title: The Impact of Dysphagia Therapy on Quality of Life in Patients with Parkinson's Disease as Measured by the Swallowing Quality of Life Questionnaire (SWALQOL).
abstract: BACKGROUND
  Dysphagia is a common symptom in Parkinson's disease (PD) and it has been associated with poor quality of life (QoL), anxiety, depression.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the quality of life in individuals with PD before and after SLP therapy.
  
  
  METHODS
  The program consisted of four individual therapy sessions. Each session comprised guidelines regarding food and postural maneuvers (chin down). The Quality of Life in Swallowing Disorders (SWAL-QOL) questionnaire was applied before and after therapy.
  
  
  RESULTS
  The sample comprised of 10 individuals (8 men), with a mean (SD) age of 62.2 (11.3) years, mean educational attainment of 7.5 (4.3) years, and mean disease duration of 10.7 (4.7) years. Thirty percent of patients were Hoehn and Yahr (H&Y) stage 2, 50% were H&Y stage 3, and 20% were H&Y stage 4. Mean scores for all SWAL-QOL domains increased after the intervention period, with significant pre- to post-therapy differences in total score (p = 0.033) and domain 4 (symptom frequency) (p = 0.025). There was also a bias significance for domain 5 (food selection) (p = 0.095).
  
  
  CONCLUSIONS
  Patients exhibited improvement in swallowing-related quality of life after a SLP therapy program. The earlier in the course of PD, greater the improvement observed after therapy.
authors.affiliation: Post-Graduation Program of Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, RS, Brazil.
authors.forename: Annelise
authors.initials: A
authors.lastname: Ayres
authors.affiliation: Department of Morphological Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Geraldo Pereira
authors.initials: GP
authors.lastname: Jotz
authors.affiliation: Movement Disorders Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
authors.forename: Carlos Roberto de Mello
authors.initials: CR
authors.lastname: Rieder
authors.affiliation: Department of Medical Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Artur Francisco Schumacher
authors.initials: AF
authors.lastname: Schuh
authors.affiliation: Department of Surgery and Orthopaedics, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
authors.forename: Maira Rozenfeld
authors.initials: MR
authors.lastname: Olchik
keywords: Parkinson disease; deglutition disorders; dysphagia; quality of life; rehabilitation