The aim of this non-randomized intervention study is to investigate the detailed effects of a structured four-week EMST® training program on the biomechanics of swallowing function in dysphagic Parkinson's patients. A combination of fiberoptic endoscopic evaluation of swallowing (FEES) and pharyngeal high-resolution manometry (HRM) will be employed to comprehensively evaluate the neuromuscular changes in swallowing.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
30
5 sets of 5 breaths with EMST per day, 5 days a week for 1 month
University Hospital Münster, Department of Neurology
Münster, Germany
RECRUITINGEffect on swallowing biomechanics in pharyngeal high-resolution manometry as assessed by measurement of e.g. Pharyngeal contractile Integral (PhcI)
metrics of pharyngeal contraction and upper esophageal sphinkter opening in high-resolution pharyngeal manometry
Time frame: 1 month and 3 months
Pharyngeal swallowing safety and efficiency as assessed with fiberoptic endoscopic evaluation of swallowing (FEES) applying DIGEST-FEES scoring
Assessment of Swallowing safety and efficiency with DIGEST-FEES (Dynamic Imaging Grade of Swallowing Toxicity - FEES), Range 0 (best) - 4 (worst)
Time frame: 1 month and 3 months
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