Evaluation of manometric measures during tongue-hold swallows.

Abstract:

PURPOSE:Based on visual inspection, prior research documented increased movement of the posterior pharyngeal wall in healthy volunteers during tongue-hold swallows. This manometric study investigated the immediate effects of the tongue-hold maneuver on pharyngeal peak pressure generation, duration of pressure generation, and pressure slope measurements in healthy volunteers. METHOD:Pharyngeal pressures from 40 young, healthy individuals (mean age = 25.8 years, gender equally distributed) were recorded at 3 locations: oropharynx, hypopharynx, and upper esophageal sphincter (UES), during normal control and tongue-hold swallows. Measures of peak amplitude, duration, and slope of pressure generation were subjected to statistical analysis. RESULTS:Tongue-hold swallows produced lower pharyngeal peak pressure and shorter pharyngeal pressure durations compared to control swallows. Further, tongue-hold swallows produced lower UES relaxation pressures. Between sensors, peak pressure was lower and pressure slopes were steeper in the hypopharynx compared to the oropharynx. Several gender-specific differences were found for pharyngeal peak pressure, pressure duration, and pressure slopes. CONCLUSIONS:Reduced amplitude and duration of pharyngeal peak pressure is likely a result of decreased base of tongue retraction during tongue-hold swallows. Central clinical considerations and future research directions are discussed in this article.

authors

Doeltgen SH,Witte U,Gumbley F,Huckabee ML

doi

10.1044/1058-0360(2008/06-0061)

subject

Has Abstract

pub_date

2009-02-01 00:00:00

pages

65-73

issue

1

eissn

1058-0360

issn

1558-9110

pii

1058-0360_2008_06-0061

journal_volume

18

pub_type

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