Evidence map›Paper›PMID 26551228›Full record

ArticleArchives of physical medicine and rehabilitation2016

Measurement of Voluntary Cough Production and Airway Protection in Parkinson Disease.

Erin P Silverman, Giselle Carnaby, Floris Singletary, Bari Hoffman-Ruddy, James Yeager, Christine Sapienza

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Voluntary peak cough flow: A simple and effective tool to predict dysphagia across diverse etiologies.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  5. Article
  6. Article
  7. Dysphagia in Parkinson Disease: Part I - Pathophysiology and Diagnostic Practices.Current physical medicine and rehabilitation reports · 2023
    Article
  8. Article
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  10. Observational
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  12. Review
  13. Review
  14. Article
  15. A Survey of Speech-Language Pathologists' Experience With Clinical Cough Assessment.Perspectives of the ASHA special interest groups · 2021
    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

6 authors at 5 institutions in 1 country.

Erin P SilvermanDepartment of Physiological Sciences, University of Florida, Gainesville, FL. Electronic address: epearson@ufl.edu.
Giselle CarnabyDepartment of Communication Sciences and Disorders, University of Central Florida, Orlando, FL.
Floris SingletaryBrooks Rehabilitation, Jacksonville, FL; Department of Communication Sciences and Disorders, Jacksonville University, Jacksonville, FL.
Bari Hoffman-RuddyDepartment of Communication Sciences and Disorders, University of Central Florida, Orlando, FL.
James YeagerEastman Chemical Company, Kingsport, TN.
Christine SapienzaBrooks Rehabilitation, Jacksonville, FL; Department of Communication Sciences and Disorders, Jacksonville University, Jacksonville, FL.
University of Central Florida · USBrooks Rehabilitation Clinical Research Center · USJacksonville University · USThe King's College · USUniversity of Florida · US

Funding

Accuracy of Examining Cough Function and its Relationship to Airway Protection R33DC011131 · NIDCD · UNIVERSITY OF FLORIDA · PI CARNABY, GISELLE D., SAPIENZA, CHRISTINE M · 2012 to 2013
$610k
NIDCD NIH HHS 5R33DC011131.03NIDCD NIH HHS R33 DC011131
6 · The paper itself

Abstract

objectiveTo examine relations between peak expiratory (cough) airflow rate and swallowing symptom severity in participants with Parkinson disease (PD).

designCross-sectional study.

settingOutpatient radiology clinic at an acute care hospital.

participantsMen and women with PD (N=68).

interventionsParticipants were cued to cough into an analog peak flow meter then swallowed three 20-mL thin liquid barium boluses. Analyses were directed at detecting potential relations among disease severity, swallowing symptom severity, and peak expiratory (cough) airflow rate.

main outcome measuresPeak expiratory (cough) airflow rate and swallow symptom severity.

resultsPeak expiratory (cough) airflow rate varied significantly across swallowing severity classifications. Participants with more severe disease displayed a significant, linear decrease in peak expiratory (cough) airflow rate than those participants with earlier stage, less severe disease. Swallowing symptom severity varied significantly across groups when comparing participants with less severe PD with those with more severe PD. Participants with early stage PD demonstrated little to no swallowing symptoms and had the highest measures of peak expiratory (cough) airflow rate. In contrast, participants with the most severe swallowing symptoms also displayed the lowest measures of peak expiratory (cough) airflow rate.

conclusionsRelations existed among PD severity, swallowing symptom severity, and peak expiratory (cough) airflow rate in participants with PD. Peak expiratory (cough) airflow rate may eventually stand as a noninvasive predictor of aspiration risk in those with PD, particularly those with later stage disease. Inclusion of peak expiratory (cough) airflow rates into existing clinical swallowing assessments may increase the sensitivity and predictive validity of these assessments.

Indexed as

AgedCoughCross-Sectional StudiesDeglutition DisordersFemaleHumansMaleMiddle AgedParkinson DiseasePeak Expiratory Flow RateRespiratory Function TestsSeverity of Illness IndexAirway managementCoughParkinson diseaseRehabilitationRespiratory aspiration

Identifiers

PMID26551228
PMCPMC4769912
OpenAlexW2098175675

What OpenQuestion holds

Textmetadata
LicenceTDM
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.