The Effect of an Auditory Rhythmic Cue on the Frequency of Rolling in Patients with Dysphagia and Parkinson's Disease

Summary

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

Inclusion Criteria:

* 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

Exclusion Criteria:

* 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;
* History of reconstructive ENT surgery at the oropharyngeal level;
* Neurological history that could cause a swallowing disorder (e.g., stroke);
* Patient with a gastrostomy and no oral feeding;
* Ongoing speech therapy for swallowing;
* The patient is included in another research protocol;
* Pregnant women or women suspected of being pregnant;

Conditions6

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