Benefit From the Chin Down Maneuver in the Swallowing Performance and Self-perception of Parkinson's Disease Patients

NCT02973698 | Completed

• 1 other identifier: 140263
• Study Type: interventional
• Target: 26
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objective: To verify the effectiveness of chin-down posture maneuver in swallowing therapy for Parkinson's disease (PD).

Conditions

Dysphagia, Oropharyngeal; Parkinson Disease; Speech Therapy; Orientation

Outcome Measures

Primary Outcomes (1)

• Clinical evaluation of swallowing

  This assessment had the purpose of checking signs and symptoms of oropharyngeal dysphagia. It was used solid food consistency (half portion of bread) and liquid (100ml of water) evaluated by free demand. A total of 21 signs and symptoms were evaluated as present or absent

  Four weeks

Secondary Outcomes (2)

• Fiberoptic endoscopic evaluation of swallowing

  Four weeks

• The quality of Life in Swallowing Disorders

  Four weeks

Study Arms (3)

chin-down posture maneuver

OTHER

The patients in received an intervention program consisting of four weekly individual sessions of 30 minutes. In these sessions, it was performed the training of Chin-down postural maneuver with saliva and water. The participants were trained to perform the maneuver twice a day, swallowing saliva, and during meals, throughout the week, at home. The participants received a form, so they recorded the number of times they performed the maneuver at home. It allowed the control of adherence, being reinforced at each session the importance of adherence to treatment. Besides, the subjects received instructions regarding feeding. All the instructions, as well as the explanation about the maneuver, were submitted to the patients through a written document.

Other: chin-down posture maneuver; Other: Orientations about swallowing

Control

OTHER

The participants of this group underwent evaluation of swallowing, and the same assessment was repeated after four weeks, without any intervention during that period.

Other: Control

Orientations about swallowing

OTHER

The individuals participated in an intervention program which consisted of four individual sessions a week, with 30 minutes. In these sessions, the instructions about feeding were performed. The individuals received all the instructions on a written document. In the sessions, it was verified doubts about the guidelines and treatment adherence. In this group, it was not applied the Chin-down postural maneuver.

Other: Orientations about swallowing

Interventions

chin-down posture maneuver OTHER

it was performed the training of Chin-down postural maneuver with saliva and water. Besides, the subjects received instructions regarding feeding.

chin-down posture maneuver

Orientations about swallowing OTHER

The instructions about feeding were performed. The individuals received all the instructions on a written document.

Orientations about swallowing; chin-down posture maneuver

Control OTHER

No intervention will do

Control

Eligibility Criteria

• Age: 50 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• diagnosis of Parkinson's disease and diagnosis of oropharyngeal dysphagia

You may not qualify if:

• presenting language and hearing disorders, which could complicate the understanding of an intervention program, diagnosis of dementia or other neurological illnesses.

Sponsors & Collaborators

• Hospital de Clinicas de Porto Alegre: lead

Related Publications (1)

• Ayres A, Jotz GP, Rieder CR, Olchik MR. Benefit from the Chin-Down Maneuver in the Swallowing Performance and Self-Perception of Parkinson's Disease Patients. Parkinsons Dis. 2017;2017:7460343. doi: 10.1155/2017/7460343. Epub 2017 Jan 19.

  PMID: 28203475 DERIVED

MeSH Terms

Conditions

Deglutition Disorders; Parkinson Disease; Communication Disorders; Orientation, Spatial

Condition Hierarchy (Ancestors)

Esophageal Diseases; Gastrointestinal Diseases; Digestive System Diseases; Pharyngeal Diseases; Otorhinolaryngologic Diseases; Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurodevelopmental Disorders; Mental Disorders; Spatial Behavior; Behavior

Study Officials

• Maira Olchik

  Hospital de Clínicas de Porto Alegre

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 22, 2016
• First Posted: November 25, 2016
• Study Start: June 1, 2014
• Primary Completion: January 1, 2015
• Study Completion: December 1, 2015
• Last Updated: November 28, 2016

Record last verified: 2016-11