An Intensive Neurorehabilitation Programme with sEMG Biofeedback to Improve Swallowing in Idiopathic Parkinson's Disease (IPD): A Feasibility Study

Autor/inn/en	Battel, Irene; Walshe, Margaret
Titel	An Intensive Neurorehabilitation Programme with sEMG Biofeedback to Improve Swallowing in Idiopathic Parkinson's Disease (IPD): A Feasibility Study
Quelle	In: International Journal of Language & Communication Disorders, 58 (2023) 3, S.813-825 (13 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Battel, Irene)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.1111/1460-6984.12824
Schlagwörter	Patients; Neurological Impairments; Rehabilitation Programs; Biofeedback; Intervention; Motor Reactions; Attention; Cognitive Processes; Eating Habits + Suchen Sie Ihr Suchwort? Patient; Neurodegenerative Erkrankung; Aufmerksamkeit; Cognitive process; Kognitiver Prozess; Ernährungsgewohnheit; Essgewohnheit
Abstract	Background: Studies suggest swallow intervention programmes that incorporate visual biofeedback and motor programming principles can improve swallowing and quality of life for people with idiopathic Parkinson's disease (IPD) and dysphagia. Few studies have examined outcomes using instrumentation. Aims: Using fibreoptic endoscopic examination of swallowing (FEES), this study examines the effectiveness of a neurorehabilitation intervention involving biofeedback via surface electromyography (sEMG) to improve swallowing in people with IPD, and to explore the feasibility of the intervention approach. Methods & Procedures: We recruited 12 participants with IPD and dysphagia. A total of 10 completed the study. Intervention was delivered for 1 h per day, 5 days per week, for 4 weeks (20 h). Swallowing tasks using sEMG biofeedback incorporated principles of motor learning and neuroplasticity. Instrumental and non-instrumental assessment, including quality-of-life measures carried out at four different time points (two pre-treatment and two post-treatment). The final assessment was at 3 months post-intervention. Outcome & Results: Statistically significant improvement (p < 0.05) in oral intake methods (95% confidence interval (CI) = 4.70-5.50) and in pharyngeal residue from saliva (95% CI = 2.14-3.15) and solids (95% CI = 2.4-3.5) post-intervention were confirmed using FEES with improvements at 3 months. The intervention protocol was well tolerated. Participants reported positive change in saliva control and duration of mealtimes as well as unanticipated improvements in voice and cognitive attention. Conclusions & Implications: An intensive neurorehabilitation with biofeedback shows positive effects in improving swallow function in IPD. This protocol is feasible with amendments to inform a larger clinical trial. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01