Evidence map›Paper›PMID 41329938›Full record

ArticleJournal of speech, language, and hearing research : JSLHR2026

Respiratory-Swallowing Phase Pattern and Swallowing Impairment in Individuals With Parkinson's Disease.

Rabab Rangwala, Kate Davidson, Jungwha Lee, Kendrea L Focht Garand, Danny Bega, Bonnie Martin-Harris

Abstract read
In one paragraph

Article in Journal of speech, language, and hearing research : JSLHR, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Respiratory-Swallow Training and Variable Practice in Parkinson's Disease: A Clinical Trial Pilot Study.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2026
    Article
  2. Article
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.

Rabab RangwalaRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, School of Communication, Northwestern University, Evanston, IL.ORCID 0000-0002-2617-7301
Kate DavidsonRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, School of Communication, Northwestern University, Evanston, IL.ORCID 0000-0002-8028-5223
Jungwha LeeDepartment of Preventive Medicine (Biostatistics & Informatics), Feinberg School of Medicine, Northwestern University, Chicago, IL.ORCID 0000-0002-0806-0847
Kendrea L Focht GarandDepartment of Communication Science and Disorders, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA.ORCID 0000-0003-0758-4398
Danny BegaDepartment of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Bonnie Martin-HarrisRoxelyn and Richard Pepper Department of Communication Sciences and Disorders, School of Communication, Northwestern University, Evanston, IL.ORCID 0000-0001-7840-3764

Funding

Training Swallowing Initiation during Expiration: Impact on Safety and Efficiency Following Treatment for Oropharyngeal Head and Neck CancerR01CA262502 · NCI · NORTHWESTERN UNIVERSITY · PI BONNIE J MARTIN-HARRIS · 2021 to 2026
$2.9M
Research and Mentoring on Swallowing Impairment and Respiratory-Swallow CoordinatK24DC012801 · NIDCD · NORTHWESTERN UNIVERSITY · PI MARTIN-HARRIS, BONNIE J · 2013 to 2024
$1.8M
South Carolina Clinical & Translational Research Institute (SCTR)TL1TR000061 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$483k
NCATS NIH HHS TL1 TR000061NCI NIH HHS R01 CA262502NIDCD NIH HHS K24 DC012801RRD VA IK1 RX001628
6 · The paper itself

Abstract

purposeSwallowing and respiratory impairments in Parkinson's disease (PD) may contribute to atypical respiratory-swallowing phase patterning. This exploratory study aimed to (a) quantify swallowing impairment and airway protection, (b) determine respiratory-swallowing phase pattern at swallow initiation, and (c) test the association between swallowing impairment, airway protection, and respiratory-swallowing phase pattern in PD.

methodA total of 31 adults with PD and dysphagia underwent simultaneous videofluoroscopy and respiratory inductance plethysmography following the Modified Barium Swallow Impairment Profile (MBSImP) protocol. Endpoints included MBSImP swallow-by-swallow (SS) and overall impression (OI) scores, Penetration-Aspiration Scale (PAS) scores, and respiratory-swallowing phase pattern at swallow initiation. Historical data from 84 healthy controls aged 40 years and above were used for MBSImP and PAS comparisons. Logistic regression models with random effects assessed impact of patient group on MBSImP, PAS, and respiratory-swallowing phase patterns, and the associations between MBSImP, PAS, and respiratory-swallowing phase patterns.

resultsPD demonstrated significantly increased odds for higher (worse) OI scores on lip closure (

conclusionsPD patients demonstrated greater frequency of swallows initiated during inspiration with higher MBSImP and maximum PAS scores relative to healthy controls. Replication of these findings in large, homogenous PD samples may clarify the relevance for retraining typical respiratory-swallowing phase patterning benefiting swallowing improvement.

Indexed as

DeglutitionDeglutition DisordersParkinson DiseaseRespirationAdultAgedFemaleFluoroscopyHumansMaleMiddle AgedPlethysmography

Identifiers

PMID41329938
PMCPMC12806011

What OpenQuestion holds

Textmetadata
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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.