Maggie-Lee Huckabee1, Catriona M Steele. 1. Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand. maggie-lee.huckabee@canterbury.ac.nz
Abstract
OBJECTIVE: To evaluate the influence of tongue-to-palate pressures on submental muscle contraction and oral and pharyngeal pressure dynamics during effortful swallowing maneuver. DESIGN: Comparative analysis of 2 task strategies on biomechanic measures of swallowing. SETTING: Research laboratory in a free-standing research facility. PARTICIPANTS: Consecutive volunteer sample of 20 healthy participants (age range, 20-35 y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak amplitude of submental surface electromyography and orolingual and pharyngeal manometric pressure at 4 locations. RESULTS: General linear model analysis of variance revealed statistically significant greater amplitudes for the tongue emphasis condition of effortful swallow at all measured sensors (P<.004). CONCLUSIONS: Tongue-to-palate emphasis during execution of effortful swallowing increases amplitudes of submental surface electromyography, orolingual pressure, and upper pharyngeal pressure to a greater degree than a strategy of inhibiting tongue-to-palate emphasis.
OBJECTIVE: To evaluate the influence of tongue-to-palate pressures on submental muscle contraction and oral and pharyngeal pressure dynamics during effortful swallowing maneuver. DESIGN: Comparative analysis of 2 task strategies on biomechanic measures of swallowing. SETTING: Research laboratory in a free-standing research facility. PARTICIPANTS: Consecutive volunteer sample of 20 healthy participants (age range, 20-35 y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak amplitude of submental surface electromyography and orolingual and pharyngeal manometric pressure at 4 locations. RESULTS: General linear model analysis of variance revealed statistically significant greater amplitudes for the tongue emphasis condition of effortful swallow at all measured sensors (P<.004). CONCLUSIONS: Tongue-to-palate emphasis during execution of effortful swallowing increases amplitudes of submental surface electromyography, orolingual pressure, and upper pharyngeal pressure to a greater degree than a strategy of inhibiting tongue-to-palate emphasis.
Authors: Aamir K Al-Toubi; Ali Abu-Hijleh; Maggie-Lee Huckabee; Phoebe Macrae; Sebastian H Doeltgen Journal: Dysphagia Date: 2011-09 Impact factor: 3.438