Rehabilitation or compensation: time for a fresh perspective on speech and language therapy for dysphagia and Parkinson’s disease?

Int J Lang Commun Disord. 2012 Jul;47(4):351-64. doi: 10.1111/j.1460-6984.2011.00093.x. Epub 2012 Apr 11.

Abstract

Background: Dysphagia is a common symptom of Parkinson’s disease and can have negative consequences for physical health and quality of life. A variety of treatment options are available to clinicians working with people who have dysphagia and Parkinson’s disease. These options can be broadly categorized as being compensatory or rehabilitative in nature. Aims: To explore the evidence behind treatment options available to clinicians working with dysphagia and Parkinson’s disease and to draw conclusions about whether compensatory or rehabilitative approaches are likely to provide the best outcomes for our patients. Methods & Procedures: A critical literature review of compensatory and rehabilitative interventions for dysphagia in Parkinson’s disease was undertaken. Relevant studies were analysed for their robustness and potential clinical applications. General conclusions were drawn based on the evidence base identified in this review. Main Contribution: This review outlines the lack of evidence supporting both compensatory and rehabilitative methods of treating dysphagia in Parkinson’s disease. It directs clinicians and researchers towards areas that require further investigation. Conclusions & Implications: To date, compensatory methods of treating dysphagia in Parkinson’s disease have received more research attention than rehabilitative methods and yet neither approach has a strong evidence base. This review argues that rehabilitative methods could possibly have greater potential to increase swallowing safety and improve quality of life in the long-term than compensatory methods alone. However, at present there is a lack of research in this area.

© 2012 Royal College of Speech and Language Therapists.

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Este post foi publicado em Parkinson's disease em por .

Sobre Graziela Chamarelli Bougo

Fonoaudióloga do Hospital Risoleta Tolentino Neves Graduada em Fonoaudiologia pela Universidade Estadual do Centro-Oeste-PR Aprimoramento em Fonoaudiologia Hospitalar pelo Hospital de Base da Faculdade de Medicina de São José do Rio Preto (FAMERP/SP) Residência em Fonoaudiologia na área de ênfase de Urgência, Emergência e Terapia Intensiva do Hospital Municipal Odilon Behrens de Belo Horizonte (BH/MG)

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