Effect of Intermittent Oro-esophageal Tube Feeding on Dysphagic Patients With Parkinson Disease

This study looks at two ways to help people with Parkinson's disease who have trouble swallowing (dysphagia). **Parkinson's disease** is a brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination. In this study, participants will either receive **Intermittent Oro-esophageal Tube Feeding** or **Nasogastric Tube Feeding**. The oro-esophageal tube is a special tube that helps people eat by putting food directly into the stomach, while the nasogastric tube goes through the nose. Researchers want to see which method helps improve nutrition and daily activities better.

Participants are divided into two groups to compare the effects of each feeding method. The study will also explore if a treatment called **stellate ganglion block** can help with swallowing and other daily activities. This involves an injection in the neck to improve nerve function. **Key points to consider:**

• Participants must be over 18 with Parkinson's disease and have trouble swallowing confirmed by a special test.
• The study involves routine therapy and nutritional support.
• Participants cannot have other serious health issues or cognitive problems.