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The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease

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  ...

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Autores principales: Olchik, Maira Rozenfel, Ghisi, Marciéle, Ayres, Annelise, Schuh, Arthur Francisco Shumacher, Oppitz, Paulo Petry, Rieder, Carlos Roberto de Mello
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882365/
https://www.ncbi.nlm.nih.gov/pubmed/29619099
http://dx.doi.org/10.1055/s-0037-1603466
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author Olchik, Maira Rozenfel
Ghisi, Marciéle
Ayres, Annelise
Schuh, Arthur Francisco Shumacher
Oppitz, Paulo Petry
Rieder, Carlos Roberto de Mello
author_facet Olchik, Maira Rozenfel
Ghisi, Marciéle
Ayres, Annelise
Schuh, Arthur Francisco Shumacher
Oppitz, Paulo Petry
Rieder, Carlos Roberto de Mello
author_sort Olchik, Maira Rozenfel
collection PubMed
description 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.
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spelling pubmed-58823652018-04-04 The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease Olchik, Maira Rozenfel Ghisi, Marciéle Ayres, Annelise Schuh, Arthur Francisco Shumacher Oppitz, Paulo Petry Rieder, Carlos Roberto de Mello Int Arch Otorhinolaryngol 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. Thieme Revinter Publicações Ltda 2018-04 2017-06-05 /pmc/articles/PMC5882365/ /pubmed/29619099 http://dx.doi.org/10.1055/s-0037-1603466 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Olchik, Maira Rozenfel
Ghisi, Marciéle
Ayres, Annelise
Schuh, Arthur Francisco Shumacher
Oppitz, Paulo Petry
Rieder, Carlos Roberto de Mello
The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease
title The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease
title_full The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease
title_fullStr The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease
title_full_unstemmed The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease
title_short The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease
title_sort impact of deep brain stimulation on the quality of life and swallowing in individuals with parkinson's disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882365/
https://www.ncbi.nlm.nih.gov/pubmed/29619099
http://dx.doi.org/10.1055/s-0037-1603466
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