Translation, linguistic and cultural adaptation, reliability and validity of the Radboud Oral Motor Inventory for Parkinson's Disease – ROMP questionnaire

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Abstract

ABSTRACT Objective: To translate and linguistically and culturally adapt to Brazilian Portuguese, and verify the reliability and validity of the Radboud Oral Motor Inventory for Parkinson's Disease (ROMP). Methods: The ROMP was translated and retranslated, and the instrument reliability was verified by analyzing the internal consistency and the reproducibility of the intra-examiner retest. The final version was applied to 27 participants with Parkinson's disease. Results: Internal consistency was 0.99 for the total ROMP and 0.96 to 0.99 for the three domains. Intraclass correlation coefficients for reproducibility were 0.99 for the total ROMP and 0.93 to 0.99 for the subscales. The ROMP and its subscales correlated substantially with the Likert-type scale, as well as with the unified Parkinson's disease rating scale II and III items. Conclusion: The linguistic and cultural equivalence of the ROMP in Brazilian Portuguese is now available, with excellent reliability and validity.

Translated abstract

RESUMO Objetivo: Traduzir e adaptar linguística e culturalmente para o português brasileiro, verificar a confiabilidade e a validade do Radboud Inventário Motor Oral para Doença de Parkinson (ROMP). Métodos: O ROMP foi traduzido e retraduzido, e a confiabilidade do instrumento foi verificada através da análise da consistência interna e da reprodutibilidade do reteste intra-examinador, sendo a versão final aplicada em 27 participantes com doença de Parkinson (DP). Resultados: A consistência interna foi de 0,99 para o ROMP total e de 0,96 a 0,99 para os 3 domínios. Os coeficientes de correlação intra-classe para reprodutibilidade foram 0,99 para o ROMP total e 0,93 a 0,99 para as subescalas. O ROMP e suas subescalas correlacionaram-se substancialmente com a escala do tipo Likert, bem como com os itens UPDRS II e III. Conclusão: A equivalência linguística e cultural do ROMP no português brasileiro está agora disponível, com excelente confiabilidade e validade.

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Prevalence of oropharyngeal dysphagia in Parkinson's disease: a meta-analysis.

J.G. Kalf, B.J.M. de Swart, B.R. Bloem … (2012)

Dysphagia is a potentially harmful feature, also in Parkinson's disease (PD). As published prevalence rates vary widely, we aimed to estimate the prevalence of oropharyngeal dysphagia in PD in a meta-analysis. We conducted a systematic literature search in February 2011 and two independent reviewers selected the papers. We computed the estimates of the pooled prevalence weighted by sample size. Twelve studies were suitable for calculating prevalence rates. Ten studies provided an estimate based on subjective outcomes, which proved statistically heterogeneous (p < 0.001), with a pooled prevalence estimate with random effect analysis of 35% (95% CI 28-41). Four studies provided an estimate based on objective measurements, which were statistically homogeneous (p = 0.23), with a pooled prevalence estimate of 82% (95% CI 77-87). In controls the pooled subjective prevalence was 9% (95% CI 2-17), while the pooled objective prevalence was 23% (95% CI 13-32). The pooled relative risk was 3.2 for both subjective outcomes (95% CI 2.32-4.41) and objective outcomes (95% CI 2.08-4.98). Clinical heterogeneity between studies was chiefly explained by differences in disease severity. Subjective dysphagia occurs in one third of community-dwelling PD patients. Objectively measured dysphagia rates were much higher, with 4 out of 5 patients being affected. This suggests that dysphagia is common in PD, but patients do not always report swallowing difficulties unless asked. This underreporting calls for a proactive clinical approach to dysphagia, particularly in light of the serious clinical consequences. Copyright © 2011 Elsevier Ltd. All rights reserved.

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Identification of emotional intonation evaluated by fMRI.

A Riecker, I Hertrich, H Ackermann … (2005)

During acoustic communication among human beings, emotional information can be expressed both by the propositional content of verbal utterances and by the modulation of speech melody (affective prosody). It is well established that linguistic processing is bound predominantly to the left hemisphere of the brain. By contrast, the encoding of emotional intonation has been assumed to depend specifically upon right-sided cerebral structures. However, prior clinical and functional imaging studies yielded discrepant data with respect to interhemispheric lateralization and intrahemispheric localization of brain regions contributing to processing of affective prosody. In order to delineate the cerebral network engaged in the perception of emotional tone, functional magnetic resonance imaging (fMRI) was performed during recognition of prosodic expressions of five different basic emotions (happy, sad, angry, fearful, and disgusted) and during phonetic monitoring of the same stimuli. As compared to baseline at rest, both tasks yielded widespread bilateral hemodynamic responses within frontal, temporal, and parietal areas, the thalamus, and the cerebellum. A comparison of the respective activation maps, however, revealed comprehension of affective prosody to be bound to a distinct right-hemisphere pattern of activation, encompassing posterior superior temporal sulcus (Brodmann Area [BA] 22), dorsolateral (BA 44/45), and orbitobasal (BA 47) frontal areas. Activation within left-sided speech areas, in contrast, was observed during the phonetic task. These findings indicate that partially distinct cerebral networks subserve processing of phonetic and intonational information during speech perception.

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Hard to swallow: dysphagia in Parkinson's disease.

Diana Jones, Emma Noble, David Burn … (2006)

swallowing changes occur from the earliest stages of Parkinson's disease (PD), even in cases asymptomatic for dysphagia. Little empirical evidence exists concerning the individual's own perception of changes, the impact these have on their life and coping strategies to deal with them. to establish if and how changes in swallowing impact on the lives of people with PD. in-depth interviews with qualitative analysis of content. community. a total of 23 men and 14 women and their carers. participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of swallowing symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification. two broad themes emerged: (i) effects on swallowing of underlying physical changes, with subthemes of oral-pharyngeal-laryngeal changes, manual changes, effects of fatigue and (ii) psychosocial impact, with subthemes of alterations to eating habits, feelings of stigma, need for social adjustment and carers' issues. Coping strategies could aid swallowing problems but often to the detriment of others in the family through altered demands on preparation and organisation. Presence of significant impact was not necessarily associated with abnormal range scores on objective swallowing assessments. the psychosocial consequences of the physical changes concerned people most. The importance of the early detection of changes for health and quality of life is underlined.

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Author and article information

Contributors

Monia Presotto: Role: ND

Maira Rozenfeld Olchik: Role: ND

Johanna G. Kalf: Role: ND

Carlos R.M. Rieder: Role: ND

Journal

Journal ID (publisher-id): anp

Title: Arquivos de Neuro-Psiquiatria

Abbreviated Title: Arq. Neuro-Psiquiatr.

Publisher: Academia Brasileira de Neurologia - ABNEURO (São Paulo, SP, Brazil )

ISSN (Print): 0004-282X

ISSN (Electronic): 1678-4227

Publication date (Print and electronic): May 2018

Volume: 76

Issue: 5

Pages: 316-323

Affiliations

[2] Porto Alegre Rio Grande do Sul orgnameUniversidade Federal do Rio Grande do Sul orgdiv1Departamento de Fonoaudologia Brazil

[5] Porto Alegre RS orgnameHospital de Clínicas de Porto Alegre orgdiv1Serviço de Neurologia Brasil

[4] Porto Alegre Rio Grande do Sul orgnameUniversidade Federal de Ciências da Saúde de Porto Alegre orgdiv1Clínica Médica orgdiv2Departamento de Neurologia Brazil

[1] Porto Alegre Rio Grande do Sul orgnameUniversidade Federal do Rio Grande do Sul Brazil

[3] Nijmegen orgnameRadboud University Medical Center orgdiv1Donders Institute for Brain, Cognition and Behaviour orgdiv2Department of Rehabilitation The Netherlands

Article

Publisher ID: S0004-282X2018000500316

DOI: 10.1590/0004-282x20180033

PubMed ID: 29898078

SO-VID: ac52fa9c-b4fe-47fa-a786-6d538ff79f0e

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This work is licensed under a Creative Commons Attribution 4.0 International License.

History

Date received : 02 October 2017

Date accepted : 08 February 2018

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Figures: 0, Tables: 0, Equations: 0, References: 32, Pages: 8

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SciELO Brazil

Keywords: sialorreia,reabilitação,inquéritos e questionários,doença de Parkinson,fala,disartria,transtornos de deglutição,sialorrhea,rehabilitation,surveys and questionnaires,Parkinson's disease,speech,dysarthria,swallowing disorders

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Keywords: sialorreia, reabilitação, inquéritos e questionários, doença de Parkinson, fala, disartria, transtornos de deglutição, sialorrhea, rehabilitation, surveys and questionnaires, Parkinson's disease, speech, dysarthria, swallowing disorders

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Most cited references 19

Prevalence of oropharyngeal dysphagia in Parkinson's disease: a meta-analysis.

Identification of emotional intonation evaluated by fMRI.

Hard to swallow: dysphagia in Parkinson's disease.

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