Evidence map›Paper›PMID 26497650›Full record

ArticleDysphagia2016

Comparison of Two Methods for Inducing Reflex Cough in Patients With Parkinson's Disease, With and Without Dysphagia.

Karen W Hegland, Michelle S Troche, Alexandra Brandimore, Michael S Okun, Paul W Davenport

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Dysphagia, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Patterns of spontaneous saliva swallowings during awake and sleep states in Parkinson's disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
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  10. A Survey of Speech-Language Pathologists' Experience With Clinical Cough Assessment.Perspectives of the ASHA special interest groups · 2021
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Karen W HeglandDepartment of Speech Language and Hearing Sciences, University of Florida, Box 117420, 336 Dauer Hall, Gainesville, FL, 32611, USA. kwheeler@ufl.edu.
Michelle S TrocheDepartment of Biobehavioral Sciences, Teacher's College, Columbia University, New York, USA.
Alexandra BrandimoreDepartment of Speech Language and Hearing Sciences, University of Florida, Box 117420, 336 Dauer Hall, Gainesville, FL, 32611, USA.
Michael S OkunDepartment of Neurology, University of Florida, Gainesville, USA.
Paul W DavenportDepartment of Physiological Sciences, University of Florida, Gainesville, USA.
University of Florida · USColumbia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aspiration pneumonia is a common cause of death in people with Parkinson's disease (PD). Dysfunctional swallowing occurs in the majority of people with PD, and research has shown that cough function is also impaired. Previous studies suggest that testing reflex cough by having participants inhale a cough-inducing stimulus through a nebulizer may be a reliable indicator of swallowing dysfunction, or dysphagia. The primary goal of this study was to determine the cough response to two different cough-inducing stimuli in people with and without PD. The second goal of this study was to compare the cough response to the two different stimuli in people with PD, with and without swallowing dysfunction. Seventy adults (49 healthy and 21 with PD) participated in the study. Aerosolized water (fog) and 200 μM capsaicin were used to induce cough. Each substance was placed in a small, hand-held nebulizer, and presented to the participant. Each cough stimulus was presented three times. The total number of coughs produced to each stimulus trial was recorded. All participants coughed more to capsaicin versus fog (p < 0.001). A categorical 'responder' and 'non-responder' variable for the fog stimulus, defined as whether or not the participant coughed at least two times to two of three presentations of the stimulus, yields sensitivity of 77.8 % and a specificity of 90.9 % for identifying PD participants with and without dysphagia. The data show a differential response of the PD participants to the capsaicin versus fog stimuli. Clinically, this finding may allow for earlier identification of people with PD who are in need of a swallowing evaluation. As well, there are implications for the neural control of cough in this patient population.

Indexed as

AdolescentAerosolsAgedCapsaicinCoughDeglutition DisordersFemaleHealthy VolunteersHumansMaleMiddle AgedParkinson DiseaseReflexSensory System AgentsWaterYoung AdultAerosolsCapsaicinSensory System AgentsWaterCoughDeglutitionDeglutition disordersDysphagiaParkinson’s diseaseScreening

Identifiers

PMID26497650
OpenAlexW1873134010

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.