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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2018; 22(02): 125-129
DOI: 10.1055/s-0037-1603466
Original Research
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

The Impact of Deep Brain Stimulation on the Quality of Life and Swallowing in Individuals with Parkinson's Disease

Maira Rozenfel Olchik
1   Departament of Surgery and Orthopedics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Marciéle Ghisi
2   Graduation in Speech Therapy, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Annelise Ayres
3   Post-Graduation Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil
,
Arthur Francisco Shumacher Schuh
4   Departament of Pharmacology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
,
Paulo Petry Oppitz
5   Neurosurgery Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
,
Carlos Roberto de Mello Rieder
6   Medical School, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil
7   Department of Neurology and Movement Disorders, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
› Author Affiliations
Further Information

Publication History

12 November 2016

21 March 2017

Publication Date:
05 June 2017 (online)

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Abstract

Introduction Deep brain stimulation (DBS) is an established treatment for Parkinson's disease (PD). However, there is little evidence regarding the effect of DBS on dysphagia.

Objective To assess the swallowing and quality of life of individuals with PD before and after DBS surgery.

Methods Our sample consisted of people who had undergone DBS surgery in a referral hospital in the state of Rio Grande do Sul, Brazil. The inclusion criteria were a diagnosis of PD and having undergone DBS surgery. A cognitive screening, through a questionnaire about depression and quality of life, was conducted. Evaluations of each patient's swallowing were performed before and after surgery. The assessment consisted of anamnesis, clinical assessment, the Functional Oral Intake Scale, clinical evaluation of swallowing, and the Hoehn and Yahr scale.

Results The sample included 10 individuals, all male, with a mean age of 57.3 years (±4.7), a mean disease duration of 13.0 years (±2.4), and mean level education of 8.1 years (±4.0). In the clinical evaluation of the swallowing, a significant improvement after DBS was not observed. However, little changes in the signs and symptoms of dysphagia that had a positive impact on the quality of life were observed. Furthermore, there was no relation between the patients' motor subtype and swallowing pre- and post-DBS.

Conclusion There was an improvement in the quality of life of the patients after DBS. However, the improvement in the clinical signs and symptoms of dysphagia did not cause an overall improvement in the swallowing function.

Keywords

neurology - speech therapy - swallowing - parkinson's disease - deep brain stimulation
 

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