Clinical measurement of pharyngeal surface electromyography: exploratory research.

Abstract:

BACKGROUND:Dysphagia diagnosis is limited by our inability to evaluate the underlying neuromuscular pathology of swallowing. A novel approach using pharyngeal surface electromyography (PsEMG) has been reported in the literature. OBJECTIVE:Three exploratory projects were undertaken to provide data toward the validation of PsEMG as a clinical measure of pharyngeal physiology. The first evaluates laterality of electrode placement in the pharynx. The second and third evaluate PsEMG using a circumferential and unidirectional electrode, respectively, during swallowing maneuvers. METHODS:In experiment 1, a catheter housing 3 manometric sensors and 1 bipolar PsEMG electrode was randomly inserted in each nares of 10 participants. Moving jaw radiographs were taken, and the PsEMG electrode was measured in millimeters from midline. In experiments 2 and 3, the catheter was placed in 22 and 40 research participants, respectively. Waveform characteristics were collected during swallowing maneuvers. The 2 experiments differed by type of electrode (circumferential, unidirectional) and swallowing maneuver (noneffortful and effortful swallow; noneffortful, effortful, and tongue-hold swallow). RESULTS:Midline electrode placement occurred on 20% of trials with deviation of up to 14.7 mm on all other trials. Maneuver-specific differences in amplitude were not detected with PsEMG; unacceptable levels of intrasubject and intersubject variability were identified. Temporal relationships of PsEMG and pharyngeal manometric pressure appeared appropriate. The unidirectional electrode revealed a unique bimodal PsEMG pattern that may reflect sequential contraction of muscles of the posterior pharyngeal wall. CONCLUSIONS:The current PsEMG design and procedures do not validly measure pharyngeal muscle activity. Recommendations for improved methods are provided.

authors

Doeltgen SH,Hofmayer A,Gumbley F,Witte U,Moran C,Carroll G,Huckabee ML

doi

10.1177/1545968306293448

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

250-62

issue

3

eissn

1545-9683

issn

1552-6844

pii

1545968306293448

journal_volume

21

pub_type

杂志文章
  • Spaced Noninvasive Brain Stimulation: Prospects for Inducing Long-Lasting Human Cortical Plasticity.

    abstract::Neuroplasticity is critical for learning, memory, and recovery of lost function following neurological damage. Noninvasive brain stimulation (NIBS) techniques can induce neuroplastic changes in the human cortex that are behaviorally relevant, raising the exciting possibility that these techniques might be therapeutica...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314562649

    authors: Goldsworthy MR,Pitcher JB,Ridding MC

    更新日期:2015-09-01 00:00:00

  • Auditory, Phonological, and Semantic Factors in the Recovery From Wernicke's Aphasia Poststroke: Predictive Value and Implications for Rehabilitation.

    abstract::Background. Understanding the factors that influence language recovery in aphasia is important for improving prognosis and treatment. Chronic comprehension impairments in Wernicke's aphasia (WA) are associated with impairments in auditory and phonological processing, compounded by semantic and executive difficulties. ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968319868709

    authors: Robson H,Griffiths TD,Grube M,Woollams AM

    更新日期:2019-10-01 00:00:00

  • Changes in activity after a complete spinal cord injury as measured by the Spinal Cord Independence Measure II (SCIM II).

    abstract:BACKGROUND:The assessment of rehabilitation efficacy in spinal cord injury (SCI) should be based on a combination of neurological and functional outcome measures. The Spinal Cord Independence Measure II (SCIM II) is an independence scale that was specifically developed for subjects with SCI. However, little is known ab...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,多中心研究

    doi:10.1177/1545968307306240

    authors: Wirth B,van Hedel HJ,Kometer B,Dietz V,Curt A

    更新日期:2008-03-01 00:00:00

  • Reduced Purposeful Head Movements During Community Ambulation Following Unilateral Vestibular Loss.

    abstract:BACKGROUND:Individuals with unilateral vestibular hypofunction (UVH) alter their movement and reduce mobility to try to stabilize their gaze and avoid symptoms of dizziness and vertigo. OBJECTIVE:To determine if individuals with UVH 6 weeks after surgery demonstrate altered head and trunk kinematics during community a...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968318770271

    authors: Paul SS,Dibble LE,Walther RG,Shelton C,Gurgel RK,Lester ME

    更新日期:2018-04-01 00:00:00

  • Effects of dance on gait and balance in Parkinson's disease: a comparison of partnered and nonpartnered dance movement.

    abstract::Partnered tango dance can improve balance and gait in individuals with Parkinson's disease (PD). Partnered dance may allow these individuals to challenge balance more than nonpartnered dance. Alternatively, partnered practice could reduce balance gains because the participant may rely on the partner as a balance aid w...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968309353329

    authors: Hackney ME,Earhart GM

    更新日期:2010-05-01 00:00:00

  • Implementation Science: Ensuring the Return on Our Research Investment.

    abstract::Implementation is the use of strategies to adopt and integrate evidence-based health interventions and to change practice patterns. In their article, "Implementation-the missing link in the research translation pipeline," Lynch et al1 report that only a small fraction of published stroke rehabilitation research in lea...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 评论,杂志文章

    doi:10.1177/1545968318794904

    authors: Morrato EH

    更新日期:2018-09-01 00:00:00

  • Rehabilitation of gait speed after stroke: a critical review of intervention approaches.

    abstract:PURPOSE:Walking speed is a cardinal indicator of poststroke gait performance; however, no consensus exists regarding the optimal treatment method(s) for its enhancement. The most widely accepted criterion for establishing the contribution of treatment to walking speed is the gain in speed. The actual speed, however, at...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,评审

    doi:10.1177/1545968308315997

    authors: Dickstein R

    更新日期:2008-11-01 00:00:00

  • Mismatch between investigator-determined and patient-reported independence after spinal cord injury: consequences for rehabilitation and trials.

    abstract:OBJECTIVE:This study investigated the course and relationship between investigator-determined and patient-reported level of independence within the first year after spinal cord injury (SCI). The authors examined variables that contributed to these scores. METHODS:In this observational cohort study, 73 patients with tr...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968311407518

    authors: van Hedel HJ,Dokladal P,Hotz-Boendermaker S,EM-SCI Study Group.

    更新日期:2011-11-01 00:00:00

  • Potential predictors of motor and functional outcomes after distributed constraint-induced therapy for patients with stroke.

    abstract:BACKGROUND:Selection of patients who are most and least likely to benefit from constraint-induced therapy (CIT) for the upper extremity is uncertain. OBJECTIVE:This study investigated demographic and clinical characteristics that may predict outcomes for a distributed form of CIT. METHODS:A group of 57 patients were ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968308321773

    authors: Lin KC,Huang YH,Hsieh YW,Wu CY

    更新日期:2009-05-01 00:00:00

  • Does rTMS Targeting Contralesional S1 Enhance Upper Limb Somatosensory Function in Chronic Stroke? A Proof-of-Principle Study.

    abstract:BACKGROUND:Somatosensory deficits are prevalent after stroke, but effective interventions are limited. Brain stimulation of the contralesional primary somatosensory cortex (S1) is a promising adjunct to peripherally administered rehabilitation therapies. OBJECTIVE:To assess short-term effects of repetitive transcrania...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968321989338

    authors: Pundik S,Skelly M,McCabe J,Akbari H,Tatsuoka C,Plow EB

    更新日期:2021-01-29 00:00:00

  • Levodopa Facilitates Prefrontal Cortex Activation During Dual Task Walking in Parkinson Disease.

    abstract::Background. Although dopaminergic medication improves dual task walking in people with Parkinson disease (PD), the underlying neural mechanisms are not yet fully understood. As prefrontal cognitive resources are involved in dual task walking, evaluation of the prefrontal cortex (PFC) is required. Objective. To investi...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968320924430

    authors: Orcioli-Silva D,Vitório R,Nóbrega-Sousa P,da Conceição NR,Beretta VS,Lirani-Silva E,Gobbi LTB

    更新日期:2020-07-01 00:00:00

  • Efficacy of short-term FK506 administration on accelerating nerve regeneration.

    abstract:BACKGROUND:The slow rate of nerve regeneration following injury can cause extended muscle denervation, leading to irreversible muscle atrophy, fibrosis, and destruction of motor endplates. The immunosuppressant FK506 (tacrolimus) has been shown to accelerate the rate of nerve regeneration and functional recovery. Howev...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968311431965

    authors: Yan Y,Sun HH,Hunter DA,Mackinnon SE,Johnson PJ

    更新日期:2012-07-01 00:00:00

  • Spatial and Temporal Control Contribute to Step Length Asymmetry During Split-Belt Adaptation and Hemiparetic Gait.

    abstract:BACKGROUND:Step length asymmetry (SLA) is a common hallmark of gait poststroke. Though conventionally viewed as a spatial deficit, SLA can result from differences in where the feet are placed relative to the body (step position strategy), the timing between foot strikes (step time strategy), or the velocity of the body...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314567149

    authors: Finley JM,Long A,Bastian AJ,Torres-Oviedo G

    更新日期:2015-09-01 00:00:00

  • How long is the recovery of global aphasia? Twenty-five years of follow-up in a patient with left hemisphere stroke.

    abstract:BACKGROUND:Current knowledge regarding the time course of aphasia recovery is based on observations limited to the first years after stroke. OBJECTIVE:The authors studied long-term outcome (25 years) of language in a patient with global aphasia. METHODS:A 37-year-old man with global aphasia from a large ischemic lesi...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968310368962

    authors: Smania N,Gandolfi M,Aglioti SM,Girardi P,Fiaschi A,Girardi F

    更新日期:2010-11-01 00:00:00

  • A single injection of D-amphetamine facilitates improvements in motor training following a focal cortical infarct in squirrel monkeys.

    abstract:BACKGROUND:There is growing interest in the use of D-amphetamine (D-AMPH) as a pharmacological treatment to supplement rehabilitative therapy following stroke. Based on the success of earlier animal models, several clinical studies have demonstrated beneficial effects of applying physical rehabilitation while stroke pa...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968306290773

    authors: Barbay S,Zoubina EV,Dancause N,Frost SB,Eisner-Janowicz I,Stowe AM,Plautz EJ,Nudo RJ

    更新日期:2006-12-01 00:00:00

  • Effects of Tongue Force Training on Bulbar Motor Function in the Female SOD1-G93A Rat Model of Amyotrophic Lateral Sclerosis.

    abstract:BACKGROUND:The use of exercise in amyotrophic lateral sclerosis (ALS) is controversial. Although moderate exercise appears to be beneficial for limb muscles in ALS, the effects of exercise on bulbar muscles such as the tongue have not been studied. OBJECTIVE:To determine the effects of tongue force training on bulbar ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968316666956

    authors: Ma D,Shuler JM,Kumar A,Stanford QR,Tungtur S,Nishimune H,Stanford JA

    更新日期:2017-02-01 00:00:00

  • Effects of treatment intensity in upper limb robot-assisted therapy for chronic stroke: a pilot randomized controlled trial.

    abstract:BACKGROUND AND OBJECTIVES:Robot-assisted therapy (RT) is a current promising intervention in stroke rehabilitation, but more research is warranted for examining its efficacy and the dose-benefit relation. The authors investigated the effects of higher intensity versus lower intensity RT on movements of forearm pronatio...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968310394871

    authors: Hsieh YW,Wu CY,Liao WW,Lin KC,Wu KY,Lee CY

    更新日期:2011-07-01 00:00:00

  • Upper limb robot-assisted therapy in cerebral palsy: a single-blind randomized controlled trial.

    abstract:BACKGROUND:Several pilot studies have evoked interest in robot-assisted therapy (RAT) in children with cerebral palsy (CP). OBJECTIVE:To assess the effectiveness of RAT in children with CP through a single-blind randomized controlled trial. PATIENTS AND METHODS:Sixteen children with CP were randomized into 2 groups. ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968314541172

    authors: Gilliaux M,Renders A,Dispa D,Holvoet D,Sapin J,Dehez B,Detrembleur C,Lejeune TM,Stoquart G

    更新日期:2015-02-01 00:00:00

  • Enhancing the Alignment of the Preclinical and Clinical Stroke Recovery Research Pipeline: Consensus-Based Core Recommendations From the Stroke Recovery and Rehabilitation Roundtable Translational Working Group.

    abstract::Stroke recovery research involves distinct biological and clinical targets compared to the study of acute stroke. Guidelines are proposed for the pre-clinical modeling of stroke recovery and for the alignment of pre-clinical studies to clinical trials in stroke recovery. ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1177/1545968317724285

    authors: Corbett D,Carmichael ST,Murphy TH,Jones TA,Schwab ME,Jolkkonen J,Clarkson AN,Dancause N,Weiloch T,Johansen-Berg H,Nilsson M,McCullough LD,Joy MT

    更新日期:2017-08-01 00:00:00

  • The effects of treadmill exercise training on hip bone density and tibial bone geometry in stroke survivors: a pilot study.

    abstract:BACKGROUND:Individuals with stroke often sustain bone loss on the hemiparetic side and are prone to fragility fractures. Exercise training may be a viable way to promote bone mineral density (BMD) and geometry in this population. OBJECTIVE:This was a pilot study to evaluate the effects of a 6-month treadmill exercise ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968309353326

    authors: Pang MY,Lau RW

    更新日期:2010-05-01 00:00:00

  • Brain-computer interface with language model-electroencephalography fusion for locked-in syndrome.

    abstract:BACKGROUND:Some noninvasive brain-computer interface (BCI) systems are currently available for locked-in syndrome (LIS) but none have incorporated a statistical language model during text generation. OBJECTIVE:To begin to address the communication needs of individuals with LIS using a noninvasive BCI that involves rap...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968313516867

    authors: Oken BS,Orhan U,Roark B,Erdogmus D,Fowler A,Mooney A,Peters B,Miller M,Fried-Oken MB

    更新日期:2014-05-01 00:00:00

  • Fatigue perceived by multiple sclerosis patients is associated with muscle fatigue.

    abstract:BACKGROUND:Fatigue is a debilitating symptom in multiple sclerosis (MS). Previous studies showed no association between fatigue as perceived by the patient and physiological measures of fatigability. OBJECTIVE:The authors investigated associations between perceived fatigue and measures of fatigability after correction...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968311416991

    authors: Steens A,de Vries A,Hemmen J,Heersema T,Heerings M,Maurits N,Zijdewind I

    更新日期:2012-01-01 00:00:00

  • Case control series of intrathecal autologous bone marrow mesenchymal stem cell therapy for chronic spinal cord injury.

    abstract:BACKGROUND:Autologous bone marrow mesenchymal cells that include stem cells (MSCs) are a clinically attractive cellular therapy option to try to treat severe spinal cord injury (SCI). OBJECTIVE:To study the possible value of MSCs injected intrathecally to enhance rehabilitation. METHODS:This case control, convenience...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968310369801

    authors: Kishk NA,Gabr H,Hamdy S,Afifi L,Abokresha N,Mahmoud H,Wafaie A,Bilal D

    更新日期:2010-10-01 00:00:00

  • Transcranial Direct Current Stimulation Enhances Motor Skill Learning but Not Generalization in Chronic Stroke.

    abstract:BACKGROUND:Motor training alone or combined with transcranial direct current stimulation (tDCS) positioned over the motor cortex (M1) improves motor function in chronic stroke. Currently, understanding of how tDCS influences the process of motor skill learning after stroke is lacking. OBJECTIVE:To assess the effects o...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968318769164

    authors: Hamoudi M,Schambra HM,Fritsch B,Schoechlin-Marx A,Weiller C,Cohen LG,Reis J

    更新日期:2018-04-01 00:00:00

  • Efficacy of early physical therapy in severe Bell's palsy: a randomized controlled trial.

    abstract:BACKGROUND:Bell's palsy (BP) is the most frequent form of peripheral palsy of the facial nerve. Prognosis for recovery is good for most patients; in the remaining cases, different grades of residual impairment persist. Physical therapy, in association with drug administration, aims to improve outcomes. OBJECTIVE:To as...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/1545968313481280

    authors: Nicastri M,Mancini P,De Seta D,Bertoli G,Prosperini L,Toni D,Inghilleri M,Filipo R

    更新日期:2013-07-01 00:00:00

  • Kinematics of turning 180 degrees during the timed up and go in stroke survivors with and without falls history.

    abstract:BACKGROUND:Community-dwelling, chronic stroke survivors are at risk of falling during turning and are more likely to sustain a hip fracture when they fall. OBJECTIVE:This study quantifies kinematic differences between stroke survivors (mean +/- SD: 38.3 +/- 31.3 months post-stroke, 59.9 +/- 10.1 years of age), with (n...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968309348508

    authors: Hollands KL,Hollands MA,Zietz D,Wing AM,Wright C,van Vliet P

    更新日期:2010-05-01 00:00:00

  • Using Vision to Study Poststroke Recovery and Test Hypotheses About Neurorehabilitation.

    abstract::Approximately one-third of stroke patients suffer visual field impairment as a result of their strokes. However, studies using the visual pathway as a paradigm for studying poststroke recovery are limited. In this article, we propose that the visual pathway has many features that make it an excellent model system for ...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968319827569

    authors: Busza A,Schneider CL,Williams ZR,Mahon BZ,Sahin B

    更新日期:2019-02-01 00:00:00

  • The relationships between the unified Parkinson's disease rating scale and lower extremity functional performance in persons with early-stage Parkinson's disease.

    abstract:BACKGROUND:The Unified Parkinson's Disease Rating Scale (UPDRS) is the "gold standard" assessment tool for characterizing impairments in persons with Parkinson's disease (PD); however, this scale's ability to predict functional capabilities across different functional tasks has not been adequately assessed in persons w...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968309332878

    authors: Song J,Fisher BE,Petzinger G,Wu A,Gordon J,Salem GJ

    更新日期:2009-09-01 00:00:00

  • Anodal tDCS Combined With Radial Nerve Stimulation Promotes Hand Motor Recovery in the Acute Phase After Ischemic Stroke.

    abstract:BACKGROUND AND OBJECTIVE:The question of the best therapeutic window in which noninvasive brain stimulation (NIBS) could potentiate the plastic changes for motor recovery after a stroke is still unresolved. Most of the previous NIBS studies included patients in the chronic phase of recovery and very few in the subacute...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968314565465

    authors: Sattler V,Acket B,Raposo N,Albucher JF,Thalamas C,Loubinoux I,Chollet F,Simonetta-Moreau M

    更新日期:2015-09-01 00:00:00

  • Targeted aiming movements are compromised in nonaffected limb of persons with stroke.

    abstract:BACKGROUND:Research has shown that movement impairments following stroke are typically associated with the limb contralateral to the side of the stroke. Prior studies identified ipsilateral motor declines across a variety of tasks. OBJECTIVE:Two experiments were conducted to better understand the ipsilateral contribut...

    journal_title:Neurorehabilitation and neural repair

    pub_type: 杂志文章

    doi:10.1177/1545968306297872

    authors: Ketcham CJ,Rodriguez TM,Zihlman KA

    更新日期:2007-09-01 00:00:00