Review
Progress on evaluation of dysphagia in patients with Parkinson′s disease
Wang Ping, Wang Bo, Xiong Bing, Li Jinhui, Ji Changmeng, Luo Wei
Published 2023-03-08
Cite as Chin J Neurol, 2023, 56(3): 351-358. DOI: 10.3760/cma.j.cn113694-20220627-00504
Abstract
Parkinson′s disease (PD) is a common neurodegenerative disease. The prevalence of dysphagia in patients with PD is 16%-87%. Dysphagic patients show abnormalities in the oral, pharyngeal and esophageal phases of swallowing. The evaluation tools of dysphagia in patients with PD include instrumental assessment tools, non-instrumental objective assessment tools and subjective assessment tools. Videofluoroscopic study of swallowing and flexible endoscopic examination of swallowing are the gold standards for swallowing assessment in patients with PD; high-resolution manometry, tongue pressure measurement, surface electromyography and ultrasonography can be used as supplementary tests; the Swallowing Disturbance Questionnaire Scale, which is sensitive, specific, reliable and valid, is recommended as a screening tool.
Key words:
Parkinson disease; Deglutition; Dysphagia
Contributor Information
Wang Ping
Department of Rehabilitation, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
Wang Bo
Department of Neurology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
Xiong Bing
Department of Rehabilitation, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
Li Jinhui
Department of Rehabilitation, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
Ji Changmeng
Center for Rehabilitation Assessment and Therapy, Zhejiang Rehabilitation Medical Center, Hangzhou 310052, China
Luo Wei
Department of Neurology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China