Skip to main content

Advertisement

SpringerLink
Log in

Quality of Life Related to Swallowing in Parkinson’s Disease

  • Original Article
  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

Swallowing difficulties in Parkinson’s disease can result in decreased quality of life. The swallowing quality of life questionnaire (SWAL-QOL) is an instrument for specifically assessing quality of life with respect to swallowing, which has been little explored in patients with Parkinson’s disease (PD). The goal of this study was to evaluate the quality of life with respect to swallowing in persons with PD compared to controls and at several stages of the disease using the SWAL-QOL. The experimental group was composed of 62 persons with PD at stages 1–4. Forty-one age-matched healthy subjects constituted the control group. The SWAL-QOL scores were significantly lower for the patients with PD than for the controls in all SWAL-QOL domains. Eating duration had the largest difference in score between persons with PD and the controls and the lowest mean score, followed by communication, fatigue, fear, sleep, and food selection. The scores of most domains were lower at later stages of the disease. The scores for eating duration, symptom frequency, and sleep were significantly lower at stage 4 than stages 1 and 2. In conclusion, patients with PD have significantly lower scores in all domains of the SWAL-QOL than normal controls. This means swallowing difficulties occurring in patients with PD negatively affect their QOL. Progression of the disease worsens swallowing QOL, more specifically in the domains of eating duration, symptom frequency, and sleep. This occurs mostly at later stages of the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bowling A. What things are important in people’s lives? A survey of the public’s judgments to inform scales of health related to quality of life. Soc Sci Med. 1995;41:1447–62.

    Article  PubMed  CAS  Google Scholar 

  2. Marinus J, Ramaker C, Van Hilten JJ, Stiggelbout AM. Health related quality of life in Parkinson’s disease: a systematic review of disease specific instruments. J Neurol Neurosurg Psychiatry. 2002;72:241–8.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Martin PM. An introduction to the concept of quality of life in Parkinson disease. J Neurol. 1998;245:2–6.

    Article  Google Scholar 

  4. Morris J, Perez D, McNoe B. The use of quality of life data in clinical practice. Qual Life Res. 1998;7:85–91.

    Article  PubMed  CAS  Google Scholar 

  5. Thompson RF. Neurotransmissores e circuitos químicos no cérebro. In: Thompson RF, editor. O Cérebro: Uma Introdução à Neurociência. 3rd ed. São Paulo: Santos; 2005. p. 119–57.

    Google Scholar 

  6. Guttman M, Kish SJ, Furukawa Y. Current concepts in the diagnosis and management of Parkinson’s disease. CMAJ. 2003;168(3):293–301.

    PubMed  PubMed Central  Google Scholar 

  7. Damiano AM, Snyder C, Strausser B, William MK. A review of health-related quality-of-life concepts and measures for Parkinson’s disease. Qual Life Res. 1999;8:235–43.

    Article  PubMed  CAS  Google Scholar 

  8. Eterkin C, Aydogdu I. Neurophysiology of swallowing. Clin Neurophysiol. 2003;114:2226–44.

    Article  Google Scholar 

  9. Schindler JS, Kelly JH. Swallowing disorders in the elderly. Laryngoscope. 2002;112:589–602.

    Article  PubMed  Google Scholar 

  10. Redstone F, West JF. The importance of postural control for feeding. Pedriatr Nurs. 2004;30(2):97–100.

    Google Scholar 

  11. Santine CS. Disfagia neurogênica. In: Furkim AM, Santini CS, editors. Disfagias orofaríngeas. São Paulo: Pró-fono; 2001. p. 19–30.

    Google Scholar 

  12. Otsuka R, Ono T, Ishiwata Y, Kuroda T. Respiratory-related genioglossus electromyographic activity in response to head rotation and changes in body position. Angle Orthod. 2000;70:63–9.

    PubMed  CAS  Google Scholar 

  13. Lana RC, Álvares LM, Nasciutti-Prudente C, Goulart FR, Teixeira-Salmela LF, Cardoso FE. Percepção da qualidade de vida de indivíduos com doença de Parkinson através do PDQ-39. Rev Bras Fisioter. 2007;11(5):397–402.

    Article  Google Scholar 

  14. Steenhagen CH, Motta LB. Deglutição e envelhecimento: enfoque nas manobras facilitadoras e posturais utilizadas na reabilitação do paciente disfágico. Rev Bras Geriatr Gerontol. 2006;9(3):89–100.

    Google Scholar 

  15. Findley LJ. The economic impact of Parkinson’s disease. Parkinsonism Relat Disord. 2007;13:8–12.

    Article  Google Scholar 

  16. Camargos AC, Cópio FC, Sousa TR, Goulart F. O impacto da doença de parkinson na qualidade de vida: uma revisão de literatura. Rev Bras Fisioter. 2004;8(3):267–72.

    Google Scholar 

  17. Montoni NP, Alves IS. Tradução e adaptação transcultural dos questionários SWAL-QOL e SWAL-CARE versão português-Brasil, São Paulo, 2006. Monografia de Conclusão do Curso de Pós-Graduação Lato Sensu “Motricidade Oral”, Fundação Antônio Prudente.

  18. McHorney CA, Bricker DE, Kramer AE, Rosenbek JC, Robbins J, Chignell KA, Logemann JA, Clarke C. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia. 2000;15(3):115–21.

    Article  PubMed  CAS  Google Scholar 

  19. McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, Bricker DE. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia. 2002;17(2):97–114.

    Article  PubMed  Google Scholar 

  20. Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17(5):427–42.

    Article  PubMed  CAS  Google Scholar 

  21. Horta W. Escalas clínicas para avaliação de pacientes com doença de Parkinson. In: Meneses MS, Teive HAG, editors. doença de Parkinson. Rio de Janeiro: Guanabara Koogan; 2003. p. 153–62.

    Google Scholar 

  22. Goulart F, Pereira LX. Uso de escalas para avaliação da doença de parkinson em fisioterapia. Fisioter Pesquisa. 2005;2(1):49–56.

    Google Scholar 

  23. Leow LP, Huckabee ML, Anderson T, Beckert L. The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the swallowing quality of life (SWAL-QOL) questionnaire. Dysphagia. 2010;25(3):216–20.

    Article  PubMed  Google Scholar 

  24. Coriolano MG. Eletromiografia de Superfície de Músculos Envolvidos na Deglutição em Pacientes com Doença de Parkinson. UFPE: Biblioteca de Teses e Dissertações; 2010.

    Google Scholar 

  25. Plowman-Prine EK, Sapienza CM, Okun MS, Pollock SL, Jacobson C, Wu SS, Rosenbek JC. The relationship between quality of life and swallowing in Parkinson’s disease. Mov Disord. 2009;24(9):1352–8.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

D. Carneiro held a scholarship from the National Council for Scientific and Technological Development (CNPq)—Brazil.

Conflict of interest

The authors have no conflicts of interest to disclose.

Author information

Authors and Affiliations

  1. Department of Occupational Therapy and Program in Neuropsychiatry and Behavioral Science, Federal University of Pernambuco, Recife, Street José Felipe Santiago, 100, Bl. M, Apt. 201, Iputinga, Recife/PE, 50680-090, Brazil

    Danielle Carneiro

  2. Department of Anatomy, Federal University of Pernambuco, Recife, Brazil

    Maria das Graças Wanderley de Sales Coriolano

  3. Program in Neuropsychiatry and Behavioral Science, Federal University of Pernambuco, Recife, Brazil

    Luciana Rodrigues Belo

  4. Department of Occupational Therapy, Federal University of Pernambuco, Recife, Brazil

    Aneide Rocha de Marcos Rabelo

  5. Neurologist in the Service to Parkinson’s Patients, Clinical Hospital, Recife, Brazil

    Amdore Guescel Asano

  6. Neuropsychiatry and Behavioral Science, Federal University of Pernambuco, Recife, Brazil

    Otávio Gomes Lins

Authors
  1. Danielle Carneiro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Maria das Graças Wanderley de Sales Coriolano
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Luciana Rodrigues Belo
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Aneide Rocha de Marcos Rabelo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Amdore Guescel Asano
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Otávio Gomes Lins
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Danielle Carneiro.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Carneiro, D., das Graças Wanderley de Sales Coriolano, M., Belo, L.R. et al. Quality of Life Related to Swallowing in Parkinson’s Disease. Dysphagia 29, 578–582 (2014). https://doi.org/10.1007/s00455-014-9548-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00455-014-9548-3

Keywords

Search

Navigation