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KMID : 1024720120020010043
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Geriatric Rehabilitation
2012 Volume.2 No. 1 p.43 ~ p.48
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Rehabilitation for Pain and Dysphagia in Parkinson’s Disease
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Oh Byung-Mo
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Abstract
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Parkinson’s disease is characterized by typical motor symptoms caused by dopamin depletion in the nigrostriatal system. Neuropathologic studies have shown that multiple brain areas, other than the nigrostriatal system, are also involved in Parkinson’s disease, which can explain the reason many patients complain of various non-motor symptoms. The present review focuses on the rehabilitation for pain and dysphagia in Parkinson’s disease. Differential diagnosis is of utmost importance in pain management. Pain from musculoskeletal problems or dystonia requires aggressive intervention. Central pain can show fluctuation in accordance with the levodopa effect. Dysphagia is also quite common in Parkinson’s disease. Standardized instrumental assessment is usually required because of the high prevalence of silent aspirators. Dysphagia in Parkinson’s disease does not show consistent response to levodopa therapy. The key to successful management of dysphagia is in the comprehensive approach including environmental modification, compensatory maneuvers and postures, and swallowing rehabilitation. Interestingly, respiratory muscle strengthening can reportedly enhance swallowing function in Parkinson’s disease. Although literatures agree that deep brain stimulation ameliorate
motor symptoms in Parkinson’s disease, results on pain or dysphagia in Parkinson’s disease are still inconsistent.
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KEYWORD
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Dysphagia, Pain, Parkinson’s disease
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FullTexts / Linksout information
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Listed journal information
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