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dc.contributor.authorArdenghi, Luciana Grollipt_BR
dc.contributor.authorSignorini, Alana Verzapt_BR
dc.contributor.authorMaahs, Gerson Schulzpt_BR
dc.contributor.authorSelaimen, Fábio Andrépt_BR
dc.contributor.authorDeutsch, Konrado Massingpt_BR
dc.contributor.authorDornelles, Silviapt_BR
dc.contributor.authorRieder, Carlos Roberto de Mellopt_BR
dc.date.accessioned2022-12-03T05:10:16Zpt_BR
dc.date.issued2021pt_BR
dc.identifier.issn1809-4864pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/252306pt_BR
dc.description.abstractIntroduction Dysphagia is a relevant symptom in Parkinson disease (PD), and its pathophysiology is poorly understood. To date, researchers have not investigated the effects of combined motor tasks on swallowing. Such an assessment is of particular interest in PD, in which patients have specific difficulties while performing two movements simultaneously. Objective The present study tested the hypothesis that performing concurrent tasks could decrease the safety of swallowing in PD patients as visualized using fiberoptic endoscopic evaluation of swallowing (FEES). Methods A total of 19 patients and 19 controls matched by age, gender, and level of schooling were compared by FEES under two conditions: isolated swallowing and dual task (swallowing during non-sequential opposition of the thumb against the other fingers). The two tasks involved volumes of food of 3 mL and 5 mL. The PD subjects were classified according to the Hoehn & Yahr (H&Y) Scale, the Mini Mental State Examination (MMSE), and the Montreal Cognitive Assessment (MoCA). The FEES assessment was performed according to the Boston Residue and Clearance Scale (BRACS). Results The data showed a significant worsening of swallowing in the dual task assessment for both volumes (3 mL: p ≤ 0.001; 5 mL: p ≤ 0.001) in the PD group. A correlation between the MoCA and dual-task swallowing of 3 mL was also found. Conclusion These findings suggest that additional tasks involving manual motor movements result in swallowing impairment in patients with PD. Moreover, these data highlight the need to further evaluate such conditions during treatment and assessment of PD patients.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofInternational Archives of Otorhinolaryngology. Rio de Janeiro. Vol. 25, no. 1 (2021), p. e41-e47pt_BR
dc.rightsOpen Accessen
dc.subjectDoença de Parkinsonpt_BR
dc.subjectDeglutition disordersen
dc.subjectParkinson diseaseen
dc.subjectCogniçãopt_BR
dc.subjectEndoscopyen
dc.subjectDeglutiçãopt_BR
dc.subjectEndoscopiapt_BR
dc.subjectCognitionen
dc.titleDeglutition impairment during dual task in Parkinson disease is associated with cognitive statuspt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001153322pt_BR
dc.type.originNacionalpt_BR


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