Swallowing in Parkinsons disease before and after riboflavin: complaint, functional aspects and impact on quality of life. / Deglutição de parkinsonianos pré e pós riboflavina: queixa, aspectos funcionais e impacto na vida diária.

AUTOR(ES)

Carolina Castelli Silvério

DATA DE PUBLICAÇÃO

2009

RESUMO

Objective: to verify the relation between clinical complaint, swallowing functional aspects and the impact on quality of life related to voice and swallowing in patients with Parkinsons disease submitted to treatment with riboflavin during one year period. Method: sixteen patients with Parkinsons disease participated in the study; mean age was 67.25 years old, mean degree of disease severity was II to III and mean time of disease diagnosis was 3.5 years. Videofluoroscopic evaluations were performed before and after one year of treatment with riboflavin and restriction diet of read meat and chicken. It were analyzed: qualitative analysis of swallowing, presence of complaints related to swallowing, application of questionnaires related to the impact of voice and swallowing alterations and quantitative analyses of swallowing, which included computerized measurements of hyoid bone and cricoid cartilage displacement, opening of the superior esophageal sphincter and pharyngeal constriction. Results: it were observed: decrease of complaints and slight worsening in quality of life impact regarding voice and swallowing and more frequent normal swallowing post riboflavin; there were no significant changes regarding quantitative measurements. Conclusions: there was a non significant improvement regarding swallowing complaints; it were not observed significant impairments of the swallowing dynamics, except for cricoid cartilage displacement during thin liquid ingestion at the end of the treatment; there was no impairment of quality of life regarding swallowing or voice; patients without swallowing complaints at the beginning of the treatment showed improvement in swallowing dynamics, except for pharyngeal constriction; patients with swallowing complaints at the beginning of the treatment showed improvement regarding quality of life and vocal selfevaluation after treatment.

ASSUNTO(S)

fonoaudiologia 1- deglutição 2- transtornos da deglutição 3- doença de parkinson 4- riboflavina 5- fluoroscopia.

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