vallecular residue, and pharyngeal residue. In addition, we performed temporal analysis. RESULTS: Twenty-five patients were completely evaluated. At baseline, the proportions of laryngeal penetration/aspiration, oral cavity residue, epiglottic vallecula residue, and pharyngeal residue were 40.0, 88.0, 72.0, 60.0, and 16.0%, respectively. Conversely, pharyngeal transit time, laryngeal elevation delay time, pharyngeal delay time, and swallowing reflex delay were nearly within the normal ranges. Cervical percutaneous interferential current sensory stimulation improved only oral cavity residue at the end of the intervention, from 88.0 to 56.0%. DISCUSSION: Patients with PD demonstrated remarkably high frequencies of residues in the oral and pharyngeal regions. The usefulness of cervical interferential current stimulation was partially demonstrated for oral cavity residue. Considering that PD exhibits diverse symptoms, further accumulation of cases and knowledge is warranted. TRIAL REGISTRATION: jRCTs062220013. Frontiers Media S.A. 2023-11-07 /pmc/articles/PMC10664245/ /pubmed/38020611 http://dx.doi.org/10.3389/fneur.2023.1279161 Text en Copyright © 2023 Nakamori, Toko, Yamada, Hayashi, Haruta, Hiraoka, Yoshikawa, Nagasaki, Ushio, Yoshikawa, Shimizu, Mikami and Maruyama. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Nakamori, Masahiro Toko, Megumi Yamada, Hidetada Hayashi, Yuki Haruta, Azusa Hiraoka, Aya Yoshikawa, Mineka Nagasaki, Toshikazu Ushio, Kai Yoshikawa, Kohei Shimizu, Yoshitaka Mikami, Yukio Maruyama, Hirofumi Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
title | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
title_full | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
title_fullStr | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
title_full_unstemmed | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
title_short | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
title_sort | detailed findings of videofluoroscopic examination among patients with parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664245/ https://www.ncbi.nlm.nih.gov/pubmed/38020611 http://dx.doi.org/10.3389/fneur.2023.1279161 |
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