4 D ISC U S SIO N ............................................................................... 39 Prim ary A im .......................................39 M measures of B olus Transit........................................................ ............... 39 Measures of Penetration/Aspiration .............. ..............................................42 Q quality of Life .............................................................................. 43 Exploratory Study ............... ................. ......................... ............ 44 Lim stations and Strengths ........................................................................... 47 Im plications for Future R esearch.......................................... ........... ............... 48 Implications for Swallow Intervention ........... ................................. ...............48 APPENDIX A UNIFIED PARKINSON'S DISEASE RATING SCALE (UPDRS).......................50 B TH E SW A L -Q O L SU R V EY ........................................................... .....................56 B IO G R A PH IC A L SK E TCH ..................................................................... ..................74