Skip to main content
Log in

An electronic device measuring the frequency of spontaneous swallowing: Digital Phagometer

  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

A new and protable electronic device called the “Digital Phagometer” is described for the time-based counting of spontaneous swallowing. This device is composed of a piezoelectric sensor and a digital event counter/recorder which can be downloaded to any IBM-compatible PC. The sensor of Digital Phagometer is placed and fixed on the coniotomy region between the cricoid and thyroid cartilage. In this way, it is capable of sensing each upward and downward movement of the larynx produced by spontaneous movement as a function of time. Spontaneous swallowing was measured 1–4 h after lunch in 21 normal subjects and 21 patients with Parkinson's disease (PD). The mean frequency of spontaneous swallowing was 0.8 counts/min in PD patients and 1.18 counts/min in normal subjects (p<0.05). During the intake of 200 ml water, the mean frequency of voluntary swallowing did not differ significantly between the two groups (24.6 counts/min in normals vs. 22.3 counts/min in PD patients), but the time necessary to swallow the same volume of water was longer in the PD group.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dodds WJ, Stewart ET, Logeman JA: Physiology and radiology of the normal oral and pharyngeal phases of swallowing. Am J Radiol 154:953–963, 1990

    Google Scholar 

  2. Lear CSC, Flanagan JBJ, Moorrees CFA: The frequency of deglutition in man. Arch Oral Biol 10:83–99, 1965

    Google Scholar 

  3. Logan WJ, Kavanagh JF, Wornall AW: Sonic correlates of human deglutition. J Appl Physiol 23:279–284, 1967

    Google Scholar 

  4. Lichter I, Muir RC: The pattern of swallowing during sleep. Electroenceph Clin Neurophysiol 38:427–432, 1975

    Google Scholar 

  5. Sochaniwskyj AE, Koheil RM, Bablich K, Milner M, Kenny DJ: Oran motor functioning, frequency of swallowing and drooling in normal children with cerebral palsy. Arch Phys Med Rehabil 67:866–874, 1986

    Google Scholar 

  6. Logeman JA: Evaluation and treatment of swallowing disorders, 1st ed. Austin, TX: Pro-ed Inc, 1983

    Google Scholar 

  7. Hoehn MM, Yahr MD: Parkinsonism: onset, regression and mortality. Neurology 17:427–442, 1967

    Google Scholar 

  8. Mansson I, Sandberg N: Oro-pharyngeal sensitivity and elicitation of swallowing in man. Acta Otolaryngol (Stockh) 79:140–145, 1975

    Google Scholar 

  9. Allen MI, Orr WC, Woodruff DM, Duke JC, Robinson MG: The effects of swallowing frequency and transdermal scopolamine on esophageal acid clearance. Am J Gastroenterol 80:669–672, 1985

    Google Scholar 

  10. De Vault K, Castell J, Castell D: How many swallows are required to establish reliable esophageal peristaltic parameters in normal subjects? An on-line computer analysis. Am J Gastroenterol 82:754–757, 1987

    Google Scholar 

  11. Robbins J, Hamilton JM, Lof GL, Kempster GB: Oropharyngeal swallowing in normal adults of different ages. Gastroenterology 103:823–829, 1992

    Google Scholar 

  12. Gordon C, Hewer RL, Wade DT: Dysphagia in acute stroke. BMJ 295:411–414, 1987

    Google Scholar 

  13. De Pippo KL, Holas MA, Reding MJ: Validation of the 3-oz water swallow test for aspiration following stroke. Arch Neurol 49:1259–1261, 1992

    Google Scholar 

  14. Nathadwarawala KM, Nicklin J, Wiles CM: A timed test of swallowing capacity for neurological patients. J Neurol Neurosurg Psychiatry 55:822–825, 1992

    Google Scholar 

  15. Logeman JA, Blonsky ER, Boshes B: Dysphagia in parkinsonism. JAMA 231:69–70, 1975

    Google Scholar 

  16. Lieberman AN, Hirowitz L, Redmond P, Pachter L, Lieberman I, Leibowitz M: Dysphagia in Parkinson's disease. Am J Gastroenterol 74:157–160, 1980

    Google Scholar 

  17. Robbins JA, Logeman JA, Kirsdinor HS: Swallowing and speech production in Parkinson's disease. Ann Neurol 19:283–287, 1986

    Google Scholar 

  18. Bushman M, Dobmeyer S, Leeker L, Perlmutter J: Swallowing abnormalities and their response to treatment in Parkinson's disease. Neurology 39:1309–1314, 1989

    Google Scholar 

  19. Edwards LL, Quigley EMM, Pfeiffer RF: Gastrointestinal dysfunction in Parkinson's disease: frequency and pathophysiology. Neurology 42:726–732, 1992

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pehlivan, M., Yüceyar, N., Ertekin, C. et al. An electronic device measuring the frequency of spontaneous swallowing: Digital Phagometer. Dysphagia 11, 259–264 (1996). https://doi.org/10.1007/BF00265212

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00265212

Key words

Navigation