{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:44:36Z","timestamp":1740109476102,"version":"3.37.3"},"reference-count":42,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Health Sciences"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Dysphagia"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>During the process of the multiple sclerosis (MS), persons with multiple sclerosis (PwMS) may experience drooling (sialorrhea) issues that are frequently disregarded. The exact cause of drooling in PwMS is poorly understood. This study aims to assess potential risk factors for drooling seen in PwMS. The study included 20 PwMS with drooling and 19 PwMS without drooling. The participants\u2019 sociodemographic data and clinical parameters were noted. To evaluate dysphagia, fatigue, and hypersalivation, the Dysphagia in Multiple Sclerosis Questionnaire\u00a0(DYMUS), the Fatigue Severity Scale (FSS), and objective saliva flow rate measurement with cottons placed in Stensen ducts and under the tongue (swab test) were used, respectively. The study employed univariate and multivariate logistic regression models to identify the risk factors linked to drooling. Gender, age, disease duration, MS type, and Expanded Disability Status Scale scores did not differ between the two groups. There was a significant increase in the DYMUS and submandibular\/sublingual (SM\/SL) saliva flow rate values in PwMS with drooling (<jats:italic>p<\/jats:italic>\u2009=\u20090.009 and <jats:italic>p<\/jats:italic>\u2009=\u20090.019, respectively). However, in our study, hypersalivation was not observed in PwMS with or without drooling. In the univariate model, DYMUS, SM\/SL saliva flow rate, and FSS were found to be risk factors for drooling in PwMS. But only DYMUS was shown to be a significant risk factor in the multivariate model obtained by the backward (Wald) elimination method (<jats:italic>p<\/jats:italic>\u2009=\u20090.023). Finally, our research is the first to demonstrate the relationship between drooling and the presence of dysphagia symptoms in PwMS. This is a very important study to determine the nature of drooling in PwMS. This finding shows that our study will serve as a reference for choosing the best method for drooling treatment.<\/jats:p>","DOI":"10.1007\/s00455-024-10666-6","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T02:02:20Z","timestamp":1708308140000},"page":"846-854","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Drooling may be Associated with Dysphagia Symptoms in Multiple Sclerosis"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2556-1026","authenticated-orcid":false,"given":"Merve","family":"Sapmaz Atalar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8094-3062","authenticated-orcid":false,"given":"Gen\u00e7er","family":"Gen\u00e7","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0395-3299","authenticated-orcid":false,"given":"Serpil","family":"Bulut","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"issue":"2 Suppl","key":"10666_CR1","first-page":"S15","volume":"19","author":"MJ Tullman","year":"2013","unstructured":"Tullman MJ. Overview of the epidemiology, diagnosis, and disease progression associated with multiple sclerosis. Am J Manag Care. 2013;19(2 Suppl):S15-20.","journal-title":"Am J Manag Care"},{"issue":"4","key":"10666_CR2","doi-asserted-by":"publisher","first-page":"296","DOI":"10.4103\/0972-2327.58273","volume":"12","author":"JS Burks","year":"2009","unstructured":"Burks JS, Bigley GK, Hill HH. Rehabilitation challenges in multiple sclerosis. Ann Indian Acad Neurol. 2009;12(4):296\u2013306. https:\/\/doi.org\/10.4103\/0972-2327.58273.","journal-title":"Ann Indian Acad Neurol"},{"issue":"6","key":"10666_CR3","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1080\/17549507.2018.1499802","volume":"21","author":"S El-Wahsh","year":"2019","unstructured":"El-Wahsh S, Heard R, Bogaardt H. Development and validation of a speech pathology-specific questionnaire for persons with multiple sclerosis (SMS). Int J Speech Lang Pathol. 2019;21(6):553\u201363. https:\/\/doi.org\/10.1080\/17549507.2018.1499802.","journal-title":"Int J Speech Lang Pathol"},{"issue":"3","key":"10666_CR4","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1159\/000519263","volume":"74","author":"MM Parlak","year":"2022","unstructured":"Parlak MM, Babademez MA, Tokg\u00f6z SA, Bizp\u0131nar \u00d6, Saylam G. Evaluation of Swallowing Function according to the Stage of Alzheimer\u2019s Disease. Folia Phoniatr Logop. 2022;74(3):186\u201394.","journal-title":"Folia Phoniatr Logop"},{"issue":"Suppl 4","key":"10666_CR5","doi-asserted-by":"publisher","first-page":"S360","DOI":"10.1007\/s10072-008-1044-9","volume":"29","author":"C Tassorelli","year":"2008","unstructured":"Tassorelli C, Bergamaschi R, Buscone S, Bartolo M, Furnari A, Crivelli P, Alfonsi E, Alberici E, Bertino G, Sandrini G, Nappi G. Dysphagia in multiple sclerosis: from pathogenesis to diagnosis. Neurol Sci. 2008;29(Suppl 4):S360\u20133. https:\/\/doi.org\/10.1007\/s10072-008-1044-9.","journal-title":"Neurol Sci"},{"issue":"2","key":"10666_CR6","doi-asserted-by":"publisher","first-page":"189","DOI":"10.47572\/muskutd.974435","volume":"9","author":"MS Sapmaz Atalar","year":"2022","unstructured":"Sapmaz Atalar MS, Gen\u00e7 G. Parkinson Hastal\u0131\u011f\u0131nda Yutma Bozukluklar\u0131na Yakla\u015f\u0131m. Mu\u011fla S\u0131tk\u0131 Ko\u00e7man \u00dcniversitesi T\u0131p Dergisi. 2022;9(2):189\u2013203.","journal-title":"Mu\u011fla S\u0131tk\u0131 Ko\u00e7man \u00dcniversitesi T\u0131p Dergisi"},{"issue":"2","key":"10666_CR7","first-page":"88","volume":"30","author":"MM Parlak","year":"2022","unstructured":"Parlak MM, Altan E, Saylam G. Dysphagia in Individuals with Dementia. Journal of Ear Nose Throat and Head Neck Surgery. 2022;30(2):88\u201396.","journal-title":"Journal of Ear Nose Throat and Head Neck Surgery"},{"issue":"1","key":"10666_CR8","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s00455-001-0103-7","volume":"17","author":"SS Abraham","year":"2002","unstructured":"Abraham SS, Yun PT. Laryngopharyngeal dysmotility in multiple sclerosis. Dysphagia. 2002;17(1):69\u201374. https:\/\/doi.org\/10.1007\/s00455-001-0103-7.","journal-title":"Dysphagia"},{"issue":"8","key":"10666_CR9","doi-asserted-by":"publisher","first-page":"1638","DOI":"10.1016\/j.clinph.2013.03.003","volume":"124","author":"E Alfonsi","year":"2013","unstructured":"Alfonsi E, Bergamaschi R, Cosentino G, Ponzio M, Montomoli C, Restivo DA, Brighina F, Ravaglia S, Prunetti P, Bertino G, Benazzo M, Fontana D, Moglia A. Electrophysiological patterns of oropharyngeal swallowing in multiple sclerosis. Clin Neurophysiol. 2013;124(8):1638\u201345. https:\/\/doi.org\/10.1016\/j.clinph.2013.03.003.","journal-title":"Clin Neurophysiol"},{"issue":"4","key":"10666_CR10","doi-asserted-by":"publisher","first-page":"789e92","DOI":"10.1007\/s003300101086","volume":"12","author":"W Wiesner","year":"2002","unstructured":"Wiesner W, Wetzel SG, Kappos L, Hoshi MM, Witte U, Radue EW, et al. Swallowing abnormalities in multiple sclerosis: correlation between videofluoroscopy and subjective symptoms. Eur Radiol. 2002;12(4):789e92.","journal-title":"Eur Radiol."},{"issue":"1","key":"10666_CR11","first-page":"22","volume":"11","author":"M Prosiegel","year":"2004","unstructured":"Prosiegel M, Schelling A, Wagner-Sonntag E. Dysphagia and multiple sclerosis. Int MS J. 2004;11(1):22\u201331.","journal-title":"Int MS J"},{"issue":"3","key":"10666_CR12","doi-asserted-by":"publisher","first-page":"85","DOI":"10.21653\/tfrd.369968","volume":"29","author":"MS \u015eipal","year":"2010","unstructured":"\u015eipal MS, Demir N, Arslan SS, Karaduman A. Examination of saliva control problem and salivation in children with spastic and dyskinetic cerebral palsy. Turk J Physiother Rehabil. 2010;29(3):85\u201394. https:\/\/doi.org\/10.21653\/tfrd.369968.","journal-title":"Turk J Physiother Rehabil"},{"issue":"3\u20134","key":"10666_CR13","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1038\/sj.bdj.4807284","volume":"169","author":"WM Edgar","year":"1990","unstructured":"Edgar WM. Saliva and dental health. Clinical implications of saliva: report of a consensus meeting. Br Dent J. 1990;169(3\u20134):96\u20138. https:\/\/doi.org\/10.1038\/sj.bdj.4807284.","journal-title":"Br Dent J."},{"issue":"3","key":"10666_CR14","first-page":"303","volume":"2","author":"G Iorgulescu","year":"2009","unstructured":"Iorgulescu G. Saliva between normal and pathological. Important factors in determining systemic and oral health. J Med Life. 2009;2(3):303\u20137.","journal-title":"J Med Life."},{"key":"10666_CR15","first-page":"279","volume-title":"International Dental Conference of Sumatera Utara 2017 (IDCSU 2017)","author":"S Nelis","year":"2018","unstructured":"Nelis S. Relationship between Salivary Flow Rates and the Amount of Candida in Saliva in Smokers. In: International Dental Conference of Sumatera Utara 2017 (IDCSU 2017). Dordrecht: Atlantis Press; 2018. p. 279\u201381."},{"issue":"6","key":"10666_CR16","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1111\/j.1469-8749.2008.03243.x","volume":"51","author":"CE Erasmus","year":"2009","unstructured":"Erasmus CE, Van Hulst K, Rotteveel LJ, et al. Drooling in cerebral palsy: hypersalivation or dysfunctional oral motor control? Dev Med Child Neurol. 2009;51(6):454\u20139. https:\/\/doi.org\/10.1111\/j.1469-8749.2008.03243.x.","journal-title":"Dev Med Child Neurol"},{"issue":"9","key":"10666_CR17","doi-asserted-by":"publisher","first-page":"1670","DOI":"10.1002\/mds.23720","volume":"26","author":"JG Kalf","year":"2011","unstructured":"Kalf JG, Munneke M, van den Engel-Hoek L, et al. Pathophysiology of diurnal drooling in Parkinson\u2019s disease. Mov Disord. 2011;26(9):1670\u20136. https:\/\/doi.org\/10.1002\/mds.23720.","journal-title":"Mov Disord"},{"issue":"5","key":"10666_CR18","first-page":"E449","volume":"11","author":"C Llena-Puy","year":"2006","unstructured":"Llena-Puy C. The r\u00f4le of saliva in maintaining oral health and as an aid to diagnosis. Med Oral Patol Oral Cir Bucal. 2006;11(5):E449\u201355.","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"10666_CR19","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1016\/B978-1-4377-3796-7.00056-2","volume-title":"Evidence-based practice in palliative medicine","author":"E Lindenberger","year":"2013","unstructured":"Lindenberger E, Meier DE. What special considerations are needed for individuals with amyotrophic lateral sclerosis, multiple sclerosis, or Parkinson disease? In: Evidence-based practice in palliative medicine. Philadelphia: WB Saunders; 2013. p. 317\u201329."},{"issue":"10","key":"10666_CR20","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1007\/s11940-017-0470-5","volume":"19","author":"Y Safarpour","year":"2017","unstructured":"Safarpour Y, Mousavi T, Jabbari B. Botulinum toxin treatment in multiple sclerosis-a review. Curr Treat Options Neurol. 2017;19(10):33. https:\/\/doi.org\/10.1007\/s11940-017-0470-5.","journal-title":"Curr Treat Options Neurol."},{"issue":"1","key":"10666_CR21","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1002\/ana.1032","volume":"50","author":"WI McDonald","year":"2001","unstructured":"McDonald WI, Compston A, Edan G, et al. Recommended diagnostic criteria for multiple sclerosis: guidelines from the international panel on the diagnosis of multiple sclerosis. Ann Neurol. 2001;50(1):121\u20137. https:\/\/doi.org\/10.1002\/ana.1032.","journal-title":"Ann Neurol"},{"issue":"3","key":"10666_CR22","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","volume":"12","author":"MF Folstein","year":"1975","unstructured":"Folstein MF, Folstein SE, McHugh PR. \u201cMini-mental state\u201d. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189\u201398. https:\/\/doi.org\/10.1016\/0022-3956(75)90026-6.","journal-title":"J Psychiatr Res."},{"issue":"4","key":"10666_CR23","first-page":"273","volume":"13","author":"C G\u00fcngen","year":"2002","unstructured":"G\u00fcngen C, Ertan T, Eker E, Ya\u015far R, Engin F. Standardize Mini Mental test\u2019in t\u00fcrk toplumunda hafif demans tanisinda ge\u00e7erlik ve g\u00fcvenilirli\u011fi [Reliability and validity of the standardized mini mental state examination in the diagnosis of mild dementia in Turkish population]. Turk Psikiyatri Derg. 2002;13(4):273\u201381.","journal-title":"Turk Psikiyatri Derg"},{"issue":"11","key":"10666_CR24","doi-asserted-by":"publisher","first-page":"1444","DOI":"10.1212\/wnl.33.11.1444","volume":"33","author":"JF Kurtzke","year":"1983","unstructured":"Kurtzke JF. Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology. 1983;33(11):1444\u201352. https:\/\/doi.org\/10.1212\/wnl.33.11.1444.","journal-title":"Neurology"},{"issue":"2","key":"10666_CR25","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1007\/BF02412423","volume":"3","author":"N Thomas-Stonell","year":"1988","unstructured":"Thomas-Stonell N, Greenberg J. Three treatment approaches and clinical factors in the reduction of drooling. Dysphagia. 1988;3(2):73\u20138. https:\/\/doi.org\/10.1007\/BF02412423.","journal-title":"Dysphagia"},{"issue":"3","key":"10666_CR26","first-page":"159","volume":"24","author":"R Bergamaschi","year":"2009","unstructured":"Bergamaschi R, Rezzani C, Minguzzi S, et al. Validation of the DYMUS questionnaire for the assessment of dysphagia in multiple sclerosis. Funct Neurol. 2009;24(3):159\u201362.","journal-title":"Funct Neurol"},{"issue":"3","key":"10666_CR27","doi-asserted-by":"publisher","first-page":"243","DOI":"10.5152\/npa.2016.18105","volume":"55","author":"EG Tenekeci","year":"2016","unstructured":"Tenekeci EG, Kara B, \u00c7etiz A, Demirkaya \u015e, Demir N, A\u00e7ikel C. Validity and reliability of the Turkish version of the questionnaire for the assessment of dysphagia in multiple sclerosis. Noro Psikiyatr Ars. 2016;55(3):243\u20137. https:\/\/doi.org\/10.5152\/npa.2016.18105.","journal-title":"Noro Psikiyatr Ars."},{"issue":"10","key":"10666_CR28","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1001\/archneur.1989.00520460115022","volume":"46","author":"LB Krupp","year":"1989","unstructured":"Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol. 1989;46(10):1121\u20133. https:\/\/doi.org\/10.1001\/archneur.1989.00520460115022.","journal-title":"Arch Neurol"},{"issue":"1","key":"10666_CR29","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1097\/MRR.0b013e3280146ec4","volume":"30","author":"K Armutlu","year":"2007","unstructured":"Armutlu K, Korkmaz NC, Keser I, et al. The validity and reliability of the fatigue severity scale in Turkish multiple sclerosis patients. Int J Rehabil Res. 2007;30(1):81\u20135. https:\/\/doi.org\/10.1097\/MRR.0b013e3280146ec4.","journal-title":"Int J Rehabil Res"},{"key":"10666_CR30","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1016\/j.jocn.2023.01.006","volume":"108","author":"O Mirmosayyeb","year":"2023","unstructured":"Mirmosayyeb O, Ebrahimi N, Shekarian A, Afshari-Safavi A, Shaygannejad V, Barzegar M, Bagherieh S. Prevalence of dysphagia in patients with multiple sclerosis: a systematic review and meta-analysis. J Clin Neurosci. 2023;108:84\u201394. https:\/\/doi.org\/10.1016\/j.jocn.2023.01.006. (Epub 2023 Jan 9 PMID: 36630841).","journal-title":"J Clin Neurosci"},{"issue":"1","key":"10666_CR31","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1034\/j.1600-0404.2002.10062.x","volume":"105","author":"P Calcagno","year":"2002","unstructured":"Calcagno P, Ruoppolo G, Grasso MG, De Vincentiis M, Paolucci S. Dysphagia in multiple sclerosis\u2014prevalence and prognostic factors. Acta Neurol Scand. 2002;105(1):40\u20133. https:\/\/doi.org\/10.1034\/j.1600-0404.2002.10062.x. (PMID: 11903107).","journal-title":"Acta Neurol Scand"},{"issue":"11","key":"10666_CR32","doi-asserted-by":"publisher","first-page":"1759","DOI":"10.1007\/s00405-009-1003-y","volume":"266","author":"B Yamout","year":"2009","unstructured":"Yamout B, Fuleihan N, Hajj T, Sibai A, Sabra O, Rifai H, Hamdan AL. Vocal symptoms and acoustic changes in relation to the expanded disability status scale, duration and stage of disease in patients with multiple sclerosis. Eur Arch Otorhinolaryngol. 2009;266(11):1759\u201365. https:\/\/doi.org\/10.1007\/s00405-009-1003-y. (Epub 2009 Jun 10 PMID: 19513739).","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"4","key":"10666_CR33","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1016\/s0303-8467(02)00053-7","volume":"104","author":"A De Pauw","year":"2002","unstructured":"De Pauw A, Dejaeger E, D\u2019hooghe B, Carton H. Dysphagia in multiple sclerosis. Clin Neurol Neurosurg. 2002;104(4):345\u201351. https:\/\/doi.org\/10.1016\/s0303-8467(02)00053-7. (PMID: 12140103).","journal-title":"Clin Neurol Neurosurg."},{"issue":"5","key":"10666_CR34","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1111\/ane.12893","volume":"137","author":"CJ Mao","year":"2018","unstructured":"Mao CJ, Xiong YT, Wang F, et al. Motor subtypes and other risk factors associated with drooling in Parkinson\u2019s disease patients. Acta Neurol Scand. 2018;137(5):509\u201314. https:\/\/doi.org\/10.1111\/ane.12893.","journal-title":"Acta Neurol Scand"},{"issue":"6","key":"10666_CR35","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1007\/s00455-020-10102-5","volume":"35","author":"DJ van Wamelen","year":"2020","unstructured":"van Wamelen DJ, Leta V, Johnson J, et al. Drooling in Parkinson\u2019s disease: prevalence and progression from the non-motor international longitudinal study. Dysphagia. 2020;35(6):955\u201361. https:\/\/doi.org\/10.1007\/s00455-020-10102-5.","journal-title":"Dysphagia"},{"issue":"3","key":"10666_CR36","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.parkreldis.2014.12.004","volume":"21","author":"R Ou","year":"2015","unstructured":"Ou R, Guo X, Wei Q, et al. Prevalence and clinical correlates of drooling in Parkinson disease: a study on 518 Chinese patients. Parkinsonism Relat Disord. 2015;21(3):211\u20135. https:\/\/doi.org\/10.1016\/j.parkreldis.2014.12.004.","journal-title":"Parkinsonism Relat Disord"},{"issue":"1","key":"10666_CR37","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1111\/j.1468-1331.2011.03402.x","volume":"19","author":"S Perez-Lloret","year":"2012","unstructured":"Perez-Lloret S, N\u00e8gre-Pag\u00e8s L, Ojero-Senard A, et al. Oro-buccal symptoms (dysphagia, dysarthria, and sialorrhea) in patients with Parkinson\u2019s disease: preliminary analysis from the French COPARK cohort. Eur J Neurol. 2012;19(1):28\u201337. https:\/\/doi.org\/10.1111\/j.1468-1331.2011.03402.x.","journal-title":"Eur J Neurol"},{"issue":"1","key":"10666_CR38","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1002\/mds.21152","volume":"22","author":"S Perez Lloret","year":"2007","unstructured":"Perez Lloret S, Pir\u00e1n Arce G, Rossi M, Caivano Nemet ML, Salsamendi P, Merello M. Validation of a new scale for the evaluation of sialorrhea in patients with Parkinson\u2019s disease. Mov Disord. 2007;22(1):107\u201311. https:\/\/doi.org\/10.1002\/mds.21152.","journal-title":"Mov Disord"},{"issue":"2","key":"10666_CR39","doi-asserted-by":"publisher","first-page":"222","DOI":"10.2478\/v10039-010-0034-3","volume":"55","author":"D Otapowicz","year":"2010","unstructured":"Otapowicz D, Sobaniec W, Okurowska-Zawada B, et al. Dysphagia in children with infantile cerebral palsy. Adv Med Sci. 2010;55(2):222\u20137. https:\/\/doi.org\/10.2478\/v10039-010-0034-3.","journal-title":"Adv Med Sci"},{"issue":"1","key":"10666_CR40","doi-asserted-by":"publisher","first-page":"49","DOI":"10.29399\/npa.28053","volume":"60","author":"G Gen\u00e7","year":"2022","unstructured":"Gen\u00e7 G, Atalar MS. Reliability and validity study of a turkish version of the sialorrhea clinical scale for Parkinson\u2019s disease (SCS-TR). Noro Psikiyatr Ars. 2022;60(1):49\u201354. https:\/\/doi.org\/10.29399\/npa.28053.","journal-title":"Noro Psikiyatr Ars."},{"issue":"1\u20132","key":"10666_CR41","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1159\/000348571","volume":"70","author":"AQ Rana","year":"2013","unstructured":"Rana AQ, Khondker S, Kabir A, Owalia A, Khondker S, Emre M. Impact of cognitive dysfunction on drooling in Parkinson\u2019s disease. Eur Neurol. 2013;70(1\u20132):42\u20135. https:\/\/doi.org\/10.1159\/000348571.","journal-title":"Eur Neurol"},{"issue":"6","key":"10666_CR42","doi-asserted-by":"publisher","first-page":"809","DOI":"10.1007\/s00455-018-9906-7","volume":"33","author":"H Reynolds","year":"2018","unstructured":"Reynolds H, Miller N, Walker R. Drooling in Parkinson\u2019s disease: evidence of a role for divided attention. Dysphagia. 2018;33(6):809\u201317. https:\/\/doi.org\/10.1007\/s00455-018-9906-7.","journal-title":"Dysphagia"}],"container-title":["Dysphagia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-024-10666-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00455-024-10666-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00455-024-10666-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T09:04:27Z","timestamp":1727946267000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00455-024-10666-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,19]]},"references-count":42,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10666"],"URL":"https:\/\/doi.org\/10.1007\/s00455-024-10666-6","relation":{},"ISSN":["0179-051X","1432-0460"],"issn-type":[{"type":"print","value":"0179-051X"},{"type":"electronic","value":"1432-0460"}],"subject":[],"published":{"date-parts":[[2024,2,19]]},"assertion":[{"value":"23 March 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}