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      Telerehabilitation for Communication and Swallowing Disorders in Parkinson’s Disease

      review-article
      Author(s): *
      Editor(s): , , ,
      Publication date (Electronic, preprint):
      Publication date (Electronic, pub):
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      Journal: Journal of Parkinson's Disease
      Publisher: IOS Press
      Keywords: Dysarthria, language disorders, Parkinson’s disease, speech-language pathology, swallowing disorders, telerehabilitation

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          Abstract

          Communication and swallowing disorders are highly prevalent in people with Parkinson’s disease (PD). The negative impact of these disorders on the quality of life of the person with PD and their families cannot be underestimated. Despite a demand for speech-language pathology services to support people with PD, many barriers to services exist. Telerehabilitation provides an alternate and complementary approach to in-person therapy that is patient-centered, enables timely assessment and intervention, and facilitates continuity of care throughout the course of the disease. This review explores the telerehabilitation applications designed for the management of the communication and swallowing disorders in PD, addresses the benefits and challenges of telerehabilitation, identifies future research directions, and highlights the potential of new technologies to enhance the management of communication and swallowing disorders and quality of life for people with PD.

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          Most cited references52

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          The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment.

          Ziad S Nasreddine, Natalie Phillips, Valérie Bédirian … (2005)
          To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia. Validation study. A community clinic and an academic center. Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). MCI as an entity is evolving and somewhat controversial. The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.
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            Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030.

            E R Dorsey, R Constantinescu, J Thompson … (2007)
            Based on published prevalence studies, we used two different methodologies to project the number of individuals with Parkinson disease (PD) in Western Europe's 5 most and the world's 10 most populous nations. The number of individuals with PD over age 50 in these countries was between 4.1 and 4.6 million in 2005 and will double to between 8.7 and 9.3 million by 2030.
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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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                Author and article information

                Journal
                Journal ID (nlm-ta): J Parkinsons Dis
                Journal ID (iso-abbrev): J Parkinsons Dis
                Journal ID (publisher-id): JPD
                Title: Journal of Parkinson's Disease
                Publisher: IOS Press (Nieuwe Hemweg 6B, 1013 BG Amsterdam, The Netherlands )
                ISSN (Print): 1877-7171
                ISSN (Electronic): 1877-718X
                Publication date (Electronic, preprint): 19 April 2021
                Publication date (Electronic, pub): 16 July 2021
                Publication date (Electronic, collection): 2021
                Volume: 11
                Issue: Suppl 1 , Digital Technology Driving Tangible Advancements in Parkinson’s Disease Research and Clinical Care
                Pages: S65-S70
                Affiliations
                [1]School of Health and Rehabilitation Sciences, The University of Queensland , Brisbane, QLD, Australia
                Author notes
                [* ]Correspondence to: Emeritus Professor Deborah Theodoros, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia 4072, Brisbane, Queensland, Australia. Tel.: +61 7 411 090 681; E-mail: d.theodoros@ 123456uq.edu.au .
                Article
                Publisher ID: JPD202414
                DOI: 10.3233/JPD-202414
                PMC ID: 8385517
                PubMed ID: 33896848
                SO-VID: c2e800bb-1889-4bdc-9169-3e740efeb76b
                Copyright © © 2021 – The authors. Published by IOS Press
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date accepted : 1 March 2021
                Categories
                Subject: Review

                Keywords: dysarthria,language disorders,parkinson’s disease,speech-language pathology,swallowing disorders,telerehabilitation
                Data availability:
                Keywords: dysarthria, language disorders, parkinson’s disease, speech-language pathology, swallowing disorders, telerehabilitation

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