Abstract：
:True vocal fold (TVF) dysfunction may lead to cough ineffectiveness. In individuals with motor neuron disease (MND), cough impairment in the context of dysphagia increases risk for aspiration and respiratory failure. This study characterizes differences and associations between TVF kinematics and airflow during cough in individuals with bulbar MND. Sequential glottal angles associated with TVF movements during volitional cough were analyzed from laryngeal video endoscopy examinations of adults with bulbar MND (n = 12) and healthy controls (n = 12) and compared with simultaneously collected cough-related airflow measures. Significant group differences were observed with airflow and TVF measures: volume acceleration (p ≤ 0.001) and post-compression abduction TVF angle average velocity (p = 0.002) were lower and expiratory phase rise time (p = 0.001) was higher in the MND group. Reductions in maximum TVF angle during post-compression abduction in the MND group approached significance (p = 0.09). All subjects demonstrated complete TVF and supraglottic closure during the compression phase of cough, except for incomplete supraglottic closure in 2/12 MND participants. A strong positive relationship between post-compression maximum TVF abduction angle and peak expiratory cough flow was observed in the MND group, though it was not statistically significant (r = 0.55; p = 0.098). Reductions in the speed and extent of TVF abduction are seen during the expulsion phase of cough in individuals with MND. This may contribute to cough impairment and morbidity.
journal_name
Dysphagiajournal_title
Dysphagiaauthors
Britton D,Benditt JO,Merati AL,Miller RM,Stepp CE,Boitano L,Hu A,Ciol MA,Yorkston KMdoi
10.1007/s00455-014-9554-5subject
Has Abstractpub_date
2014-12-01 00:00:00pages
637-46issue
6eissn
0179-051Xissn
1432-0460journal_volume
29pub_type
杂志文章相关文献
DYSPHAGIA文献大全abstract：:This study aimed to analyze quantitatively videofluoroscopic (VF) images of patients with Parkinson's disease (PD), to evaluate if the predicted factors of the oral phase of swallowing deteriorated with PD progression, and to demonstrate a relationship between the abnormal movements of the tongue and food transportati...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-010-9296-y
更新日期：2011-09-01 00:00:00
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
更新日期：2021-01-24 00:00:00
abstract：:Amyotrophic lateral sclerosis (ALS) is the most common degenerative motor neuron disease in adults, and dysphagia is one of its most frequent and disabling symptoms. Oropharyngoesophageal scintigraphy (OPES) permits a functional and semiquantitative study of the various stages of swallowing. We studied 28 ALS patients...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-006-9052-5
更新日期：2006-10-01 00:00:00
abstract：:The penetration-aspiration scale (PAS) is an 8-point scale used to characterize the depth and response to airway invasion during videofluoroscopy. Though widely used in the field of deglutition, there is a lack of consensus regarding the statistical properties of the scale. In order to better understand the state of t...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-019-10064-3
更新日期：2020-08-01 00:00:00
abstract：:This article describes the results of a study that investigated how well wet phonation can predict penetration and/or aspiration of ingested material in dysphagic patients. Voice samples of 23 subjects with neurologic oropharyngeal dysphagia were collected immediately after each subject had swallowed nine different bo...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s004550010005
更新日期：2000-04-01 00:00:00
abstract：:The present study was designed to examine age and gender differences with respect to the duration of laryngeal closure, the onset of laryngeal closure in relation to the first cricopharyngeal opening, and the duration of cricopharyngeal opening for six different groups: normal younger men and women (22-29 years), norm...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-009-9257-5
更新日期：2010-12-01 00:00:00
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
更新日期：1996-01-01 00:00:00
abstract：:Dysphagia associated with radiotherapy for head and neck cancer is complex and can be difficult to treat. Videofluoroscopic swallow studies (VFSS) are the current gold-standard instrumented swallow assessment. High-resolution manometry (HRM) is an additional approach that provides objective measurements of swallowing-...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-020-10128-9
更新日期：2020-05-15 00:00:00
abstract：:The contribution of hyoid and laryngeal movement deficits to penetration or aspiration in dysphagia is unclear, partly due to large variations in normal hyolaryngeal kinematics for swallowing. In healthy volunteers, laryngeal and hyoid kinematics relate to the requirements for laryngeal vestibule closure suggesting a ...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-019-10067-0
更新日期：2020-08-01 00:00:00
abstract：:The purpose of this study was to determine whether attentional resources are involved in swallowing in persons with idiopathic Parkinson's disease, and if so, in which phase(s) of swallowing. The approach involved a dual-task, reaction time (RT) paradigm using ten participants with Parkinson's disease. Single-task bas...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-011-9381-x
更新日期：2012-09-01 00:00:00
abstract：:A 36-year-old man who had sustained a closed head injury displayed extreme fear of being stimulated in the oral cavity, of being presented with foods, and of swallowing. The patient's fear increased his muscle tone and hypersensitivity in the facial and oral area, thereby preventing assessment of his dysphagia. We des...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/BF02493445
更新日期：1992-01-01 00:00:00
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
更新日期：2009-06-01 00:00:00
abstract：:A 17-year-old woman was evaluated for dysphagia. Radiologic study revealed a rigid segment 10 cm long in the midesophagus, which was found to be aperistaltic on manometric evaluation. The rest of the esophagus and the lower esophageal sphincter were manometrically normal. Four years later the patient was seen for eval...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/BF02493451
更新日期：1992-01-01 00:00:00
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
更新日期：2016-10-01 00:00:00
abstract：:Electropalatography (EPG) has been applied to linguistic research and speech pathology. This study evaluated whether EPG could provide useful information on swallow-related tongue action. Specifically, the investigation focused on the quantification of tongue-palate contact patterns for swallowing and on the effects o...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/BF00265208
更新日期：1996-10-01 00:00:00
abstract：:Resting pressure at the upper oesophageal sphincter (UOS) has been reported to be susceptible to factors such as emotional stress or respiration. This exploratory study investigated the potential for behavioural modulation of UOS resting pressure in healthy adults to increase our understanding of volitional control of...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-020-10146-7
更新日期：2020-06-18 00:00:00
abstract：:Debate continues regarding an association between tracheotomy and aspiration status. The aim of this research was to perform a direct replication study to investigate further the causal relationship, if any, between tracheotomy and aspiration. Twenty-five consecutive adult hospitalized patients participated. Inclusion...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-009-9226-z
更新日期：2010-03-01 00:00:00
abstract：:Factors that can facilitate early identification of individuals at risk of dysphagia such as stroke location are potentially of great benefit. The aim of this study was to examine the role of hemisphere and lesion location in assessing dysphagia pattern and airway invasion as identified through the use of validated, s...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-017-9824-0
更新日期：2017-12-01 00:00:00
abstract：:The myoarchitecture of the tongue is believed to consist of a complex network of interwoven fibers, which function together to produce a near limitless array of functional deformations. These deformations contribute mechanically to speech production and to oral cavity food handling during swallowing. We have previousl...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-003-0505-9
更新日期：2005-01-01 00:00:00
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...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/BF00417901
更新日期：1996-04-01 00:00:00
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
更新日期：2019-10-01 00:00:00
abstract：:Esophagectomy for esophageal cancer is invasive thoracic surgery with a high incidence rate of postoperative complications and prolongation of hospitalization, even if the standardized clinical pathway improves the outcome (mortality and morbidity). Postoperative recurrent nerve paralysis (RNP) is related to respirato...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-017-9793-3
更新日期：2017-08-01 00:00:00
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
更新日期：2013-03-01 00:00:00
abstract：:This article describes the study of the characteristics of sequential swallowing of 100 ml of liquid (dyed water) in two swallowing trials, directly from a cup and through a straw, in healthy elderly individuals. The aim of the study was to determine whether differences in the swallowing pattern are influenced by the ...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-013-9503-8
更新日期：2014-04-01 00:00:00
abstract：:Recent data indicate that dysphagia may occur following unilateral cortical stroke; however, the elucidation of specific cytoarchitectonic sites that produce deglutition disorders remains unclear. In a previous study of unilateral cortical stroke patients with dysphagia, Daniels et al. proposed that the insula may be ...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/PL00009529
更新日期：1997-07-01 00:00:00
abstract：:Oropharyngeal dysphagia is a common condition after stroke, Parkinson's disease (PD), and Alzheimer's disease (AD), and can cause serious complications including malnutrition, aspiration pneumonia, and premature mortality. Despite its high prevalence among the elderly and associated serious complications, dysphagia is...
journal_title：Dysphagia
pub_type： 杂志文章,评审
doi：10.1007/s00455-016-9695-9
更新日期：2016-06-01 00:00:00
abstract：:This study prospectively evaluated relationships between oral morbidities and swallowing ability in head/neck cancer patients following chemoradiation therapy (CRT) and at 3 months following CRT. Thirty patients with confirmed head/neck cancer undergoing chemoradiation were assessed with a battery of swallowing measur...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-018-9895-6
更新日期：2018-12-01 00:00:00
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
更新日期：2016-04-01 00:00:00
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
更新日期：2005-04-01 00:00:00
abstract：:The oro-esophageal tube (OE tube) is widely used in dysphagia patients although its success rate for transition to oral feeding is reported only in stroke patients. The aim of this study was to evaluate the feasibility and outcome of OE tube feeding for patients with dysphagia resulting from various etiologies. The au...
journal_title：Dysphagia
pub_type： 杂志文章
doi：10.1007/s00455-015-9644-z
更新日期：2015-12-01 00:00:00
