Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers

Parkinson's disease (PD) is a progressive neurodegenerative disorder that manifests itself through motor and non-motor symptoms, which significantly influence quality of life. We aimed to explore the experiences of patients with PD and their caregivers before, during and after receiving treatme...

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Autores: de Almeida Simão, Mariana|||0000-0001-6516-2287, Poveda-Moral, Silvia|||0000-0003-3447-7627, Daniel, Elizabeth Ramírez, Ganora, Aracely Domínguez, Vargas, Militza Vergara, Kulisevsky, Jaime|||0000-0003-4870-1431
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:dnet:uabarcelona_::a38eeb0ff8ba9ddd5ed8318a485bb54d
Acceso en línea:https://ddd.uab.cat/record/328083
https://dx.doi.org/urn:doi:10.1186/s41687-025-00931-z
Access Level:acceso abierto
Palabra clave:Quality of life
Health-related quality of life
Dysphagia
Dysarthria
Parkinson's disease
Neuromuscular electrostimulation
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dc.title.none.fl_str_mv Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
the impact on swallowing and speech from a qualitative perspective
title Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
spellingShingle Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
de Almeida Simão, Mariana|||0000-0001-6516-2287
Quality of life
Health-related quality of life
Dysphagia
Dysarthria
Parkinson's disease
Neuromuscular electrostimulation
title_short Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
title_full Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
title_fullStr Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
title_full_unstemmed Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
title_sort Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregivers
dc.creator.none.fl_str_mv de Almeida Simão, Mariana|||0000-0001-6516-2287
Poveda-Moral, Silvia|||0000-0003-3447-7627
Daniel, Elizabeth Ramírez
Ganora, Aracely Domínguez
Vargas, Militza Vergara
Kulisevsky, Jaime|||0000-0003-4870-1431
author de Almeida Simão, Mariana|||0000-0001-6516-2287
author_facet de Almeida Simão, Mariana|||0000-0001-6516-2287
Poveda-Moral, Silvia|||0000-0003-3447-7627
Daniel, Elizabeth Ramírez
Ganora, Aracely Domínguez
Vargas, Militza Vergara
Kulisevsky, Jaime|||0000-0003-4870-1431
author_role author
author2 Poveda-Moral, Silvia|||0000-0003-3447-7627
Daniel, Elizabeth Ramírez
Ganora, Aracely Domínguez
Vargas, Militza Vergara
Kulisevsky, Jaime|||0000-0003-4870-1431
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Quality of life
Health-related quality of life
Dysphagia
Dysarthria
Parkinson's disease
Neuromuscular electrostimulation
topic Quality of life
Health-related quality of life
Dysphagia
Dysarthria
Parkinson's disease
Neuromuscular electrostimulation
description Parkinson's disease (PD) is a progressive neurodegenerative disorder that manifests itself through motor and non-motor symptoms, which significantly influence quality of life. We aimed to explore the experiences of patients with PD and their caregivers before, during and after receiving treatment with neuromuscular electrostimulation (NMES), and to analyse how they perceive the changes experienced, especially in relation to swallowing and speech. A phenomenological qualitative study was conducted through 11 focus groups (FGs): 7 with patients and 4 with caregivers, held separately. Group sizes ranged from two to six participants. The decision to include small groups, including those with only two participants, was made to achieve theoretical saturation of the data. A manual inductive thematic analysis of discourse was performed, coding responses into emergent categories. The study sample consisted of 38 participants: 24 patients and 14 caregivers. The results fell into two broad categories: patient experience and carer experience. In terms of patients' experiences, the majority reported significant improvements in swallowing, salivation and, to a lesser extent, speech. Regarding caregivers, the improvements observed in patients were perceived as a relief in their daily caregiving responsibilities, facilitating meal preparation, enhancing communication, and providing greater reassurance in supporting the treatment process. This qualitative study provides valuable insights into NMES treatment in PD, showing improvements in areas such as swallowing, speech and saliva. By including the experiences of patients and carers, we identify critical aspects that impact on daily life that cannot be fully explored by other methods. The findings highlight the importance of a more holistic and individualised approach to treatment. It is suggested that future qualitative research should continue to explore these experiences with a view to improving rehabilitation strategies and health-related quality of life (HRQoL) for people with PD. This study is relevant because Parkinson's disease seriously affects people's daily lives, including aspects such as swallowing and speech. We wanted to better understand how patients felt after receiving neuromuscular electrostimulation (NMES) treatment, and their caregivers' perceptions of this treatment; this information could help with these difficulties. Thus, we conducted focus groups to explore the experiences and perceptions of patients with Parkinson's disease and their caregivers. Some patients noted that they were able to swallow better, to control and produce saliva more easily, and to take their medication more easily; however, most did not report improvements in speech. Caregivers, both formal and informal, also noted these improvements in patients. They were motivated to support continued treatment based on the positive changes they observed in the daily lives of the people for whom they provided care. In conclusion, this study suggests that, in the experience of the participants, NMES may have beneficial effects on some of the difficulties faced by people with Parkinson's disease in their daily lives.
publishDate 2025
dc.date.none.fl_str_mv 2
2025-01-01
2025
2025-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/328083
https://dx.doi.org/urn:doi:10.1186/s41687-025-00931-z
url https://ddd.uab.cat/record/328083
https://dx.doi.org/urn:doi:10.1186/s41687-025-00931-z
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
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eu_rights_str_mv openAccess
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dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Perceptions of neuromuscular electrostimulation of patients with Parkinson's disease and their caregiversthe impact on swallowing and speech from a qualitative perspectivede Almeida Simão, Mariana|||0000-0001-6516-2287Poveda-Moral, Silvia|||0000-0003-3447-7627Daniel, Elizabeth RamírezGanora, Aracely DomínguezVargas, Militza VergaraKulisevsky, Jaime|||0000-0003-4870-1431Quality of lifeHealth-related quality of lifeDysphagiaDysarthriaParkinson's diseaseNeuromuscular electrostimulationParkinson's disease (PD) is a progressive neurodegenerative disorder that manifests itself through motor and non-motor symptoms, which significantly influence quality of life. We aimed to explore the experiences of patients with PD and their caregivers before, during and after receiving treatment with neuromuscular electrostimulation (NMES), and to analyse how they perceive the changes experienced, especially in relation to swallowing and speech. A phenomenological qualitative study was conducted through 11 focus groups (FGs): 7 with patients and 4 with caregivers, held separately. Group sizes ranged from two to six participants. The decision to include small groups, including those with only two participants, was made to achieve theoretical saturation of the data. A manual inductive thematic analysis of discourse was performed, coding responses into emergent categories. The study sample consisted of 38 participants: 24 patients and 14 caregivers. The results fell into two broad categories: patient experience and carer experience. In terms of patients' experiences, the majority reported significant improvements in swallowing, salivation and, to a lesser extent, speech. Regarding caregivers, the improvements observed in patients were perceived as a relief in their daily caregiving responsibilities, facilitating meal preparation, enhancing communication, and providing greater reassurance in supporting the treatment process. This qualitative study provides valuable insights into NMES treatment in PD, showing improvements in areas such as swallowing, speech and saliva. By including the experiences of patients and carers, we identify critical aspects that impact on daily life that cannot be fully explored by other methods. The findings highlight the importance of a more holistic and individualised approach to treatment. It is suggested that future qualitative research should continue to explore these experiences with a view to improving rehabilitation strategies and health-related quality of life (HRQoL) for people with PD. This study is relevant because Parkinson's disease seriously affects people's daily lives, including aspects such as swallowing and speech. We wanted to better understand how patients felt after receiving neuromuscular electrostimulation (NMES) treatment, and their caregivers' perceptions of this treatment; this information could help with these difficulties. Thus, we conducted focus groups to explore the experiences and perceptions of patients with Parkinson's disease and their caregivers. Some patients noted that they were able to swallow better, to control and produce saliva more easily, and to take their medication more easily; however, most did not report improvements in speech. Caregivers, both formal and informal, also noted these improvements in patients. They were motivated to support continued treatment based on the positive changes they observed in the daily lives of the people for whom they provided care. In conclusion, this study suggests that, in the experience of the participants, NMES may have beneficial effects on some of the difficulties faced by people with Parkinson's disease in their daily lives. 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/328083https://dx.doi.org/urn:doi:10.1186/s41687-025-00931-zreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:uabarcelona_::a38eeb0ff8ba9ddd5ed8318a485bb54d2026-06-06T12:50:31Z
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