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


: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.






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




Has Abstract


2007-01-01 00:00:00












  • Image-based measurement of post-swallow residue: the normalized residue ratio scale.

    abstract::Post-swallow residue is considered a sign of swallowing impairment. Existing methods for capturing post-swallow residue (perceptual and quantitative) have inherent limitations. We employed several different perceptual and quantitative (ratio) methods for measuring post-swallow residue on the same 40 swallows and addre...


    pub_type: 杂志文章,评审


    authors: Pearson WG Jr,Molfenter SM,Smith ZM,Steele CM

    更新日期:2013-06-01 00:00:00

  • Implementation of high-resolution manometry in the clinical practice of speech language pathology.

    abstract::Visual imaging modalities, videofluoroscopic swallow study (VFSS) and fiberoptic endoscopic evaluation of swallow, for assessment of oropharyngeal dysphagia have been part of the speech language pathologist's (SLPs) armamentarium for the diagnosis and treatment of dysphagia for decades. Recently, the addition of high-...


    pub_type: 杂志文章,评审


    authors: Knigge MA,Thibeault S,McCulloch TM

    更新日期:2014-02-01 00:00:00

  • Dysphagia in dermatologic disease.

    abstract::Disorders of the oral cavity, pharynx, and esophagus may be found in some dermatologic diseases. The connective tissue diseases especially may be accompanied by dysphagia. Furthermore, some rare inflammatory and bullous dermatologic diseases can lead to esophageal disorders. Finally, some infectious and malignant dise...


    pub_type: 杂志文章,评审


    authors: Bübl R,Schön B

    更新日期:1993-01-01 00:00:00

  • Neuroplasticity and swallowing.

    abstract::Recent research has suggested that the central nervous system controlling swallowing can undergo experience-dependent plasticity. Moreover, swallowing neuroplastic change may be associated with behavioural modulation. This article presents research evidence suggesting that nonbehavioural and behavioural interventions,...


    pub_type: 杂志文章,评审


    authors: Martin RE

    更新日期:2009-06-01 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...


    pub_type: 杂志文章


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

    更新日期:2006-07-01 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...


    pub_type: 杂志文章


    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...


    pub_type: 杂志文章


    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

  • Corrosive Esophageal Strictures: From Dilatation to Replacement: A Retrospective Cohort Study.

    abstract::Endoscopic dilatation is the recommended primary therapy for chronic corrosive esophageal strictures (ES), and surgery is reserved for failed dilatation. Through this study, we intend to analyze the efficacy and long-term outcomes of both endoscopic and surgical interventions in corrosive ES. A retrospective cohort an...


    pub_type: 杂志文章


    authors: Joshi P,Yadav R,Dangi A,Kumar P,Kumar S,Gupta V,Gupta V,Chandra A

    更新日期:2020-08-01 00:00:00

  • Unilateral superior laryngeal nerve lesion in an animal model of dysphagia and its effect on sucking and swallowing.

    abstract::We tested two hypotheses relating to the sensory deficit that follows a unilateral superior laryngeal nerve (SLN) lesion in an infant animal model. We hypothesized that it would result in (1) a higher incidence of aspiration and (2) temporal changes in sucking and swallowing. We ligated the right-side SLN in six 2-3-w...


    pub_type: 杂志文章


    authors: Ding P,Campbell-Malone R,Holman SD,Lukasik SL,Fukuhara T,Gierbolini-Norat EM,Thexton AJ,German RZ

    更新日期:2013-09-01 00:00:00

  • Predictors of Patient-Reported Dysphagia Following IMRT Plus Chemotherapy in Oropharyngeal Cancer.

    abstract::The aim of this cross-sectional study is to evaluate the factors associated with patient-reported dysphagia in patients affected by locally advanced oropharyngeal cancer (OPC) treated with definitive intensity-modulated radiation therapy (IMRT) and concurrent chemotherapy (CHT), with or without induction CHT. We evalu...


    pub_type: 杂志文章


    authors: Orlandi E,Miceli R,Infante G,Mirabile A,Alterio D,Cossu Rocca M,Denaro N,Vigna-Taglianti R,Merlotti A,Schindler A,Pizzorni N,Fallai C,Licitra L,Bossi P

    更新日期:2019-02-01 00:00:00

  • Long-term results of external upper esophageal sphincter myotomy for oropharyngeal Dysphagia.

    abstract::The aim of this work was to assess the efficacy of external myotomy of the upper esophageal sphincter (UES) for oropharyngeal dysphagia. In the period 1991-2006, 28 patients with longstanding dysphagia and/or aspiration problems of different etiologies underwent UES myotomy as a single surgical treatment. The main sym...


    pub_type: 杂志文章


    authors: Kos MP,David EF,Klinkenberg-Knol EC,Mahieu HF

    更新日期:2010-09-01 00:00:00

  • Preliminary ultrasound observation of lingual movement patterns during nutritive versus non-nutritive sucking in a premature infant.

    abstract::Term neonates must suck, swallow, and respire in a coordinated manner during successful oral feeding. When infants are born prematurely, these skills may not be fully mature. To stimulate sucking responses, premature infants are offered pacifiers under the premise that non-nutritive sucking experiences facilitate oral...


    pub_type: 杂志文章


    authors: Miller JL,Kang SM

    更新日期:2007-04-01 00:00:00

  • The use of simulation in training graduate students to perform transnasal endoscopy.

    abstract::A challenge facing the field of speech-language pathology is how to equip students at the university level with the transnasal endoscopy skills needed to perform fiberoptic endoscopic evaluation of swallowing (FEES). The use of simulation has the potential to allow students to gain transnasal endoscopy experience with...


    pub_type: 杂志文章,随机对照试验


    authors: Benadom EM,Potter NL

    更新日期:2011-12-01 00:00:00

  • Dysphagia in inflammatory myopathy: self-report, incidence, and prevalence.

    abstract::This study compared self-reported incidence and prevalence of dysphagia in inflammatory myopathy diseases with instrumental data from videofluoroscopy in a cohort of 18 patients with inflammatory myopathies (inclusion body myositis, polymyositis, and dermatomyositis). We found a high self-report of incidence of dyspha...


    pub_type: 杂志文章


    authors: Mulcahy KP,Langdon PC,Mastaglia F

    更新日期:2012-03-01 00:00:00

  • Radiation Safety in Videofluoroscopic Swallowing Study: Systematic Review.

    abstract::Videofluoroscopic swallowing study (VFSS) is generally used to diagnose dysphagia and oropharyngeal aspiration during swallowing movement. Patients and bolus-feeding operators (such as occupational therapist and speech language pathologist) may undergo multiple VFSS procedure, placing them at risk for more radiation e...


    pub_type: 杂志文章


    authors: Hong JY,Hwang NK,Lee G,Park JS,Jung YJ

    更新日期:2021-02-01 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...


    pub_type: 杂志文章,随机对照试验


    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

  • An in vitro model for studying neuromuscular transmission in the mouse pharynx.

    abstract::The muscles of the pharynx are controlled by networks of neurons under the control of specific regions in the brain stem, which have been fairly well studied. However, the transmission between these neurons and the pharyngeal muscles, at the motor end plates, is less well understood. Therefore, an in vitro model for t...


    pub_type: 杂志文章


    authors: Ekberg O,Ekman M,Eriksson LI,Malm R,Sundman E,Arner A

    更新日期:2009-03-01 00:00:00

  • Occurrences of yawn and swallow are temporally related.

    abstract::Yawning is a stereotyped motor behavior characterized by deep inhalation and associated dilation of the respiratory tract, pronounced jaw opening, and facial grimacing. The frequency of spontaneous yawning varies over the diurnal cycle, peaking after waking and before sleep. Yawning can also be elicited by seeing or h...


    pub_type: 杂志文章,随机对照试验


    authors: Abe K,Weisz SE,Dunn RL,DiGioacchino MC,Nyentap JA,Stanbouly S,Theurer JA,Bureau Y,Affoo RH,Martin RE

    更新日期:2015-02-01 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 ...


    pub_type: 杂志文章


    authors: Hägg M,Olgarsson M,Anniko M

    更新日期:2008-09-01 00:00:00

  • Oropharyngeal and esophageal function in scleroderma.

    abstract::Fifty-one patients with systemic sclerosis (scleroderma) underwent videofluoroscopy during barium swallow to evaluate the incidence of oropharyngeal deglutition abnormalities and to correlate the radiologic patterns of esophageal motility abnormalities with patients' clinical features. Thirteen patients (26%) showed s...


    pub_type: 杂志文章


    authors: Montesi A,Pesaresi A,Cavalli ML,Ripa G,Candela M,Gabrielli A

    更新日期:1991-01-01 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 ...


    pub_type: 杂志文章


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

    更新日期:2009-06-01 00:00:00

  • Kinematic pharyngeal transit times in myopathy: evaluation for dysphagia.

    abstract::Measurement of kinematic pharyngeal transit times, a new videofluoroscopy technique, provides useful quantitative data to supplement the qualitative data previously available from videofluoroscopy swallowing studies. Kinematic pharyngeal transit times have not previously been reported for subjects with myopathy. This ...


    pub_type: 杂志文章


    authors: Johnson ER,McKenzie SW

    更新日期:1993-01-01 00:00:00

  • Differential Response Pattern of Oropharyngeal Pressure by Bolus and Dry Swallows.

    abstract::The aim of this study was to determine if bolus and dry swallow showed similar pressure changes in the oropharynx using our newly developed device. A unique character of it includes that baropressure can be measured with the sensor being placed in the balloon and can assess the swallowing mechanics in terms of pressur...


    pub_type: 杂志文章


    authors: Hasegawa M,Kurose M,Okamoto K,Yamada Y,Tsujimura T,Inoue M,Sato T,Narumi T,Fujii N,Yamamura K

    更新日期:2018-02-01 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...


    pub_type: 杂志文章


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

    更新日期:2002-04-01 00:00:00

  • Functional dysphagia therapy and PEG treatment in a clinical geriatric setting.

    abstract::Functional dysphagia therapy (FDT) is a noninvasive procedure that can accompany percutaneous endoscopic gastrostomy (PEG) treatment and supports transitioning from tube to oral feeding. In this retrospective study, we investigated the outcome of FDT with or without PEG feeding. Patients with dysphagia were divided in...


    pub_type: 杂志文章


    authors: Becker R,Nieczaj R,Egge K,Moll A,Meinhardt M,Schulz RJ

    更新日期:2011-06-01 00:00:00

  • Biomechanical analysis of hyoid bone displacement in videofluoroscopy: a systematic review of intervention effects.

    abstract::This systematic review explores studies using biomechanical analysis of hyoid bone displacement in videofluoroscopy of swallowing as a spatial outcome parameter to evaluate intervention effects. Two authors independently carried out the literature search using the electronic databases Embase, PubMed, and Cochrane Libr...


    pub_type: 杂志文章,评审


    authors: van der Kruis JG,Baijens LW,Speyer R,Zwijnenberg I

    更新日期:2011-06-01 00:00:00

  • Nutritional considerations for the pureed diet texture in dysphagic elderly.

    abstract::In long-term care facilities little attention is given to the nutritional density, flavor, and presentation of the pureed diet texture. Use of the food processor to puree food offers opportunities for the development of pureed meals that are flavorful and appealing. This article presents guidelines that foodservice de...


    pub_type: 杂志文章


    authors: Hotaling DL

    更新日期:1992-01-01 00:00:00

  • Australian speech-language pathologists' knowledge and practice of radiation protection while performing videofluoroscopic swallowing studies.

    abstract::During a videofluoroscopic swallowing study (VFSS), speech and language pathologists (SLPs) are potentially exposed to radiation. To effectively limit unnecessary exposure, SLPs performing VFSS are encouraged to actively shield themselves and to be monitored by radiation-monitoring badges. The aim of this research was...


    pub_type: 杂志文章


    authors: Warren-Forward H,Mathisen B,Best S,Boxsell P,Finlay J,Heasman A,Hodis D,Morgan C,Nixon J

    更新日期:2008-12-01 00:00:00

  • The influence of bolus volume and viscosity on anterior lingual force during the oral stage of swallowing.

    abstract::The influence of bolus volume and viscosity on the distribution of anterior lingual force during the oral stage of swallowing was investigated using a new force transducer technology. The maximum force amplitudes from 5 normal adults were measured simultaneously at the mid-anterior, right, and left lateral tongue marg...


    pub_type: 杂志文章


    authors: Miller JL,Watkin KL

    更新日期:1996-04-01 00:00:00

  • Functional outcome following colon interposition in total pharyngoesophagectomy with or without laryngectomy.

    abstract::Our study compares deglutition between a group who had undergone total esophagopharyngolaryngectomy and a group who had esophagectomy and partial pharyngectomy with preserved larynx, after reconstruction of the upper digestive tract with pedicled colon interposition. In four patients the laryngeal structures could be ...


    pub_type: 杂志文章


    authors: Moerman M,Fahimi H,Ceelen W,Pattyn P,Vermeersch H

    更新日期:2003-04-01 00:00:00