Late (Complicated) Parkinson's Disease
In: Gilhus, N. E., Barnes, M. P., Brainin, M., ed(s). European Handbook of Neurological Management. Second Edition. Oxford (UK): Wiley-Blackwell Publishing Ltd.
Oertel, W. H., Berardelli, A., et al. (2011).
In: Gilhus, N. E., Barnes, M. P., Brainin, M., ed(s). European Handbook of Neurological Management. Second Edition. Oxford (UK): Wiley-Blackwell Publishing Ltd., 237-267.
This is an update of a 2006 review and corresponding guideline from the joint task force of the European Federation of Neurological Societies and the Movement Disorder Society. The guideline provides recommendations for the management of late uncomplicated Parkinson’s disease. The target audience of this guideline is primarily medical doctors involved in the pharmacological management of individuals with Parkinson's disease. However, the guideline also provides recommendations for nonpharmacological interventions, including speech-language pathology treatments.
European Federation of Neurological Societies
<div>Patients with Parkinson’s disease should be evaluated for dysphagia using instrumental assessment as needed. Videofluoroscopy is recommended to determine silent aspiration (Good Practice Point).</div>
<div>Patients with Parkinson’s disease should be referred to a speech-language pathologist for assessment of dysphagia, and swallowing advice (Good Practice Point).</div>
<div>No evidence was found to support or refute the efficacy of dysphagia treatment, therefore no recommendations could be made for specific swallowing rehabilitation treatments.</div>
