Kinematic Analysis of Hyo-laryngeal Complex in Parkinson’s Disease
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Objective: To find the swallowing characteristics in patients with Parkinson’s disease through the movement analysis of the hyo-laryngeal structures. Method: Thirteen patients who had been diagnosed as Parkinson’s disease and underwent videofluoroscopic swallowing study (VFSS) from January 2006 to December 2008 were selected in our study. Thirty five normal volunteers without any sign of neurological compromise or swallowing problem were recruited for control group. The functional dysphagia scale and the Dysphagia Outcome and Severity Scales (DOSS) were used for the evaluation of dysphagia severity. Maximal anterior and superior displacements of the hyoid (MADH and MSDH), and those of the larynx (MADL and MSDL) were acquired through the kinematic analysis using the Ariel Performance Analysis System. Result: MADH was 9.3 mm in Parkinson group, which was significantly less than that in the control group (P=0.003). Other parameters, MSDH, MADL, and MSDL were not significantly different from those in the control group. MADH was significantly correlated with disease duration (ρ=0.649, P=0.016). However other kinematic parameters did not show any correlation with disease duration. Current diet status in Parkinson group did not affect the kinematic data in Kruskal-Wallis test (P=0.144 in MADH, P=0.188 in MSDH, P=0.255 in MADS, and P=0.378 in MSDS). Conclusion: We found that anterior displacement of the hyoid decreased in Parkinson’s disease and this had correlation with the disease duration. Effort to increase the anterior displacement of the hyoid can be made to improve the dysphagia in Parkinson’s disease.
Abstract
Objective: To find the swallowing characteristics in patients with Parkinson’s disease through the movement analysis of the hyo-laryngeal structures. Method: Thirteen patients who had been diagnosed as Parkinson’s disease and underwent videofluoroscopic swallowing study (VFSS) from January 2006 to December 2008 were selected in our study. Thirty five normal volunteers without any sign of neurological compromise or swallowing problem were recruited for control group. The functional dysphagia scale and the Dysphagia Outcome and Severity Scales (DOSS) were used for the evaluation of dysphagia severity. Maximal anterior and superior displacements of the hyoid (MADH and MSDH), and those of the larynx (MADL and MSDL) were acquired through the kinematic analysis using the Ariel Performance Analysis System. Result: MADH was 9.3 mm in Parkinson group, which was significantly less than that in the control group (P=0.003). Other parameters, MSDH, MADL, and MSDL were not significantly different from those in the control group. MADH was significantly correlated with disease duration (ρ=0.649, P=0.016). However other kinematic parameters did not show any correlation with disease duration. Current diet status in Parkinson group did not affect the kinematic data in Kruskal-Wallis test (P=0.144 in MADH, P=0.188 in MSDH, P=0.255 in MADS, and P=0.378 in MSDS). Conclusion: We found that anterior displacement of the hyoid decreased in Parkinson’s disease and this had correlation with the disease duration. Effort to increase the anterior displacement of the hyoid can be made to improve the dysphagia in Parkinson’s disease.
참고문헌 (40)
- Baijens LW, "Effects of therapy for dysphagia in Parkinson's disease: systematic review", Dysphagia, 24, pp.91~102 (2009)
- Edwards LL, "Gastrointestinal dysfunction in Parkinson’s disease: frequency and pathophysiology", Neurology, 42, pp.726~732 (1992)
- Jadcherla SR, "Correlation of glottal closure using concurrent ultrasonography and nasolaryngoscopy in children: a novel approach to evaluate glottal status", Dysphagia, 21, pp.75~81 (2006)
- Kuhl V, "Sonographic analysis of laryngeal elevation during swallowing", J Neurol, 250, pp.333~337 (2003)
- Hiiemae KM, "Hyoid and tongue surface movements in speaking and eating", Arch Oral Biol, 47, pp.11~27 (2002)
- Matsuo K, "Cyclic motion of the soft palate in feeding", J Dent Res, 84, pp.39~42 (2005)
- Terre R, "Videofluoroscopy quantification of laryngotracheal aspiration outcome in traumatic brain injury-related oropharyngeal dysphagia", Rev Esp Enferm Dig, 99, pp.7~12 (2007)
- van As CJ, "Quantitative videofluoroscopy:a new evaluation tool for tracheoesophageal voice production", Arch Otolaryngol Head Neck Surg, 127, pp.161~169 (2001)
- Broniatowski M, "Fiberoptic endoscopic evaluation of dysphagia and videofluoroscopy", Dysphagia, 13, pp.22~23 (1998)
- Caliceti U, "Videofluoroscopy and videoendoscopy in evaluation of swallowing function in 31 patients submitted to surgery for advanced buccopharyngeal carcinoma", Acta Otorhinolaryngol Ital, 24, pp.211~218 (2004)
- Kelly AM, "Assessing penetration and aspiration: how do videofluoroscopy and fiberoptic endoscopic evaluation of swallowing compare?", Laryngoscope, 117, pp.1723~1727 (2007)
- Kelly AM, "Fibreoptic endoscopic evaluation of swallowing and videofluoroscopy:does examination type influence perception of pharyngeal residue severity?", Clin Otolaryngol, 31, pp.425~432 (2006)
- Argon M, "The value of scintigraphy in the evaluation of oropharyngeal dysphagia", Eur J Nucl Med Mol Imaging, 31, pp.94~98 (2004)
- Stacey B, "Oesophageal scintigraphy for the investigation of dysphagia: in ans out of favour - underused when available", Eur J Nucl Med Mol Imaging, 29, pp.1216~1220 (2002)
- Wang SJ, "Dysphagia in Parkinson's disease. Assessment by solid phase radionuclide scintigraphy", Clin Nucl Med, 19, pp.405~407 (1994)
- Kjellen G, "Scintigraphy, radiography, and acid clearing in dysphagia patients after anti-reflux surgery", Scand J Gastroenterol, 19, pp.1022~1026 (1984)
- Zohar Y, "Oropharyngeal scintigraphy: a computerized analysis of swallowing in patients with obstructive sleep apnea", Laryngoscope, 108, pp.37~41 (1998)
- Takasaki K, "Investigation of pharyngeal swallowing function using high-resolution manometry", Laryngoscope, 118, pp.1729~1732 (2008)
- McCulloch TM, "Laryngeal activity during swallow, phonation, and the Valsalva maneuver: an electromyographic analysis", Laryngoscope, 106, pp.1351~1358 (1996)
- Palmer JB, "Electromyography of the muscles of oropharyngeal swallowing: basic concepts", Dysphagia, 3, pp.192~198 (1989)
- Van Daele DJ, "Timing of glottic closure during swallowing: a combined electromyographic and endoscopic analysis", Ann Otol Rhinol Laryngol, 114, pp.478~487 (2005)
- Ishida R, "Hyoid motion during swallowing: factors affecting forward and upward displacement", Dysphagia, 17, pp.262~272 (2002)
- Palmer JB, "Motions of the posterior pharyngeal wall in human swallowing: a quantitative videofluorographic study", Arch Phys Med Rehabil, 81, pp.1520~1526 (2000)
- Bisch EM, "Pharyngeal effects of bolus volume, viscosity, and temperature in patients with dysphagia resulting from neurologic impairment and in normal subjects", J Speech Hear Res, 37, pp.1041~1059 (1994)
- Pauloski BR, "Speech and swallowing function after oral and oropharyngeal resections: one-year follow-up", Head Neck, 16, pp.313~322 (1994)
- Paik NJ, "Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies", J Electromyogr Kinesiol, 18, pp.329~335 (2008)
- Prosiegel M, "Kinematic analysis of laryngeal movements in patients with neurogenic dysphagia before and after swallowing rehabilitation", Dysphagia, 15, pp.173~179 (2000)
- Kendall KA, "Hyoid movement during swallowing in older patients with dysphagia.", Arch Otolaryngol Head Neck Surg, 127, pp.1224~1229 (2001)
- Logemann JA, "Oropharyngeal swallow in younger and older women: videofluoroscopic analysis", J Speech Lang Hear Res, 45, pp.434~445 (2002)
- Logemann JA, "Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men", J Speech Lang Hear Res, 43, pp.1264~1274 (2000)
- Perlman AL, "Effects of age, gender, bolus volume, and bolus viscosity on oropharyngeal pressure during swallowing", J Appl Physiol, 75, pp.33~37 (1993)
- Calne DB, "Swallowing in Parkinsonism", Br J Radiol, 43, pp.456~457 (1970)
- Born LJ, "Cricopharyngeal dysfunction in Parkinson's disease: role in dysphagia and response to myotomy", Mov Disord, 11, pp.53~58 (1996)
- Nagaya M, "Effect of swallowing training on swallowing disorders in Parkinson's disease", Scand J Rehabil Med, 32, pp.11~15 (2000)
- Ciucci MR, "Subthalamic nucleus deep brain stimulation improves deglutition in Parkinson's disease", Mov Disord, 23, pp.676~683 (2008)
- Han TR, "Quantifying swallowing function after stroke: A functional dysphagia scale based on videofluoroscopic studies", Arch Phys Med Rehabil, 82, pp.677~682 (2001)
- O'Neil KH, "The dysphagia outcome and severity scale", Dysphagia, 14, pp.139~145 (1999)
- Wintzen AR, "Influence of bolus volume on hyoid movements in normal individuals and patients with Parkinson's disease", Can J Neurol Sci, 21, pp.57~59 (1994)
- Higo R, "Abnormal elevation of resting pressure at the upper esophageal sphincter of Parkinson's disease patients", Eur Arch Otorhinolaryngol, 258, pp.552~556 (2001)
- Ratsep T, "Changes in viscoelastic properties of skeletal muscles induced by subthalamic stimulation in patients with Parkinson's disease", Clin Biomech (Bristol, Avon), 26, pp.213~217 (2011)
