Effect of the Effortful Swallow on Pharyngeal Cavity Volume: Kinematic Analysis in Three Dimensions Using 320-Row Area Detector Computed Tomography.
Deglutition
Deglutition disorders
Effortful swallow
Multidetector computed tomography
Pharyngeal cavity
Rehabilitation
Journal
Dysphagia
ISSN: 1432-0460
Titre abrégé: Dysphagia
Pays: United States
ID NLM: 8610856
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
13
03
2022
accepted:
27
10
2022
medline:
10
7
2023
pubmed:
8
1
2023
entrez:
7
1
2023
Statut:
ppublish
Résumé
This study evaluated the effects of the effortful swallow (ES) on pharyngeal cavity volume using three-dimensional kinematic analyses. Nine healthy volunteers (30.7 ± 7.8 years old) underwent a CT scan while swallowing 10 ml of honey thick liquid using no maneuvers (control) and during an ES. Upper and lower volumes (bordered by valleculae) of the pharyngeal air column and the bolus were measured at every frame and were compared between ES and control swallows. Duration of pharyngeal obliteration and the timing of swallowing events were also measured. Maximum volume and volume at the onset of hyoid anterosuperior movement using ES were significantly smaller than those in control swallows (p = 0.012, p = 0.015) in the upper pharynx but not significantly different in lower pharynx. Minimum pharyngeal volume was sustained for a longer time when ES was used compared to control swallows in both upper and lower pharynx (upper p = 0.016, lower p = 0.027). Onset of velopharyngeal closure was earlier when comparing ES and control swallows (p = 0.04). Termination of all events was significantly delayed when the ES was used (p < 0.05). Changes in the upper pharyngeal volume and in the onset of velopharyngeal closure suggest earlier pharyngeal constriction when using the ES. Longer pharyngeal obliteration and prolonged termination of velopharyngeal closure and epiglottis inversion suggest the prolonged pharyngeal constriction during the ES. These findings suggest the ES can be useful for improving the efficiency of swallowing.
Identifiants
pubmed: 36609563
doi: 10.1007/s00455-022-10539-w
pii: 10.1007/s00455-022-10539-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1138-1145Subventions
Organisme : JSPS KAKENHI
ID : 19K11310
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Hind JA, Nicosia MA, Roecker EB, Carnes ML, Robbins J. Comparison of effortful and noneffortful swallows in healthy middle-aged and older adults. Arch Phys Med Rehabil. 2001;82(12):1661–5.
doi: 10.1053/apmr.2001.28006
pubmed: 11733879
Huckabee ML, Butler SG, Barclay M, Jit S. Submental surface electromyographic measurement and pharyngeal pressures during normal and effortful swallowing. Arch Phys Med Rehabil. 2005;86(11):2144–9.
doi: 10.1016/j.apmr.2005.05.005
pubmed: 16271562
Fukuoka T, Ono T, Hori K, Tamine K, Nozaki S, Shimada K, et al. Effect of the effortful swallow and the Mendelsohn maneuver on tongue pressure production against the hard palate. Dysphagia. 2013;28(4):539–47.
doi: 10.1007/s00455-013-9464-y
pubmed: 23576155
Yeates EM, Steele CM, Pelletier CA. Tongue pressure and submental surface electromyography measures during noneffortful and effortful saliva swallows in healthy women. Am J Speech-Lang Pathol. 2010;19(3):274–81.
doi: 10.1044/1058-0360(2010/09-0040)
pubmed: 20543016
Huckabee ML, Steele CM. An analysis of lingual contribution to submental surface electromyographic measures and pharyngeal pressure during effortful swallow. Arch Phys Med Rehabil. 2006;87(8):1067–72.
doi: 10.1016/j.apmr.2006.04.019
pubmed: 16876551
Steele CM, Huckabee ML. The influence of orolingual pressure on the timing of pharyngeal pressure events. Dysphagia. 2007;22(1):30–6.
doi: 10.1007/s00455-006-9037-4
pubmed: 17024546
Bulow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in healthy volunteers. Dysphagia. 1999;14(2):67–72.
doi: 10.1007/PL00009589
pubmed: 10028035
Bulow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in patients with pharyngeal dysfunction. Dysphagia. 2001;16(3):190–5.
doi: 10.1007/s00455-001-0065-9
pubmed: 11453566
Bulow M, Olsson R, Ekberg O. Supraglottic swallow, effortful swallow, and chin tuck did not alter hypopharyngeal intrabolus pressure in patients with pharyngeal dysfunction. Dysphagia. 2002;17(3):197–201.
doi: 10.1007/s00455-002-0050-y
pubmed: 12140645
Hiss SG, Huckabee ML. Timing of pharyngeal and upper esophageal sphincter pressures as a function of normal and effortful swallowing in young healthy adults. Dysphagia. 2005;20(2):149–56.
doi: 10.1007/s00455-005-0008-y
pubmed: 16172825
Takasaki K, Umeki H, Enatsu K, Tanaka F, Sakihama N, Kumagami H, et al. Investigation of pharyngeal swallowing function using high-resolution manometry. Laryngoscope. 2008;118(10):1729–32.
doi: 10.1097/MLG.0b013e31817dfd02
pubmed: 18641532
Hoffman MR, Mielens JD, Ciucci MR, Jones CA, Jiang JJ, McCulloch TM. High-resolution manometry of pharyngeal swallow pressure events associated with effortful swallow and the Mendelsohn maneuver. Dysphagia. 2012;27:418.
doi: 10.1007/s00455-011-9385-6
pubmed: 22215280
pmcid: 3717357
Fritz M, Cerrati E, Fang Y, Verma A, Achlatis S, Lazarus C, et al. Magnetic resonance imaging of the effortful swallow. Ann Otol Rhinol Laryngol. 2014;123(11):786–90.
doi: 10.1177/0003489414538607
pubmed: 24916396
Inamoto Y, Gonzalez-Fernandez M, Saitoh E. 3D-CT evaluation of swallowing: metrics of the swallowing response using swallowing CT. Dysphagia. 2021;37:237.
doi: 10.1007/s00455-021-10288-2
pubmed: 33818630
pmcid: 8948108
Agrawal D, Kern M, Edeani F, Balasubramanian G, Hyngstrom A, Sanvanson P, et al. Swallow strength training exercise for elderly: a health maintenance need. Neurogastroenterol Motil. 2018;30(10): e13382.
doi: 10.1111/nmo.13382
pubmed: 29956861
pmcid: 6160333
Inamoto Y, Saitoh E, Okada S, Kagaya H, Shibata S, Ota K, et al. The effect of bolus viscosity on laryngeal closure in swallowing: kinematic analysis using 320-row area detector CT. Dysphagia. 2013;28(1):33–42.
doi: 10.1007/s00455-012-9410-4
pubmed: 22665214
Olsson R, Kjellin O, Ekberg O. Videomanometric aspects of pharyngeal constrictor activity. Dysphagia. 1996;11(2):83–6.
doi: 10.1007/BF00417894
pubmed: 8721063
Shaker R, Ren J, Podvrsan B, Dodds WJ, Hogan WJ, Kern M, et al. Effect of aging and bolus variables on pharyngeal and upper esophageal sphincter motor function. Am J Physiol. 1993;264(3 Pt 1):G427–32.
pubmed: 8460698
Kahrilas PJ, Logemann JA, Lin S, Ergun GA. Pharyngeal clearance during swallowing: a combined manometric and videofluoroscopic study. Gastroenterology. 1992;103(1):128–36.
doi: 10.1016/0016-5085(92)91105-D
pubmed: 1612322