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Dysphagia

, Volume 26, Issue 1, pp 92–96 | Cite as

Self-Reported Dysphagia and Its Correlates Within a Prevalent Population of People with Parkinson’s Disease

  • Richard W. WalkerEmail author
  • Janet R. Dunn
  • William K. Gray
Letter

Abstract

Many people with Parkinson’s disease (PD) experience dysphagia; however, the prevalence of dysphagia in people with PD is unknown. We studied a prevalent population of PD cases. All of those who consented to participate were assessed for anxiety, depression, cognitive function, and quality of life using standard rating scales. Anyone who answered “yes” to either one of the two questions: Do you have difficulty swallowing food/liquid or tablets? and Do you cough after eating/drinking? was considered to have dysphagia. Question 7 of the Unified Parkinson’s Disease Rating Scale (UPDRS) was also used to identify dysphagia. Of 106 prevalent PD cases, 75 (38 males) patients consented to examination and assessment. The prevalence of dysphagia was 32.0% (n = 24; 11 males). Using the response to UPDRS Question 7 as an indicator of the impact of swallowing problems on the patient, there were significant correlations with cognitive function, anxiety, depression, quality of life, and UPDRS-reported gait disturbance, postural instability and problems with falling. There was no correlation with disease duration, age, or gender. Almost one third of the participants reported dysphagia. There was a strong correlation between dysphagia and gross motor skills; patients reporting such problems should be screened for swallowing problems.

Keywords

Parkinson’s disease Swallowing problems Dysphagia Swallowing Swallowing disorders 

Notes

Acknowledgments

We thank the Northumbria Healthcare NHS Foundation Trust PD team for their help with this project. We also thank Prof Nick Miller of Newcastle University for his help and advice. We are grateful to all of the patients and carers who took part in this study.

Disclosure

The authors have no conflicts of interest to declare.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Richard W. Walker
    • 1
    Email author
  • Janet R. Dunn
    • 2
  • William K. Gray
    • 1
  1. 1.Department of MedicineNorth Tyneside General HospitalNorth ShieldsUK
  2. 2.The Medical SchoolNewcastle UniversityNewcastle-upon-TyneUK

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