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Non-instrumental clinical evaluation for oropharyngeal dysphagia in Parkinson’s disease: systematic review

ABSTRACT

Introduction

Parkinson’s disease (PD) is the second most prevalent neurodegenerative disease in the world, with a predominance of motor and non-motor symptoms. Among these, dysphagia stands out.

Purpose

Systematically review the non-instrumental clinical evaluations available for the screening and assessment of dysphagia in individuals with PD.

Research strategy

For the selection of the studies, we used the descriptors: Parkinson disease, swallowing, dysphagia, deglutition disorders, questionnaire, health surveys, evaluation, screening, and evaluation, in a variety of combinations, aiming at a greater number of studies. The databases were PubMed, Cochrane Library, and SciELO.

Selection criteria

Articles published in English, Portuguese, and Spanish that were published between January 2006 and July 2016 were selected, whose methodological approach met the objective of this review. A descriptive analysis was performed. Two independent reviewers reviewed the articles in order to verify the eligibility. When there was disagreement, a consensus was reached by the evaluation of a judge who did not know the previous evaluations.

Results

Eight hundred forty-six articles were founded. After considering the inclusion/exclusion criteria and the judge’s analysis, only four studies were analyzed, which were four different instruments, and all of the instruments were self-perception questionnaires of dysphagia. There was no instrument that performed a clinical evaluation of dysphagia with the food supply.

Conclusion

It has been verified there are no instruments for the screening and clinical evaluation of dysphagia in patients with PD who use a food supply and not only the self-perception of the patient in the period that included the bibliographic survey of this study.

Parkinson disease; Deglutition disorders; Evaluation; Surveys and questionnaires

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