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KMID : 1024720220120020064
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Geriatric Rehabilitation
2022 Volume.12 No. 2 p.64 ~ p.69
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Dysphagia in Parkinson’s Disease
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Kim Na-Young
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Abstract
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Most patients with Parkinson's disease (PD) develop dysphagia during the course of their disease. Swallowing impairment reduces the quality of life and increases the risk of malnutrition and aspiration pneumonia, which are major causes of death in PD. Although the underlying pathophysiology remains unclear, it has been suggested that both dopaminergic and nondopaminergic mechanisms are related to dysphagia in PD. Since more than half of asymptomatic patients show abnormalities on instrumental assessment, early screening and evaluation are important. Therapy of dysphagia in PD consists of pharmacological interventions and nonpharmacologic therapies, including environmental?and behavioral approaches and intensive training of neck and expiratory muscle strength. This review aims to summarize the current stages of pathophysiology, diagnosis, and treatment of PD-associated dysphagia.
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KEYWORD
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Parkinson's disease, Dysphagia, Rehabilitation
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