RecruitingNot ApplicableNCT06695455

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

Sponsor

Hopital La Musse

Enrollment

18 participants

Start Date

Apr 5, 2024

Study Type

INTERVENTIONAL

Conditions

Dysphagia PARKINSON DISEASE (Disorder)Swallowing Disorder Oral Festination Lingual Pumping

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

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether playing rhythmic auditory cues (beats or music) can help Parkinson's disease patients who have a swallowing problem called "rolling" — where food or liquid rolls to the back of the throat before a proper swallow is triggered — to swallow more safely and frequently. The auditory rhythm is thought to help coordinate the swallowing reflex. **You may be eligible if...** - You are 18 or older - You have been diagnosed with idiopathic Parkinson's disease by a neurologist - You have a confirmed swallowing problem specifically involving the "rolling" pattern - You are covered by French social security **You may NOT be eligible if...** - You have severe swallowing problems causing you to aspirate even with thick liquids - You have significant cognitive decline (low score on the Mini Mental Parkinson test) - You have significant hearing loss or deafness - You are under legal protection - You have had reconstructive surgery to your throat or mouth - You have had a stroke or other neurological condition causing swallowing problems - You currently have a feeding tube and do not eat by mouth - You are currently receiving speech therapy for swallowing - You are pregnant Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

BEHAVIORALSwallowing rehabilitation by rhythmic auditory cue

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.