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The aim of this non-randomized intervention study is to investigate the detailed effects of a structured four-week EMST® training program on the biomechanics of swallowing function in dysphagic Parkinson's patients. A combination of fiberoptic endoscopic evaluation of swallowing (FEES) and pharyngeal high-resolution manometry (HRM) will be employed to comprehensively evaluate the neuromuscular changes in swallowing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EMST treatment | Experimental | daily EMST training on 5 days a week for 1 month |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| exspiratory muscle strength training | Device | 5 sets of 5 breaths with EMST per day, 5 days a week for 1 month |
|
| Measure | Description | Time Frame |
|---|---|---|
| Effect on swallowing biomechanics in pharyngeal high-resolution manometry as assessed by measurement of e.g. Pharyngeal contractile Integral (PhcI) | metrics of pharyngeal contraction and upper esophageal sphinkter opening in high-resolution pharyngeal manometry | 1 month and 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pharyngeal swallowing safety and efficiency as assessed with fiberoptic endoscopic evaluation of swallowing (FEES) applying DIGEST-FEES scoring | Assessment of Swallowing safety and efficiency with DIGEST-FEES (Dynamic Imaging Grade of Swallowing Toxicity - FEES), Range 0 (best) - 4 (worst) | 1 month and 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sonja Suntrup-Krueger, Prof. Dr. med. | Contact | +49251-83-46811 | sonja.suntrup-krueger@ukmuenster.de |
| Name | Affiliation | Role |
|---|---|---|
| Sonja Suntrup-Krueger, Prof. Dr. med. | University Hospital Münster, Department of Neurology, Albert-Schweitzer-Campus 1, A1, 48149 Münster, Germany | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Münster, Department of Neurology | Recruiting | Münster | 48149 | Germany |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D003680 | Deglutition Disorders |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010608 | Pharyngeal Diseases |
| D010038 | Otorhinolaryngologic Diseases |