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Scand J Rehabil Med 2000 Mar;32(1):11-5

Effect of swallowing training on swallowing disorders in Parkinson's
disease.

Nagaya M, Kachi T, Yamada T

Department of Rehabilitation, Chubu National Hospital, Obu, Japan.

The purpose of the present study was to determine whether swallowing
training improves swallowing function in patients with Parkinson's disease.
Ten patients (5 males, 5 females) who had symptoms of dysphagia and 12
healthy volunteers were studied. The initiation time of the swallowing
reflex, the "premotor time" (PMT), was calculated from an electromyogram of
the submental muscles before and after swallowing training. Patients with
Parkinson's disease had a significantly longer PMT (p = 0.0014) than did
healthy controls. There was no correlation between PMT and the duration of
the disease (r = -0.146; p = 0.6867) or the patient's age (r = 0.602; p =
0.0653). After swallowing training, the patients' PMTs decreased
significantly (p = 0.0051).