Keywords parkinson disease communication swallowing dysphagia dysarthria parkinson disease pd is a neurodegenerative disease that that affects 1 to 2 of the worlds population 1 the pathology of pd is extraordinarily complex and the molecular mechanisms leading to the phenotypic expression of pd are not well understood pd . About 75 percent of people with pd experience changes in speech and voice at some time during the course of the disease these changes usually come on gradually and can vary from mild to severe the parkinsons foundation makes life better for people with parkinsons disease by improving care and advancing research toward a cure. People with parkinsons pd may notice changes in or difficulty chewing eating speaking or swallowing these changes can happen at any time but tend to increase as pd progresses just as pd affects movement in other parts of the body it also affects the muscles in the face mouth and throat that are used in speaking and swallowing. If speech and communication becomes severely impaired in the later stages of parkinsons the speech pathologist can also help to identify special pieces of equipment that might be useful such as voice amplifiers or electronic communication aids support for you call the parkinsons victorias information line on 1800 644 189. Aspiration and swallowing in parkinson disease and rehabilitation with emst a randomized trial neurology 75 1912 1919 pmc free article google scholar troche michelle s brandimore ae foote kd okun ms 2013 swallowing and deep brain stimulation in parkinsons disease a systematic review
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