Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 5 , Pages 822-828 , May 2008

The Effect of Effortful Swallow on Pharyngeal Manometric Measurements During Saliva and Water Swallowing in Healthy Participants

Presented to the New Zealand Speech Language Therapists Association, April 9–12, 2006, Christchurch, NZ; the 36th Jahreskongress des Deutschen Bundesverbandes für Logopädie, June 7–9, 2007, Karlsruhe, Germany; and the 27th World Congress of the International Association of Logopedics and Phonatrics, August 5–9, 2007, Copenhagen, Denmark.

  • Ulrike Witte, MSLT

      Affiliations

    • Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand
    • Van der Veer Institute for Parkinson's & Brain Research, Christchurch, New Zealand
    • Department of Speech Language Pathology, University Hospital Basel, Basel, Switzerland.
    • Corresponding Author InformationReprint requests to Ulrike Witte, MSLT, Universitaetsspital Basel, Institut für Logopaedie, Spitalstrasse 21, 4031 Basel, Switzerland
    • ,
  • Maggie-Lee Huckabee, PhD

      Affiliations

    • Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand
    • Van der Veer Institute for Parkinson's & Brain Research, Christchurch, New Zealand
    • ,
  • Sebastian H. Doeltgen, MSLT

      Affiliations

    • Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand
    • Van der Veer Institute for Parkinson's & Brain Research, Christchurch, New Zealand
    • ,
  • Freya Gumbley, BSLT

      Affiliations

    • Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand
    • Van der Veer Institute for Parkinson's & Brain Research, Christchurch, New Zealand
    • ,
  • Michael Robb, PhD

      Affiliations

    • Department of Communication Disorders, University of Canterbury, Christchurch, New Zealand

References 

  1. Logemann JA. Evaluation and treatment of swallowing disorders. San Diego: College-Hill Pr; 1983;
  2. Lazarus C, Logemann JA, Gibbons P. Effects of maneuvers on swallowing function in a dysphagic oral cancer patient. Head Neck. 1993;15:419–424
  3. Kahrilas PJ, Logemann JA, Krugler C, Flanagan E. Volitional augmentation of upper esophageal sphincter opening during swallowing. Am J Physiol. 1991;260(3 Pt 1):G450–G456
  4. Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA. Super-supraglottic swallow in irradiated head and neck cancer patients. Head Neck. 1997;19:535–540
  5. Crary MA. A direct intervention program for chronic neurogenic dysphagia secondary to brainstem stroke. Dysphagia. 1995;10:6–18
  6. Huckabee ML, Cannito M. Outcomes of swallowing rehabilitation in chronic brainstem dysphagia: a retrospective evaluation. Dysphagia. 1999;14:93–109
  7. Shaker R, Easterling C, Kern M, et al. Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening. Gastroenterology. 2002;122:1314–1321
  8. Crary MA, Carnaby Mann GD, Groher ME, Helseth E. Functional benefits of dysphagia therapy using adjunctive sEMG biofeedback. Dysphagia. 2004;19:160–164
  9. Fujiu M, Logemann JA. Effects of tongue holding maneuver on posterior pharyngeal wall movement during deglutition. Am J Speech Lang Pathol. 1996;5:23–30
  10. Pouderoux P, Kahrilas PJ. Deglutitive tongue force modulation by volition, volume, and viscosity in humans. Gastroenterology. 1995;108:1418–1426
  11. Bülow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in healthy volunteers. Dysphagia. 1999;14:67–72
  12. Bülow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in patients with pharyngeal dysfunction. Dysphagia. 2001;16:190–195
  13. Bülow M, Olsson R, Ekberg O. Supraglottic swallow, effortful swallow, and chin tuck did not alter hypopharyngeal intrabolus pressure in patients with pharyngeal dysfunction. Dysphagia. 2002;17:197–201
  14. Lazarus C, Logemann JA, Song CW, Rademaker AW, Kahrilas PJ. Effects of voluntary maneuvers on tongue base function for swallowing. Folia Phoniatr Logop. 2002;54:171–176
  15. Hind JA, Nicosia MA, Roecker EB, Carnes ML, Robbins J. Comparison of effortful and noneffortful swallows in healthy middle-aged and older adults. Arch Phys Med Rehabil. 2001;82:1661–1665
  16. Huckabee ML, Butler SG, Barclay M, Jit S. Submental surface electromyographic measurement and pharyngeal pressures during normal and effortful swallowing. Arch Phys Med Rehabil. 2005;86:2144–2149
  17. Hiss SG, Huckabee ML. Timing of pharyngeal and upper esophageal sphincter pressures as a function of normal and effortful swallowing in young healthy adults. Dysphagia. 2005;20:149–156
  18. Huckabee ML, Steele CM. An analysis of lingual contribution to submental surface electromyographic measures and pharyngeal biomechanics during effortful swallow. Arch Phys Med Rehabil. 2006;87:1067–1072
  19. Perlman AL, Guthmiller Schultz J, VanDaele DJ. Effects of age, gender, bolus volume, and bolus viscosity on oropharyngeal pressure during swallowing. J Appl Physiol. 1993;75:33–37
  20. Castell JA, Dalton CB, Castell DO. Pharyngeal and upper esophageal sphincter manometry in humans. Am J Physiol. 1990;258(2 Pt 1):G173–G178
  21. Olsson R, Nilsson H, Ekberg O. Simultaneous videoradiography and pharyngeal solid state manometry (videomanometry) in 25 nondysphagic volunteers. Dysphagia. 1995;10:36–41
  22. Cerenko D, McConnel FM, Jackson RT. Quantitative assessment of pharyngeal bolus driving forces. Otolaryngol Head Neck Surg. 1989;100:57–63
  23. van Herwaarden MA, Katz PO, Gideon RM, et al. Are manometric parameters of the upper esophageal sphincter and pharynx affected by age and gender?. Dysphagia. 2003;18:211–217
  24. Robbins J, Hamilton JW, Lof GL, Kempster GB. Oropharyngeal swallowing in normal adults of different ages. Gastroenterology. 1992;03:823–829
  25. Kahrilas PJ, Logemann JA, Lin S, Ergun GA. Pharyngeal clearance during swallowing: a combined manometric and videofluoroscopic study. Gastroenterology. 1992;103:128–136
  26. Jacob P, Kahrilas PJ, Logemann JA, Shah V, Ha T. Upper esophageal sphincter opening and modulation during swallowing. Gastroenterology. 1989;97:1469–1478
  27. McConnel FM. Analysis of pressure generation and bolus transit during pharyngeal swallowing. Laryngoscope. 1988;98:71–78
  28. Cook IJ, Dodds WJ, Dantas RO, et al. Opening mechanisms of the human upper esophageal sphincter. Am J Physiol. 1989;257:G748–G759

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(08)00034-8

doi: 10.1016/j.apmr.2007.08.167

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 5 , Pages 822-828 , May 2008

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