The Effect of an Auditory Rhythmic Cue on the Frequency of Rolling in Patients with Dysphagia and Parkinson's Disease
The Effect of an Auditory Rhythmic Cue on the Frequency of Rolling in Patients with Dysphagia and Parkinson's Disease: a Pilot Study
Hopital La Musse
18 participants
Apr 5, 2024
INTERVENTIONAL
Conditions
Summary
The main objective of this clinical study is to measure the effect of rhythmic auditory cueing, introduced in rehabilitation with three weekly sessions over a period of 7 weeks, on the frequency of rolling in idiopathic Parkinson's disease patients using pharyngography (swallowing radiography). The primary question of this study is: Does the rhythmic cueing introduced in rehabilitation significantly reduce the frequency of rolling in dysphagic Parkinson's patients? The researchers will assess the various stages of swallowing before, after, and 3 months after the rehabilitation protocol, focusing on the oral phase to determine if rhythmic auditory cueing reduces the frequency of rolling. Participants will be required to: * Perform three complete assessments (clinical speech therapy examination + pharyngography) before the protocol, after the protocol, and 3 months post-protocol. * Attend three times per week for 7 weeks at the La Musse hospital to participate in the protocol sessions under the supervision of a speech therapist.
Eligibility
Inclusion Criteria4
- Diagnosis of idiopathic Parkinson's disease established by a neurologist using a DAT SCAN and clinical examination;
- Presence of a swallowing disorder, specifically rolling;
- Patient affiliated with the social security system;
- Patient aged 18 years or older
Exclusion Criteria10
- Severe pharyngeal dysphagia (leading to aspiration with nectar and pudding textures);
- Severe cognitive impairment (score \<24 on the Mini Mental Parkinson test);
- Known deafness/profound hearing loss;
- Patients under legal protection measures;
- History of reconstructive ENT surgery at the oropharyngeal level;
- Neurological history that could cause a swallowing disorder (e.g., stroke);
- Patient with a gastrostomy and no oral feeding;
- Ongoing speech therapy for swallowing;
- The patient is included in another research protocol;
- Pregnant women or women suspected of being pregnant;
Interventions
Three assessments, each spread over two days, will be administered at three different time points during the study: before the experiment (T0), after 7 weeks of the experiment (T1), and 3 months after the intervention (T2). The evaluation will include a pharyngography as well as a clinical assessment of swallowing and rhythmic abilities. Each subject will be invited to participate in 3 individual rehabilitation sessions per week for 7 weeks, conducted by a speech therapist at La Musse Hospital. Each session will be structured similarly: the subject will be asked to swallow their saliva, followed by a nectar-like texture (IDDSI 2) and a pudding-like texture (IDDSI 4), timed to the rhythm of a metronome. The rhythm will vary throughout the sessions. The goal will be to get as close as possible to the rhythm of a healthy swallow.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06695455