Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation
IntroductionParkinson's disease (PD) leads to various types of swallowing disorders. We investigated the effect of cervical percutaneous interferential current stimulation on dysphagia. By conducting detailed qualitative and quantitative analysis of videofluoroscopic examination, we aimed to un...
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| Format: | Article |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1279161/full |
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| author | Masahiro Nakamori Megumi Toko Hidetada Yamada Yuki Hayashi Azusa Haruta Aya Hiraoka Mineka Yoshikawa Toshikazu Nagasaki Kai Ushio Kohei Yoshikawa Yoshitaka Shimizu Yukio Mikami Hirofumi Maruyama |
| author_facet | Masahiro Nakamori Megumi Toko Hidetada Yamada Yuki Hayashi Azusa Haruta Aya Hiraoka Mineka Yoshikawa Toshikazu Nagasaki Kai Ushio Kohei Yoshikawa Yoshitaka Shimizu Yukio Mikami Hirofumi Maruyama |
| author_sort | Masahiro Nakamori |
| collection | DOAJ |
| description | IntroductionParkinson's disease (PD) leads to various types of swallowing disorders. We investigated the effect of cervical percutaneous interferential current stimulation on dysphagia. By conducting detailed qualitative and quantitative analysis of videofluoroscopic examination, we aimed to understand dysphagia in patients with PD and investigate its effects on swallowing function.MethodsPatients received cervical percutaneous interferential current stimulation for 20 min twice a week for 8 weeks. In this exploratory study, we evaluated aspiration/laryngeal penetration, oral cavity residue, vallecular residue, and pharyngeal residue. In addition, we performed temporal analysis.ResultsTwenty-five patients were completely evaluated. At baseline, the proportions of laryngeal penetration/aspiration, oral cavity residue, epiglottic vallecula residue, and pharyngeal residue were 40.0, 88.0, 72.0, 60.0, and 16.0%, respectively. Conversely, pharyngeal transit time, laryngeal elevation delay time, pharyngeal delay time, and swallowing reflex delay were nearly within the normal ranges. Cervical percutaneous interferential current sensory stimulation improved only oral cavity residue at the end of the intervention, from 88.0 to 56.0%.DiscussionPatients with PD demonstrated remarkably high frequencies of residues in the oral and pharyngeal regions. The usefulness of cervical interferential current stimulation was partially demonstrated for oral cavity residue. Considering that PD exhibits diverse symptoms, further accumulation of cases and knowledge is warranted.Trial registrationjRCTs062220013. |
| first_indexed | 2024-03-11T12:18:00Z |
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| id | doaj.art-c721ef9c89414157848fd2f60c20a01d |
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| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-11T12:18:00Z |
| publishDate | 2023-11-01 |
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| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-c721ef9c89414157848fd2f60c20a01d2023-11-07T07:15:17ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-11-011410.3389/fneur.2023.12791611279161Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulationMasahiro Nakamori0Megumi Toko1Hidetada Yamada2Yuki Hayashi3Azusa Haruta4Aya Hiraoka5Mineka Yoshikawa6Toshikazu Nagasaki7Kai Ushio8Kohei Yoshikawa9Yoshitaka Shimizu10Yukio Mikami11Hirofumi Maruyama12Department of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Advanced Prosthodontics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Oral and Maxillofacial Radiology, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JapanDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JapanDepartment of Dental Anesthesiology, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanDepartment of Rehabilitation Medicine, Hiroshima University Hospital, Hiroshima, JapanDepartment of Clinical Neuroscience and Therapeutics, Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, JapanIntroductionParkinson's disease (PD) leads to various types of swallowing disorders. We investigated the effect of cervical percutaneous interferential current stimulation on dysphagia. By conducting detailed qualitative and quantitative analysis of videofluoroscopic examination, we aimed to understand dysphagia in patients with PD and investigate its effects on swallowing function.MethodsPatients received cervical percutaneous interferential current stimulation for 20 min twice a week for 8 weeks. In this exploratory study, we evaluated aspiration/laryngeal penetration, oral cavity residue, vallecular residue, and pharyngeal residue. In addition, we performed temporal analysis.ResultsTwenty-five patients were completely evaluated. At baseline, the proportions of laryngeal penetration/aspiration, oral cavity residue, epiglottic vallecula residue, and pharyngeal residue were 40.0, 88.0, 72.0, 60.0, and 16.0%, respectively. Conversely, pharyngeal transit time, laryngeal elevation delay time, pharyngeal delay time, and swallowing reflex delay were nearly within the normal ranges. Cervical percutaneous interferential current sensory stimulation improved only oral cavity residue at the end of the intervention, from 88.0 to 56.0%.DiscussionPatients with PD demonstrated remarkably high frequencies of residues in the oral and pharyngeal regions. The usefulness of cervical interferential current stimulation was partially demonstrated for oral cavity residue. Considering that PD exhibits diverse symptoms, further accumulation of cases and knowledge is warranted.Trial registrationjRCTs062220013.https://www.frontiersin.org/articles/10.3389/fneur.2023.1279161/fullParkinson's diseasedysphagiainterferential current sensory stimulationvideofluoroscopic examinationtemporal analysis |
| spellingShingle | Masahiro Nakamori Megumi Toko Hidetada Yamada Yuki Hayashi Azusa Haruta Aya Hiraoka Mineka Yoshikawa Toshikazu Nagasaki Kai Ushio Kohei Yoshikawa Yoshitaka Shimizu Yukio Mikami Hirofumi Maruyama Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation Frontiers in Neurology Parkinson's disease dysphagia interferential current sensory stimulation videofluoroscopic examination temporal analysis |
| title | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
| title_full | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
| title_fullStr | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
| title_full_unstemmed | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
| title_short | Detailed findings of videofluoroscopic examination among patients with Parkinson's disease on the effect of cervical percutaneous interferential current stimulation |
| title_sort | detailed findings of videofluoroscopic examination among patients with parkinson s disease on the effect of cervical percutaneous interferential current stimulation |
| topic | Parkinson's disease dysphagia interferential current sensory stimulation videofluoroscopic examination temporal analysis |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1279161/full |
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