Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal Dysphagia.

Abstract:

:We tested two hypotheses using surface electrical stimulation in chronic pharyngeal dysphagia: that stimulation (1) lowered the hyoid bone and/or larynx when applied at rest, and (2) increased aspiration, penetration, or pharyngeal pooling during swallowing. Bipolar surface electrodes were placed on the skin overlying the submandibular and laryngeal regions. Maximum tolerated levels of stimulation were applied while patients held their mouth closed at rest. Videofluoroscopic recordings were used to measure hyoid movements in the superior-inferior and anterior-posterior dimensions and the subglottic air column position while stimulation was on or off. Patients swallowed 5 ml liquid when stimulation was off, at low sensory stimulation levels, and at maximum tolerated levels (motor). Speech pathologists, blinded to condition, tallied the frequency of aspiration, penetration, pooling, and esophageal entry from videofluorographic recordings of swallows. Only significant (p = 0.0175) hyoid depression occurred during stimulation at rest. Aspiration and pooling were significantly reduced only with low sensory threshold levels of stimulation (p = 0.025) and not during maximum levels of surface electrical stimulation. Those patients who had reduced aspiration and penetration during swallowing with stimulation had greater hyoid depression during stimulation at rest (p = 0.006). Stimulation may have acted to resist patients' hyoid elevation during swallowing.

journal_name

Dysphagia

journal_title

Dysphagia

authors

Ludlow CL,Humbert I,Saxon K,Poletto C,Sonies B,Crujido L

doi

10.1007/s00455-006-9029-4

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

1-10

issue

1

eissn

0179-051X

issn

1432-0460

journal_volume

22

pub_type

杂志文章
  • Correlates of Early Pharyngeal High-Resolution Manometry Adoption in Expert Speech-Language Pathologists.

    abstract::Pharyngeal high-resolution manometry (HRM) is at a point of entry into speech-language pathologist (SLP) clinical practice. However, the demographic characteristics of SLPs who are early adopters of HRM are unclear; perspectives of early adopters may shape how the technology is received by the field at large. We hypot...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9941-4

    authors: Jones CA,Forgues AL,Rogus-Pulia NM,Orne J,Macdonald CL,Connor NP,McCulloch TM

    更新日期:2019-06-01 00:00:00

  • Modulation of activity in swallowing motor cortex following esophageal acidification: a functional magnetic resonance imaging study.

    abstract::Esophageal acid exposure induces sensory and motility changes in the upper gastrointestinal tract; however, the mechanisms involved and the effects on activity in the brain regions that control swallowing are unknown. The aim of this study was to examine functional changes in the cortical swallowing network as a resul...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-007-9114-3

    authors: Paine PA,Hamdy S,Chitnis X,Gregory LJ,Giampietro V,Brammer M,Williams S,Aziz Q

    更新日期:2008-06-01 00:00:00

  • A comparison of the reliability and stability of oro-lingual swallowing pressures in patients with head and neck cancer and healthy adults.

    abstract::The ability to measure normality and abnormality and to accurately assess true changes in swallowing function over time, is important for the management of dysphagia. Despite this, there is a paucity of information regarding the stability and reliability of measurements tools used for dysphagia research. As both head ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-008-9181-0

    authors: White R,Cotton SM,Hind J,Robbins J,Perry A

    更新日期:2009-06-01 00:00:00

  • Co-occurrence of Dystonic and Dyskinetic Tongue Movements with Oral Apraxia in Post-regression Dysphagia in Classical Rett Syndrome Years of Life 1 Through 5.

    abstract::We do not know the natural history of dysphagia in classical Rett syndrome (RTT) by stage or age. This study investigated swallowing physiology in 23 females ages 1:7 to 5:8 (years, months) with classical Rett syndrome to determine common and distinguishing features of dysphagia in post-regression early Pseudostationa...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-014-9587-9

    authors: Abraham SS,Taragin B,Djukic A

    更新日期:2015-04-01 00:00:00

  • Oral and pharyngeal transit of a paste bolus in Chagas' disease.

    abstract::We measured the oral and pharyngeal transit of a paste bolus in 20 patients with Chagas' disease and 21 controls. Each subject swallowed of a 10-ml paste bolus prepared with 50 ml of water and 4.5 g of instant food thickener labeled with 55.5 MBq of 99m technetium phytate. After the scintigraphic recording of the tran...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-007-9101-8

    authors: Gomes FR,Secaf M,Kubo TT,Dantas RO

    更新日期:2008-03-01 00:00:00

  • The impact of dairy consumption on salivary inoculum.

    abstract::Quantitative levels of harmful oral microbes present following complex surgical excisions of head and neck cancer are important since wounds are often contaminated through direct connection to the oral cavity and its flora. This possibility is especially important in irradiated patients who have decreased protective s...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-013-9508-3

    authors: Schutt CA,Neubauer P,Paskhover B,Fang-Yong L,Sasaki CT

    更新日期:2014-04-01 00:00:00

  • Limited value of overhead films in esophageal studies.

    abstract::In 200 barium examinations of the esophagus, the routine use of three overhead films made no substantive contribution to better diagnosis. These data suggest that except as requested by the fluoroscopist, overhead films may be omitted from esophageal studies. ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF02408040

    authors: Schultz EH Jr

    更新日期:1989-01-01 00:00:00

  • Effect of aging on the deglutitive oral, pharyngeal, and esophageal motor function.

    abstract::Aging affects some members of the swallowing orchestra and spares the others. It seems that changes in the pharynx of the elderly are more of a positive nature than a negative one and reflect an adaptation to age-induced structural changes of the upper esophageal sphincter. In the esophagus, the positive change in deg...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF00301914

    authors: Shaker R,Lang IM

    更新日期:1994-10-01 00:00:00

  • Correlation Between EAT-10 and Aspiration Risk Differs by Dysphagia Etiology.

    abstract::Agreement between self-reported dysphagic symptoms and actual swallowing physiology can vary widely across individuals. The Eating Assessment Tool-10 (EAT-10) is a self-report questionnaire commonly used to identify individuals with oropharyngeal dysphagia, but its interpretation for highly prevalent populations is po...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-021-10244-0

    authors: Bartlett RS,Kenz MK,Wayment HA,Thibeault SL

    更新日期:2021-01-24 00:00:00

  • Oral Alimentation in Neonatal and Adult Populations Requiring High-Flow Oxygen via Nasal Cannula.

    abstract::Use of high-flow oxygen via nasal cannula (HFO2-NC) is increasingly common in intensive care unit (ICU) settings. Despite the critical interface between respiration and swallowing, and the high acuity of patients in ICUs, the impact of HFO2-NC on feeding and swallowing is unknown. The present prospective, single-cente...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-015-9669-3

    authors: Leder SB,Siner JM,Bizzarro MJ,McGinley BM,Lefton-Greif MA

    更新日期:2016-04-01 00:00:00

  • Modern solid state computerized manometry of the pharyngoesophageal segment.

    abstract::There has been renewed interest in the use of manometry of the pharyngoesophageal segment in the investigation of pharyngeal dysphagia. Advances in technology have alleviated previous difficulties presented by factors such as the rapid response rate of the striated muscle and asymmetry of the upper esophageal sphincte...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF01354550

    authors: Castell JA,Castell DO

    更新日期:1993-01-01 00:00:00

  • Inter-rater Reliability of the Dysphagia Outcome and Severity Scale (DOSS): Effects of Clinical Experience, Audio-Recording and Training.

    abstract::The Dysphagia Outcome and Severity Scale (DOSS) is widely used to measure dysphagia severity based on videofluoroscopy (VFSS). This study investigated inter-rater reliability (IRR) of the DOSS. It also determined the effect of clinical experience, VFSS audio-recording and training on DOSS IRR. A quantitative prospecti...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9857-4

    authors: Zarkada A,Regan J

    更新日期:2018-06-01 00:00:00

  • A prospective assessment of the characteristics of dysphagia in myasthenia gravis.

    abstract::Fatigable muscle weakness is the clinical hallmark of the human autoimmune disease myasthenia gravis (MG). Weakness of the oropharyngeal muscles produces dysphagia, which continues to be a major source of morbidity in MG. In this study we prospectively assessed 20 patients with myasthenia gravis who described difficul...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-001-0114-4

    authors: Colton-Hudson A,Koopman WJ,Moosa T,Smith D,Bach D,Nicolle M

    更新日期:2002-04-01 00:00:00

  • Promoting safe swallowing when puree is swallowed without aspiration but thin liquid is aspirated: nectar is enough.

    abstract::The use of thickened liquids is a common compensatory strategy to improve swallow safety. The purpose of this study was to determine the optimal liquid viscosity to use to promote successful swallowing in a specific subset of dysphagic patients who swallow puree without aspiration but thin liquid with aspiration. A re...

    journal_title:Dysphagia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00455-012-9412-2

    authors: Leder SB,Judson BL,Sliwinski E,Madson L

    更新日期:2013-03-01 00:00:00

  • Reliable lip force measurement in healthy controls and in patients with stroke: a methodologic study.

    abstract::A prefabricated oral screen has shown promising results as a muscle self-training device to improve the lip function of stroke patients affected by oropharyngeal dysphagia. However, a technique for the measurement of lip muscle force, whether in healthy individuals or in stroke patients, is lacking. The present study ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-007-9143-y

    authors: Hägg M,Olgarsson M,Anniko M

    更新日期:2008-09-01 00:00:00

  • Chin tuck for prevention of aspiration: effectiveness and appropriate posture.

    abstract::Chin tuck has been has been widely used to prevent aspiration in the patients with dysphagia. This study was performed to investigate the effectiveness and the degree of optimal neck flexion of chin tuck. Ninety-seven patients who showed aspiration in the videofluoroscopic swallow study (VFSS). Participants were group...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-014-9551-8

    authors: Ra JY,Hyun JK,Ko KR,Lee SJ

    更新日期:2014-10-01 00:00:00

  • Economic Analysis of a Three-Arm RCT Exploring the Delivery of Intensive, Prophylactic Swallowing Therapy to Patients with Head and Neck Cancer During (Chemo)Radiotherapy.

    abstract::Research advocates for the use of intensive, prophylactic swallowing therapy to help reduce the severity of dysphagia in patients receiving (chemo)radiotherapy ([C]RT) for head/neck cancer (HNC). Unfortunately, the intensity of this therapy, coupled with growing patient numbers and limited clinical resources, provides...

    journal_title:Dysphagia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00455-018-9960-1

    authors: Wall LR,Kularatna S,Ward EC,Cartmill B,Hill AJ,Isenring E,Byrnes J,Porceddu SV

    更新日期:2019-10-01 00:00:00

  • Within-Bolus Variability of the Penetration-Aspiration Scale Across Two Subsequent Swallows in Patients with Head and Neck Cancer.

    abstract::To compare two consecutive swallowing attempts to study if there is a difference in Rosenbek's penetration-aspiration scale (PAS) scores between the first and second swallowing attempt of the same bolus type in videofluoroscopic examination of swallowing (VFS). Additional aims include reflecting on which bolus sizes a...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-017-9814-2

    authors: Hedström J,Tuomi L,Andersson M,Dotevall H,Osbeck H,Finizia C

    更新日期:2017-10-01 00:00:00

  • The effect of barium on perceptions of taste intensity and palatability.

    abstract::Barium may affect the perception of taste intensity and palatability. Such differences are important considerations in the selection of dysphagia assessment strategies and interpretation of results. Eighty healthy women grouped by age (younger, older) and genetic taste status (supertaster, nontaster) rated intensity a...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-013-9487-4

    authors: Dietsch AM,Solomon NP,Steele CM,Pelletier CA

    更新日期:2014-02-01 00:00:00

  • Dysphagia--ingestion or deglutition?: a proposed paradigm.

    abstract::The current classifications of dysphagia are based on local structural or central nervous system pathology causing dysfunction of the aerodigestive tract. The result is a clinical science grounded in the analysis of the swallow with its lingual, pharyngeal, and esophageal stages. Adding bolus preparation to the swallo...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/PL00009537

    authors: Leopold NA,Kagel MC

    更新日期:1997-10-01 00:00:00

  • Swallowing apraxia: a disorder of the Praxis system?

    abstract::The purpose of this review is to evaluate the disorder of swallowing apraxia and determine how it fits into the praxis system. Swallowing apraxia, a proposed disorder of lingual, labial, and mandibular coordination, has been observed before bolus transfer during the oral stage of swallowing. Although frequently discus...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s004550010019

    authors: Daniels SK

    更新日期:2000-07-01 00:00:00

  • A study of the early stage of Dysphagia in amyotrophic lateral sclerosis.

    abstract::In amyotrophic lateral sclerosis (ALS) patients, dysphagia eventually occurs independent of time of onset. We studied dysphagia conditions in the early stage of ALS, principally at the oral phase. Videofluoroscopic and manometric studies were conducted on 11 patients (5 males and 6 females, age range = 47-82 years) wh...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-002-0074-3

    authors: Kawai S,Tsukuda M,Mochimatsu I,Enomoto H,Kagesato Y,Hirose H,Kuroiwa Y,Suzuki Y

    更新日期:2003-01-01 00:00:00

  • Oral-motor skills following sensorimotor therapy in two groups of moderately dysphagic children with cerebral palsy: aspiration vs nonaspiration.

    abstract::The purpose of this study was to determine the effect of oral sensorimotor treatment on oral-motor skills and measures of growth in moderately eating impaired children with cerebral palsy who were stratified by state of aspiration/nonaspiration. Twenty-seven children aged 2.5-10.0 years participated in this study (asp...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/BF00385801

    authors: Gisel EG,Applegate-Ferrante T,Benson J,Bosma JF

    更新日期:1996-01-01 00:00:00

  • Dietary management of swallowing disorders.

    abstract::Two major concerns in the dietary management of the dysphagic patient are to maintain adequate nutrition and to ensure safety during oral feeding. Dysphagic patients require modifications of standard hospital diets. Kitchen or nursing staff must remove from standard diet trays solid foods and liquids that pose swallow...

    journal_title:Dysphagia

    pub_type: 杂志文章,评审

    doi:10.1007/BF02493514

    authors: Martin AW

    更新日期:1991-01-01 00:00:00

  • Clinical validity of the SWAL-QOL and SWAL-CARE outcome tools with respect to bolus flow measures.

    abstract::The aim of this study was to quantify the association between a dysphagia-specific quality of life (SWAL-QOL) and quality of care (SWAL-CARE) questionnaire and four measures of bolus flow. Three hundred eighty-six people with oropharyngeal dysphagia completed a videofluoroscopic examination of their swallowing structu...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-005-0026-9

    authors: McHorney CA,Martin-Harris B,Robbins J,Rosenbek J

    更新日期:2006-07-01 00:00:00

  • Relationship between swallowing function and gas exchange during day and night in patients with obstructive sleep apnea syndrome.

    abstract::Patients with obstructive sleep apnea syndrome (OSAS) are likely to exhibit an impaired swallowing reflex. However, mechanisms of disturbed swallowing reflex have not been determined. Because the upper-airway function is inhibited by hypoxia and hypercapnia, we examined the relationship between the swallowing function...

    journal_title:Dysphagia

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00455-001-0083-7

    authors: Teramoto S,Ishii T,Matsuse T

    更新日期:2001-10-01 00:00:00

  • Outcome measurement in dysphagia: not so hard to swallow.

    abstract::This article reports on the use of a new tool from the Australian Therapy Outcome Measures (AusTOMs) set-the Swallowing scale. The scale is one of six, designed to measure outcomes of clients attending speech pathology practices in Australia. The tool was used for six months in clinical practices across 14 healthcare ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-004-0028-z

    authors: Skeat J,Perry A

    更新日期:2005-04-01 00:00:00

  • Screening for Dysphagia in Adult Patients with Stroke: Assessing the Accuracy of Informal Detection.

    abstract::Early identification of dysphagia by screening is recommended best practice for patients admitted to hospital with acute stroke. Screening can reduce the risk of pneumonia and promote stroke recovery, yet some institutions do not utilize a formal screening protocol. This study assessed the accuracy of informal dysphag...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-018-9885-8

    authors: Sherman V,Flowers H,Kapral MK,Nicholson G,Silver F,Martino R

    更新日期:2018-10-01 00:00:00

  • Does removal of tracheostomy affect dysphagia? A kinematic analysis.

    abstract::Tracheostomy tubes are thought to increase the incidence of aspiration and several mechanisms that might cause this have been suggested. Some studies reported alterations in laryngeal elevation during swallowing, which they attributed to an anchoring effect of the tracheostomy tube resulting in dysphagia. The purpose ...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-012-9396-y

    authors: Kang JY,Choi KH,Yun GJ,Kim MY,Ryu JS

    更新日期:2012-12-01 00:00:00

  • A Pilot Study of the Head Extension Swallowing Exercise: New Method for Strengthening Swallowing-Related Muscle Activity.

    abstract::This pilot study examined the effect of a new head extension swallowing exercise (HESE) on submental muscle activity and tongue strength in healthy volunteers. Fifteen young adults (10 females and 5 males) were instructed to extend their head backwards as much as possible, and while watching the ceiling, swallowed the...

    journal_title:Dysphagia

    pub_type: 杂志文章

    doi:10.1007/s00455-016-9732-8

    authors: Oh JC

    更新日期:2016-10-01 00:00:00