Tjaden Kris
Department of Communicative Disorders and Sciences, University at Buffalo, Buffalo, NY.
Top Geriatr Rehabil. 2008;24(2):115-126. doi: 10.1097/01.TGR.0000318899.87690.44.
Dysarthria and dysphagia occur frequently in Parkinson's disease (PD). Reduced speech intelligibility is a significant functional limitation of dysarthria, and in the case of PD is likely related articulatory and phonatory impairment. Prosodically-based treatments show the most promise for addressing these deficits as well as for maximizing speech intelligibility. Communication-oriented strategies also may help to enhance mutual understanding between a speaker and listener. Dysphagia in PD can result in serious health issues, including aspiration pneumonia, malnutrition, and dehydration. Early identification of swallowing abnormalities is critical so as to minimize the impact of dysphagia on health status and quality of life. Feeding modifications, compensatory strategies, and therapeutic swallowing techniques all have a role in the management of dysphagia in PD.
构音障碍和吞咽困难在帕金森病（PD）中很常见。言语清晰度降低是构音障碍的一个重要功能限制，在帕金森病中，这可能与发音和发声障碍有关。基于韵律的治疗方法在解决这些缺陷以及最大限度提高言语清晰度方面最有前景。以沟通为导向的策略也可能有助于增强说话者和倾听者之间的相互理解。帕金森病中的吞咽困难可导致严重的健康问题，包括吸入性肺炎、营养不良和脱水。早期识别吞咽异常至关重要，以便将吞咽困难对健康状况和生活质量的影响降至最低。饮食调整、代偿策略和吞咽治疗技术在帕金森病吞咽困难的管理中都发挥着作用。
