TY  - JOUR
A1  - Gaeckle, Maren
A1  - Domahs, Frank
A1  - Kartmann, Angelika
A1  - Tomandl, Bernd
A1  - Frank, Ulrike
T1  - Predictors of Penetration-Aspiration in Parkinson’s Disease Patients With Dysphagia
BT  - a retrospective analysis
JF  - Annals of Otology, Rhinology and Laryngology
N2  - Methods: The data of 89 PD patients with dysphagia who underwent routinely conducted videofluoroscopic studies of swallowing (VFSS) were included in this retrospective study. The occurrence of penetration-aspiration was defined as scores >= 3 on the Penetration-Aspiration Scale (PAS). Four commonly reported signs of dysphagia in PD patients were evaluated as possible predictors. Furthermore, the relationships between the occurrence of penetration-aspiration and liquid bolus volume as well as clinical severity of PD (modified Hoehn and Yahr scale) were examined. Results: Logistic regression showed that a delayed initiation of the pharyngeal swallow (odds ratio [OR] = 7.47, P = .008) and a reduced hyolaryngeal excursion (OR = 5.13, P = .012) were predictors of penetration-aspiration. Moreover, there was a strong, positive correlation between increasing liquid bolus volume and penetration-aspiration (gamma = 0.71, P < .001). No correlation was found between severity of PD and penetration-aspiration (gamma = 0.077, P = .783). Conclusion: Results of the present study allow for a better understanding of penetration-aspiration risk in PD patients. They are useful for treatment planning in order to improve safe oral intake and adequate nutrition.
KW  - pneumonia
KW  - videofluoroscopy
Y1  - 2019
U6  - https://doi.org/10.1177/0003489419841398
SN  - 0003-4894
SN  - 1943-572X
VL  - 128
IS  - 8
SP  - 728
EP  - 735
PB  - Sage Publ.
CY  - Thousand Oaks
ER  - 
TY  - JOUR
A1  - Domahs, Frank
A1  - Bartha, Lisa
A1  - Lochy, Aliette
A1  - Benke, Thomas
A1  - Delazer, Margarette
T1  - Number words are special : evidence from a case of primary progressive aphasia
N2  - We present a patient with primary progressive aphasia who showed no problems dealing with a variety of semantic tasks for simple nouns and numerical material. However, massive impairments became apparent in all lexical input and output tasks for non-number words, whereas peripheral processing was demonstrated to be intact. Interestingly, no parallel impairment was observed for numerals. This is the first case study reporting an isolated sparing of number words at the level of lexical processing in all four modalities.
Y1  - 2006
UR  - http://www.sciencedirect.com/science/journal/09116044
U6  - https://doi.org/10.1016/j.jneuroling.2005.07.001
SN  - 0911-6044
ER  - 
TY  - JOUR
A1  - Domahs, Frank
A1  - Lochy, A.
A1  - Eibl, G.
A1  - Delazer, M.
T1  - Adding colour to multiplication: Rehabilitation of arithmetic fact retrieval in a case of traumatic brain injury
N2  - This study describes ME, a patient in the chronic stage after a traumatic brain injury. During an extensive training programme ME tried to regain automaticity in the retrieval of simple multiplication facts. He succeeded in substantially decreasing response latencies in multiplication, reducing the handicap at his job. This improvement generalised to a non-trained operand order, to non-trained problems, and to a non-trained output modality. Moreover, these effects were maintained over at least four months. Interestingly, however, ME's training effects were operation specific: No significant improvement occurred in addition, subtraction, or division. As coloured presentation of multiplication problems proved to be a valuable cue in facilitating the patient's performance, this might turn out to be a useful tool in the rehabilitation of fact retrieval in general
Y1  - 2004
SN  - 0960-2011
ER  -