Advertisement

Dysphagia

, Volume 30, Issue 6, pp 674–679 | Cite as

Propagation Curve and Velocity of Swallowing Pressure in Healthy Young Adults

  • Keigo Matsubara
  • Yoshihiko KumaiEmail author
  • Yasuhiro Samejima
  • Eiji Yumoto
Original Article

Abstract

The objective of this study is to construct a propagation curve and determine propagation velocities in young healthy adults examined using a 2.64-mm-diameter high-resolution manometry catheter with 36 circumferential sensors; to explore data reproducibility; and to determine whether the swallowing pressure (SP) propagation velocity correlated with bolus volume. Repeated measures with subjects serving as their own controls. Thirty healthy subjects (average age 25.3 years) swallowed saliva and 2, 5, and 10 mL of cold water to determine the maximum SP from the soft palate to the cervical esophagus. The SP propagation curve was obtained by plotting the duration to reach each SP peak. The SP propagation velocity was calculated for each region. These parameters were examined according to bolus size and gender. The intra-class correlation coefficient for estimating the SP propagation curves was >0.61 (i.e., highly consistent). The propagation velocity was maximal at the meso-hypopharynx and minimal at the UES and cervical esophagus. The SP propagation curve was very reproducible within any subject. Neither the water volume (with the exception of 2 and 5 mL) nor gender exerted any apparent effect on velocity in any region. However, the velocity was quite variable at the cervical esophagus.

Keywords

Swallowing pressure Propagation velocity Propagation curve 

Notes

Acknowledgments

This study was supported by the 6th Japan society logopedics and phoniatrics research Grant in 2012 and JSPS KAKENHI, Grant No. 24592602.

Compliance with Ethical Standards

Conflict of interest

None.

References

  1. 1.
    Hurwitz AL, Nelson JA, Haddad JK. Oropharyngeal dysphagia manometric and cine esophagraphic findings. Am J Dig Dis. 1975;20:313–24.CrossRefPubMedGoogle Scholar
  2. 2.
    Dodds WJ, Hogan WJ, Lydon SB, et al. Quantitation of pharyngeal motor function in normal human subjects. J Appl Physiol. 1975;39:692–6.PubMedGoogle Scholar
  3. 3.
    Fyke FE Jr, Code CF. Resting and deglutition pressures in the pharyngoesophageal region. Gastroenterology. 1955;29:24–34.PubMedGoogle Scholar
  4. 4.
    Kahrilas PJ, Logemann JA, Lin S, et al. Pharyngeal clearance during swallowing: a combined manometric and videofluoroscopic study. Gastroenterology. 1992;103:128–36.PubMedGoogle Scholar
  5. 5.
    Kahrilas PJ, Lin S, Logemann JA, et al. Deglutitive tongue action: volume accommodation and bolus propulsion. Gastroenterology. 1993;104:152–62.PubMedGoogle Scholar
  6. 6.
    Mori T. Intraluminal pressure profiles in the pharyngeal phase in both normal and abnormal subjects [in Japanese]. Nihon Jibiinkoka Gakkai Kaiho. 1992;95:1022–34.CrossRefPubMedGoogle Scholar
  7. 7.
    Matsubara K, Kumai Y, Samejima Y, et al. Swallowing pressure and pressure profiles in young healthy adults. Laryngoscope. 2014;124:711–7.CrossRefPubMedGoogle Scholar
  8. 8.
    McCulloch TM, Hoffman MR, Ciucci MR. High-resolution manometry of pharyngeal swallow pressure events associated with head turn and chin tuck. Ann Otol Rhinol Laryngol. 2010;119(6):369–76.PubMedCentralPubMedGoogle Scholar
  9. 9.
    Hoffman MR, Mielens JD, Ciucci MR, et al. High-resolution manometry of pharyngeal swallow pressure events associated with effortful swallow and the mendelsohn maneuver. Dysphagia. 2012;27:418–26.PubMedCentralCrossRefPubMedGoogle Scholar
  10. 10.
    Takasaki K, Umeki H, Enatsu K, et al. Investigation of pharyngeal swallowing function using high-resolution manometry. Laryngoscope. 2008;118:1729–32.CrossRefPubMedGoogle Scholar
  11. 11.
    Jones CA, Hammer MJ, Hoffman MR, et al. Quantifying contributions of the cricopharyngeus to upper esophageal sphincter pressure changes by means of intramuscular electromyography and high-resolution manometry. Ann Otol Rhinol Laryngol. 2014;123:174–82.PubMedCentralCrossRefPubMedGoogle Scholar
  12. 12.
    Miller AJ. Significance of sensory inflow to the swallowing reflex. Brain Res. 1972;43:147–59.CrossRefPubMedGoogle Scholar
  13. 13.
    Logemann JA, Kahrilas PJ, Kobara M, et al. The benefit of head rotation on pharyngoesophageal dysphagia. Arch Phys Med Rehabil. 1989;70:767–71.PubMedGoogle Scholar
  14. 14.
    Lazarus C, Logemann JA, Song CW, et al. Effects of voluntary maneuvers on tongue base function for swallowing. Folia Phoniatr Logop. 2002;54:171–6.CrossRefPubMedGoogle Scholar
  15. 15.
    Boden K, Hallgren A, Witt Hedstrom H. Effects of three different swallow maneuvers analyzed by videomanometry. Acta Radiol. 2006;47:628–33.CrossRefPubMedGoogle Scholar
  16. 16.
    Bulow M, Olsson R, Ekberg O. Videomanometric analysis of supraglottic swallow, effortful swallow, and chin tuck in healthy volunteers. Dysphagia. 1999;14:67–72.CrossRefPubMedGoogle Scholar
  17. 17.
    Ellis FH Jr. Upper esophageal sphincter in health and disease. Surg Clin North Am. 1971;51:553–65.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Keigo Matsubara
    • 1
  • Yoshihiko Kumai
    • 1
    Email author
  • Yasuhiro Samejima
    • 1
  • Eiji Yumoto
    • 1
  1. 1.Department of Otolaryngology Head and Neck SurgeryKumamoto University Graduate School of MedicineKumamoto CityJapan

Personalised recommendations