# Characteristics of Swallowing Function in People with Parkinson's Disease: A Scoping Review

## TL;DR

This review identifies 19 swallowing issues in Parkinson's disease linked to motor symptoms like bradykinesia, highlighting the need for better understanding and treatment.

## Contribution

A systematic synthesis of swallowing characteristics in Parkinson's disease using a scoping review methodology.

## Key findings

- Nineteen distinct oropharyngeal swallowing characteristics were identified in Parkinson's disease patients.
- Instrumental assessments were most commonly used (85%) to evaluate swallowing in Parkinson's disease.
- Swallowing abnormalities in PD are largely linked to motor symptoms like bradykinesia and hypokinesia.

## Abstract

Most individuals with Parkinson's disease (PD) develop dysphagia during the course of their disease. It is crucial to comprehensively understand swallowing characteristics specific to PD for effective treatment.

To systematically analyze and synthesize swallowing characteristics in people with PD compared with healthy controls and to summarize the assessment methods used.

This scoping review was conducted in accordance with the Joanna Briggs Institute's (JBI) methodology. Systematic searches were conducted across six databases and one clinical trial registry. Original research articles reporting swallowing characteristics in cohorts comprising at least three individuals with PD were included. Studies published in English or German from the inception of the databases up to February 2024 were considered for inclusion. Independent reviewers assessed articles for eligibility and extracted relevant data. The scoping review protocol was registered and published (Open Science Framework, https://osf.io/8b3hm). Swallowing characteristics and assessment methods were systematically categorized. Significant characteristics, consistent across at least two studies, were included in the final analysis.

Analysis included 46 studies with 1797 PD participants aged 35–85 years. Nineteen distinct oropharyngeal swallowing characteristics in individuals with PD were identified. Instrumental assessments (39/46, 85%), clinical assessments (10/46, 22%), and patient‐related outcome measures (PROMs) (7/46, 15%) were used.

Relevant swallowing abnormalities in PD can largely be interpreted as manifestations of bradykinesia, hypokinesia, and akinesia, supporting the view that dysphagia in PD constitutes a complex motor syndrome. Future research should aim to better characterize the manifestations within this syndrome and elucidate its underlying pathology. © 2026 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.