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DC Field | Value | Language |
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dc.contributor.author | Saleem, S. | |
dc.contributor.author | Miles, A. | |
dc.contributor.author | Allen, J. | |
dc.date.accessioned | 2023-08-17T06:01:13Z | |
dc.date.available | 2023-08-17T06:01:13Z | |
dc.date.issued | 2024 | |
dc.identifier.citation | International Journal of Speech-language Pathology.2023;1-18 (Online ahead of print.) | en_US |
dc.identifier.issn | 1754-9507 (Print) | |
dc.identifier.issn | 1754-9515 (Electronic) | |
dc.identifier.uri | http://repository.kln.ac.lk/handle/123456789/26501 | |
dc.description | Indexed in MEDLINE. | en_US |
dc.description.abstract | Purpose: This systematic review evaluated the efficacy of therapeutic interventions on improving swallow, respiratory, and cough functions in Parkinson's disease (PD).Method: A PRISMA systematic search was implemented across six databases. We selected studies reporting pre- and post-assessment data on the efficacy of behavioural therapies with a swallow or respiratory/cough outcome, and excluded studies on medical/surgical treatments or single-session design. Cross-system outcomes across swallow, respiratory, and cough functions were explored. Cochrane's risk of bias tools were utilised to evaluate study quality.Result: Thirty-six articles were identified and further clustered into four treatment types: swallow related (n = 5), electromagnetic stimulation (n = 4), respiratory loading (n = 20), and voice loading (n = 7) therapies. The effects of some behavioural therapies were supported with high-quality evidence in improving specific swallow efficiency, respiratory pressure/volume, and cough measures. Only eleven studies were rated with a low risk of bias and the remaining studies failed to adequately describe blinding of assessors, missing data, treatment adherence, and imbalance assignment to groups.Conclusion: Behavioural therapies were diverse in nature and many treatments demonstrated broad cross-system outcome benefits across swallow, respiratory, and cough functions. Given the progressive nature of the condition, the focus of future trials should be evaluating follow-up therapy effects and larger patient populations, including those with more severe disease. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Taylor and Francis Group | en_US |
dc.subject | Parkinson’s disease | en_US |
dc.subject | behavioural therapies | en_US |
dc.subject | cough | en_US |
dc.subject | respiration | en_US |
dc.subject | swallowing | en_US |
dc.subject | treatment effects | en_US |
dc.title | A systematic review of behavioural therapies for improving swallow and cough function in Parkinson's disease | en_US |
dc.type | Article | en_US |
Appears in Collections: | Journal/Magazine Articles |
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