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Rehabilitation of dysphagia in Parkinson’s disease: Effect of chin-down postural maneuver

A. Ayres, G.P. Jotz, C.R.M. Rieder, M.R. Olchik (Porto Alegre, Brazil)

Meeting: 2016 International Congress

Abstract Number: 292

Keywords: Dysphagia, Parkinsonism

Session Information

Date: Monday, June 20, 2016

Session Title: Parkinson's disease: Non-motor symptoms

Session Time: 12:30pm-2:00pm

Location: Exhibit Hall located in Hall B, Level 2

Objective: To verify the effectiveness of chin-down posture maneuver in the rehabilitation of dysphagia with Parkinson’s disease (PD).

Background: Although dysphagia is a complicating symptom in PD the number of studies on the effects of phonoaudiological therapy for oropharyngeal dysphagia in this disease is still limited. Furthermore, these evidences are far from conclusive.

Methods: Case control study, composed of three groups: experimental group (ten participants), control group (eight participants) and placebo group (six participants). Individuals diagnosed with PD and oropharyngeal dysphagia were included. Subjects with language disorders and / or hearing which could difficult the understanding of an intervention program, diagnosis of dementia and diagnosis of other neurological illnesses were excluded. A pre-test composed of cognitive screening, a questionnaire on depression and quality of life was conducted. Swallowing assessment was made by physical examination, clinical evaluation, questionnaire Quality of Life in Swallowing Disorders and Functional Oral Intake Scale. A therapeutic program consisted of Chin-down postural maneuver and orientations on feeding was applied.

Results: On the clinical and pre-test sociodemographic variables there was no significant difference among the three groups. A significant improvement in the clinical evaluation of swallowing in the experimental group to the solid consistency (p <0.001) and liquid (p = 0.022) was observed. In addition, the experimental group showed improvement in quality of life, with a significant difference for the other groups in the field of frequency of symptoms (p = 0.029).

Conclusions: The postural maneuver Chin-down was effective for the treatment of oropharyngeal dysphagia in patients with Parkinson’s disease in this sample, as well as improved quality of life related to swallowing after phonoaudiological intervention.

To cite this abstract in AMA style:

A. Ayres, G.P. Jotz, C.R.M. Rieder, M.R. Olchik. Rehabilitation of dysphagia in Parkinson’s disease: Effect of chin-down postural maneuver [abstract]. Mov Disord. 2016; 31 (suppl 2). https://www.mdsabstracts.org/abstract/rehabilitation-of-dysphagia-in-parkinsons-disease-effect-of-chin-down-postural-maneuver/. Accessed May 18, 2025.
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