Swallowing in primary progressive aphasia

Swallowing in primary progressive aphasia

Author Marin, Sheilla de Medeiros Correia Autor UNIFESP Google Scholar
Bertolucci, Paulo Henrique Ferreira Autor UNIFESP Google Scholar
Marin, Luis Fabiano Autor UNIFESP Google Scholar
Oliveira, Fabricio Ferreira de Autor UNIFESP Google Scholar
Wajman, José Roberto Autor UNIFESP Google Scholar
Bahia, Valeria Santoro Autor UNIFESP Google Scholar
Mansur, Leticia Lessa Autor UNIFESP Google Scholar
Abstract BACKGROUND: Few studies have described characteristics of swallowing in primary progressive aphasia (PPA) and its variants. OBJECTIVE: To describe and characterize swallowing and eating behaviors of patients with PPA, as well as their correlates with neuropsychiatric symptoms and patterns of communication. METHODS: We studied 16 patients with PPA and 16 their caregivers. PPA was subdivided in agrammatic variant (PPA-G), semantic variant (PPA-S) and logopenic variant (PPA-L). All patients and their caregivers were screened with the following scales: "Assessment of Feeding and Swallowing Difficulties in Dementia", "Neuropsychiatric Inventory", and "Functional Outcome Questionnaire for Aphasia". RESULTS: Patients with PPA-S had diverse swallowing problems such as drooling of saliva or food, multiple swallows, delayed swallow and choking, all of which correlated with anxiety, apathy and aberrant motor behavior. Patients with PPA-G and PPA-L had choking and delayed swallow, respectively. Disturbances in eating behaviors were more frequent in the group with PPA-L, and they correlated with difficulties in patterns of communication. CONCLUSIONS: All variants showed swallowing difficulties and they were more frequent in PPA-S. Further studies with larger samples of patients are needed to better characterize swallowing problems and their consequences in the different variants of PPA.
Keywords Aphasia
Primary Progressive
Deglutition Disorders/Diagnosis
Feeding Behavior
Frontotemporal Dementia
Language English
Date 2016
Published in Neurorehabilitation. Amsterdam, v. 38, n. 1, p. 85-92, 2016.
ISSN 1053-8135 (Sherpa/Romeo, impact factor)
Publisher Ios press
Extent 85-92
Origin http://dx.doi.org/10.3233/NRE-151299
Access rights Closed access
Type Article
Web of Science ID WOS:000370719800011
URI http://repositorio.unifesp.br/handle/11600/49608

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