Swallowing Exercises in Patients With Neurodegenerative Disease: What Is the Current Evidence? Neurodegenerative diseases frequently result in oropharyngeal dysphagia which often lead to pulmonary sequelae and morbidity. Dysphagia management in these populations can be compensatory or rehabilitative in nature, the latter of which is focused on restoring or improving underlying swallowing physiology. The purpose of this review is to assess the strength ... Article
Article  |   March 01, 2017
Swallowing Exercises in Patients With Neurodegenerative Disease: What Is the Current Evidence?
Author Affiliations & Notes
  • Michelle S. Troche
    Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY
  • Avinash Mishra
    Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY
  • Disclosures
    Disclosures ×
  • Financial: Dr. Troche’s work is supported in part by funding from the Michael J Fox Foundation and the NIH (R21DC014567-02).
    Financial: Dr. Troche’s work is supported in part by funding from the Michael J Fox Foundation and the NIH (R21DC014567-02).×
  • Nonfinancial: Michelle S. Troche has no relevant nonfinancial interests to disclose. Avinash Mishra has no relevant nonfinancial interests to disclose.
    Nonfinancial: Michelle S. Troche has no relevant nonfinancial interests to disclose. Avinash Mishra has no relevant nonfinancial interests to disclose.×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Part 1
Article   |   March 01, 2017
Swallowing Exercises in Patients With Neurodegenerative Disease: What Is the Current Evidence?
Perspectives of the ASHA Special Interest Groups, March 2017, Vol. 2, 13-20. doi:10.1044/persp2.SIG13.13
History: Received October 25, 2016 , Revised December 20, 2016 , Accepted December 26, 2016
Perspectives of the ASHA Special Interest Groups, March 2017, Vol. 2, 13-20. doi:10.1044/persp2.SIG13.13
History: Received October 25, 2016; Revised December 20, 2016; Accepted December 26, 2016

Neurodegenerative diseases frequently result in oropharyngeal dysphagia which often lead to pulmonary sequelae and morbidity. Dysphagia management in these populations can be compensatory or rehabilitative in nature, the latter of which is focused on restoring or improving underlying swallowing physiology. The purpose of this review is to assess the strength of evidence in the use of rehabilitative intervention of dysphagia for individuals with neurodegenerative disease. A literature search was conducted using PubMed, Web of Science, and Cochrane Library databases. The search identified 12 peer-reviewed articles, largely focusing on Parkinson's disease. Ten studies were published within the last five years. Of the 12 articles, four implemented randomized controlled trials. This review will provide an overview of these studies, provide a critical assessment of the research methods based on the Physiotherapy Evidence Database (PEDro) criteria and summarize the state of the literature as it relates to swallowing exercises in neurodegenerative disease (NDDs).

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