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Motor Performance During Sensorimotor Training for Airway Protection in Parkinson's Disease.

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Title: Motor Performance During Sensorimotor Training for Airway Protection in Parkinson's Disease.
Authors: Borders, James C.1, Hegland, Karen W.2, Vanegas-Arroyave, Nora3, Troche, Michelle S.1 mst2139@tc.columbia.edu
Source: American Journal of Speech-Language Pathology. Nov2023, Vol. 32, p2718-2733. 16p.
Subject Terms: *Exercise physiology, Cough -- Risk factors, Sensorimotor integration, Confidence intervals, Airway (Anatomy), Psychology of movement, Treatment effectiveness, Parkinson's disease, Cough, Descriptive statistics, Research funding, Questionnaires, Data analysis software, Secondary analysis, Disease complications
Abstract: Introduction: Cough dysfunction is highly prevalent in Parkinson's disease (PD) and associated with pneumonia, a leading cause of death. Although research suggests that cough can be volitionally upregulated, patterns of improvements that occur during cough skill training and potential correlates remain unexamined. Therefore, we sought to characterize changes to peak flow during cough skill training, examine whether early variability predicted motor performance trajectories during treatment, and explore the relationship between peak flow during cough skill training and motor learning on a similar but untrained task (i.e., reflex cough testing). Method: This secondary analysis of treatment data from a randomized controlled trial included 28 individuals with PD who participated in five sessions of sensorimotor training for airway protection (smTAP). During this novel cough skill training, participants completed 25 repetitions of coughs targeting peak flow 25% above their baseline. Reflex and voluntary cough testing was performed pre- and posttreatment. Bayesian multilevel growth curve models provided group and individual-level estimates of peak flow during training. Results: The magnitude and consistency of peak flow increased during cough skill training. Variability in peak flow during the first treatment session was associated with greater improvements to peak flow in later sessions. There was no relationship between changes to peak flow during cough skill training and motor learning. Conclusions: Individuals with PD improved the strength and variability of cough peak flow during cough skill training. These findings provide a clinically relevant characterization of motor performance during cough skill training and lend insight into potential correlates to guide future treatment paradigms. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Motor Performance During Sensorimotor Training for Airway Protection in Parkinson's Disease.
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  Data: <searchLink fieldCode="AR" term="%22Borders%2C+James+C%2E%22">Borders, James C.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hegland%2C+Karen+W%2E%22">Hegland, Karen W.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Vanegas-Arroyave%2C+Nora%22">Vanegas-Arroyave, Nora</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Troche%2C+Michelle+S%2E%22">Troche, Michelle S.</searchLink><relatesTo>1</relatesTo><i> mst2139@tc.columbia.edu</i>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Speech-Language+Pathology%22">American Journal of Speech-Language Pathology</searchLink>. Nov2023, Vol. 32, p2718-2733. 16p.
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  Data: *<searchLink fieldCode="DE" term="%22Exercise+physiology%22">Exercise physiology</searchLink><br /><searchLink fieldCode="DE" term="%22Cough+--+Risk+factors%22">Cough -- Risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Sensorimotor+integration%22">Sensorimotor integration</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Airway+%28Anatomy%29%22">Airway (Anatomy)</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+movement%22">Psychology of movement</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Parkinson's+disease%22">Parkinson's disease</searchLink><br /><searchLink fieldCode="DE" term="%22Cough%22">Cough</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Cough dysfunction is highly prevalent in Parkinson's disease (PD) and associated with pneumonia, a leading cause of death. Although research suggests that cough can be volitionally upregulated, patterns of improvements that occur during cough skill training and potential correlates remain unexamined. Therefore, we sought to characterize changes to peak flow during cough skill training, examine whether early variability predicted motor performance trajectories during treatment, and explore the relationship between peak flow during cough skill training and motor learning on a similar but untrained task (i.e., reflex cough testing). Method: This secondary analysis of treatment data from a randomized controlled trial included 28 individuals with PD who participated in five sessions of sensorimotor training for airway protection (smTAP). During this novel cough skill training, participants completed 25 repetitions of coughs targeting peak flow 25% above their baseline. Reflex and voluntary cough testing was performed pre- and posttreatment. Bayesian multilevel growth curve models provided group and individual-level estimates of peak flow during training. Results: The magnitude and consistency of peak flow increased during cough skill training. Variability in peak flow during the first treatment session was associated with greater improvements to peak flow in later sessions. There was no relationship between changes to peak flow during cough skill training and motor learning. Conclusions: Individuals with PD improved the strength and variability of cough peak flow during cough skill training. These findings provide a clinically relevant characterization of motor performance during cough skill training and lend insight into potential correlates to guide future treatment paradigms. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=173537608
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1044/2023_AJSLP-23-00055
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 16
        StartPage: 2718
    Subjects:
      – SubjectFull: Exercise physiology
        Type: general
      – SubjectFull: Cough -- Risk factors
        Type: general
      – SubjectFull: Sensorimotor integration
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Airway (Anatomy)
        Type: general
      – SubjectFull: Psychology of movement
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Parkinson's disease
        Type: general
      – SubjectFull: Cough
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Disease complications
        Type: general
    Titles:
      – TitleFull: Motor Performance During Sensorimotor Training for Airway Protection in Parkinson's Disease.
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            NameFull: Borders, James C.
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            NameFull: Vanegas-Arroyave, Nora
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            NameFull: Troche, Michelle S.
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            – D: 01
              M: 11
              Text: Nov2023
              Type: published
              Y: 2023
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