The Effect of an Auditory Rhythmic Cue on the Frequency of Rolling in Patients with Dysphagia and Parkinson's Disease
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorHopital La Musse
About this trial
The main objective of this clinical study is to measure the effect of rhythmic auditory cueing, introduced in rehabilitation with three weekly sessions over a period of 7 weeks, on the frequency of rolling in idiopathic Parkinson's disease patients using pharyngography (swallowing radiography). The primary question of this study is:
Does the rhythmic cueing introduced in rehabilitation significantly reduce the frequency of rolling in dysphagic Parkinson's patients?
The researchers will assess the various stages of swallowing before, after, and 3 months after the rehabilitation protocol, focusing on the oral phase to determine if rhythmic auditory cueing reduces the frequency of rolling.
Participants will be required to:
* Perform three complete assessments (clinical speech therapy examination + pharyngography) before the protocol, after the protocol, and 3 months post-protocol. * Attend three times per week for 7 weeks at the La Musse hospital to participate in the protocol sessions under the supervision of a speech therapist.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of idiopathic Parkinson's disease established by a neurologist using a DAT SCAN and clinical examination;
Presence of a swallowing disorder, specifically rolling;
Patient affiliated with the social security system;
Patient aged 18 years or older
Disqualifiers
Severe pharyngeal dysphagia (leading to aspiration with nectar and pudding textures);
Severe cognitive impairment (score <24 on the Mini Mental Parkinson test);
Known deafness/profound hearing loss;
Patients under legal protection measures;
Trial design
Design model
Single group
Treatments tested in this trial
Swallowing rehabilitation by rhythmic auditory cue
BehavioralThree assessments, each spread over two days, will be administered at three different time points during the study: before the experiment (T0), after 7 weeks of the experiment (T1), and 3 months after the intervention (T2). The evaluation will include a pharyngography as well as a clinical assessment of swallowing and rhythmic abilities. Each subject will be invited to participate in 3 individual rehabilitation sessions per week for 7 weeks, conducted by a speech therapist at La Musse Hospital. Each session will be structured similarly: the subject will be asked to swallow their saliva, followed by a nectar-like texture (IDDSI 2) and a pudding-like texture (IDDSI 4), timed to the rhythm of a metronome. The rhythm will vary throughout the sessions. The goal will be to get as close as possible to the rhythm of a healthy swallow.
Treatment groups
18 Participants
are divided into 1 treatment groupGroup A: experimental arm - dysphagic parkinson patientExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
The measurement of the frequency of rolling per minute during a pharyngography
Multiple measurements will be taken to calculate the average.
Time frame
Pre-test (before the rehabilitation protocol), Post-test (after the rehabilitation protocol), and Follow-up test (3 months after the completion of the protocol).Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Hopital La Musse
Lead sponsor
France Parkinson Association
Collaborator
Source ClinicalTrials.gov