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 margins during 10 volitional swallows of 5-, 10-, and 20-ml volumes of water, applesauce, and pudding. Results indicated significant increases in peak force amplitude as viscosity increased. Volume did not significantly influence maximum lingual force amplitudes. Individual subjects demonstrated consistent patterns of asymmetrical force distribution across the lingual margins tested. The results suggest that bolus-specific properties influence the mechanics of oral stage lingual swallowing. This finding has important clinical implications in the assessment and treatment of dysphagic individuals.
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Dantas RO, Dodds WJ, Massey BT, Kern MK: The effect of high-versus low-density barium preparations on the quantitative features of swallowing. AJR 153 (6):1191–1195, 1989
Ku DN, Ma PP, McConnel FMS, Cerenko D: A kinematic study of oropharyngeal swallowing of a liquid. Ann Biomed Eng 118(6):655–669, 1990
Kahrilas PJ, Logemann JA: Volume accommodation during swallowing. Dysphagia 8:259–265, 1993.
Kahrilas PJ, Lin S, Logemann JA, Ergun GA, Facchini F: Deglutitive tongue action: volume accommodation and bolus propulsion. Gastroenterology 104:152–163, 1993
Jacob P, Kahrilas PJ, Logemann JA, Tracy K, Lazarus C, McLaughlin B: Bolus viscosity and volume affect strap muscle EMG activity during swallowing. Gastroenterology 95(3):873, 1988
Hamlet SL: Dynamic aspects of lingual propulsive activity in swallowing. Dysphagia 4:136–145, 1989
Shaker R, Cook JJS, Dodds WJ, Hogan WJ: Pressure-flow dynamics of oral phase swallowing. Dysphagia 3:79–84, 1988
Dantas RO, Kern MK, Massey BT, Dodds WH, Kahrilas RJ, Brasseur JG, Cook IJ, Lang IM: Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol 258(2):G675-G681, 1990
Pauloski BR, Logemann JA, Rademaker AW, McConnel FMS, Heiser MA, Cardinale S, Shedd D, Lewin J, Baker SR, Graner D, Cook B, Milianti F, Collins S, Baker T: Speech and swallowing function after anterior tongue and floor of mouth resection with distal flap reconstruction. JSHR 36(2):267–276, 1993
Hamlet S, Jones L, Mathog R, Bolton M, Patterson R: Bolus propulsive activity of the tongue in dysphagic cancer patients. Dysphagia 3:18–23, 1988
Logemann JA, Shanahan T, Rademaker AW, Kahrilas PJ, Lazar R, Halper A: Oropharyngeal swallowing after stroke in the left basal-ganglion/internal capsule. Dysphagia 8:230–234, 1993
Logemann JA: Swallowing physiology and pathophysiology. In: Krespi YP, Blitzer A (eds.): The Otolaryngologic Clinics of North America, vol. 21, no. 4. Philadelphia, PA: WB Saunders Company, 1988, pp 613–624
Proffit WR, Kydd WL, Wilskie GH, Taylor DT: Intraoral pressures in a young adult group. J Dent Res 43(4):555–562, 1964
Proffit WR, Norton LA: The tongue and oral morphology: influences on tongue activity during speech and swallowing. ASHA Reports 5:106–115, 1970
Toda JM: A Study of Tongue Pressures Exerted on the Hard Palate During Swallowing. Master's thesis, University of Washington, Seattle, Washington, 1961
Wilskie GH: Tongue and Lip Pressures Exerted on the Dentition During Involuntary Swallowing. Thesis, University of Washington, Seattle, WA, 1963
Winders RV: Forces exerted on the dentition by the perioral and lingual musculature during swallowing. Angle Orthod 28:226–235, 1958
Kydd WL, Toda JM: Tongue pressures exerted on the hard palate during swallowing. J Am Dent Assoc 65:321–330, 1962
Proffit WR: Lingual pressure patterns in the transition from tongue thrust to adult swallowing. Arch Oral Biol 17:555–563, 1972
Sonies BC, Parent L, Morrish K, Baum BJ: Durational aspects of the oropharyngeal swallow in normal adults. Dysphagia 3(1):1–10, 1988
Interlink Electronics Carpenteria CA: Interlink Electronics FSR Integration Guide and Standard Parts Catalog. 1992
Jensen TR, Radwin RG, Webster JG: A conductive polymer sensor for measuring external finger forces. J Biomechanics 24(9):851–858, 1991
Maalej S, Bhat HZ, Webster JG, Tompkins WJ, Wertsch JJ, Bach-y-Rita P: A conductive polymer pressure sensor. Proc Ann Conf IEEE Eng Med Biol Soc 10:770–771, 1988
The Mathworks, Incorporated: Matlab. Natick, MA, 1992
Munro BH, Visintainer MA, Page EB: Statistical Methods for Health Care Research. Philadelphia, PA: JB Lippincott Company, 1986
Kennedy JG, Kent RD: Physiological substrates of normal deglutition. Dysphagia 3:24–37, 1988
Palmer JB, Duchane AS, Donner MW: Role of radiology in rehabilitation of swallowing. In: Jones B, Donner MW (eds.): Normal and Abnormal Swallowing: Imaging in Diagnosis and Therapy. New York: Springer-Verlag, 1991, pp 215–225
Robbins A, Sufit R, Rosenbek J, Levine R, Hyland J: A modification of the modified barium swallow. Dysphagia 2(2):83–86, 1987
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Miller, J.L., Watkin, K.L. The influence of bolus volume and viscosity on anterior lingual force during the oral stage of swallowing. Dysphagia 11, 117–124 (1996). https://doi.org/10.1007/BF00417901
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DOI: https://doi.org/10.1007/BF00417901