Abstract
This study aimed to elucidate the relationship between the piezoelectric waveform latency, hyoid bone movement, surface electromyogram (sEMG), and the pharyngeal transit time (PTT) during swallowing. Forty-one healthy subjects were divided into three age groups: younger (20–39 years, n = 8), middle-aged (40–59 years, n = 9), and older (60–79 years, n = 24). Motion analysis of the hyoid bone using videofluorography (VF), waveform analysis of the front neck using piezoelectric films, and sEMG of the suprahyoid muscle group were performed simultaneously. Latencies of the three movement phases were defined as upward (VFS1), forward (VFS2), and returning to starting position (VFS3). The three phases of the piezoelectric waveform—from wave initiation of the negative wave to the start of the second deep negative wave; from the start of the second deep negative wave to the start of the last positive wave (SLPW); and from the SLPW to the end of the last positive wave—were defined as PS1, PS2, and PS3, respectively. VFS1-3 and PS1-3 were significantly correlated. VFS1 and PS1 latencies were significantly longer with thick liquid than with thin liquid. VFS2, PS1, and PS2 latencies were longer in the older group than in the other two groups. The start of PS1 was nearly equal to those of sEMG and VFS1. Bolus arrival time in the valleculae was statistically equal to the end of the PS1 with both thin and thick liquids. To establish the swallowing screening using Piezoelectric film, further investigation is necessary in the dysphagia patients.
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References
Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin: Pro-ed; 1998.
Miller AJ. The neuroscientific principles of swallowing and dysphagia. San Diego: Singular Publishing Group Inc.; 1999.
Crary MA, Groher ME. Introduction to adult swallowing disorders. St. Louis: Elsevier Science; 2003.
Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA, Kahrilas PJ, Smith CH. Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men. J Speech Lang Hear Res. 2000;43:1264–74.
Achem SR, Devault KR. Dysphagia in aging. J Clin Gastroenterol. 2005;39:357–71.
Akgün KM, Crothers K, Pisani M. Epidemiology and management of common pulmonary diseases in older persons. J Gerontol A Biol Sci Med Sci. 2012;67:276–91.
Cook IJ, Kahrilas PJ. American Gastroenterological Association technical review on management of oropharyngeal dysphagia. Gastroenterology. 1999;116:455–78.
Clavé P, Terré R, de Kraa M, Serra M. Approaching oropharyngeal dysphagia. Rev Esp Enferm Dig. 2004;96:119–31.
Clavé P, Almirall J, Esteve A, Verdaguer A, Berenguer M, Serra-Prat M. Oropharyngeal dysphagia—a team approach to prevent and treat complications. In: Taylor S, editor. Hospital Healthcare Europe 2005/2006. London: Campden Publishing Ltd.; 2005. p. N5–N8.
Logemann JA. Manual for the videofluorographic study of swallowing. 2nd ed. Austin: Pro-Ed; 2005.
Tamm I, Kortsik C. Severe barium sulfate aspiration into the lung: clinical presentation, prognosis and therapy. Respiration. 1999;66:81–4.
Yabunaka K, Sanada H, Sanada S, Konishi H, Hashimoto T, Yatake H, Yamamoto K, Katsuda T, Ohue M. Sonographic assessment of hyoid bone movement during swallowing: a study of normal adults with advancing age. Radiol Phys Technol. 2011;4:73–7.
Hafner G, Neuhuber A, Hirtenfelder S, Schmedler B, Eckel HE. Fiberoptic endoscopic evaluation of swallowing in intensive care unit patients. Eur Arch Otorhinolaryngol. 2008;265:441–6.
Cichero JAY, Murdoch BE. Acoustic signature of the normal swallow: characterization by age, gender, and bolus volume. Ann Otol Rhinol Laryngol. 2002;111:623–32.
Salén B, Zakrisson JE. Electromyogram of the tensor tympani muscle in man during swallowing. Acta Otolaryngol. 1978;85:453–5.
Abe S, Kaneko H, Nakamura Y, Watanabe Y, Shintani M, Hashimoto M, Yamane G, Ide Y, Shimono M, Ishikawa T, Yamada Y, Hayashi T. Experimental device for detecting laryngeal movement during swallowing. Bull Tokyo Dent Coll. 2002;43:199–203.
Matsumi H, Koshino H, Hirai T, Yokoyama Y, Ikeda Y. Evaluation of swallowing function using ultrasound diagnostic methods. Prosthodont Res Pract. 2005;4:1–8.
Hori K, Ono T, Tamine K, Kondo J, Hamanaka S, Maeda Y, Dong J, Hatsuda M. Newly developed sensor sheet for measuring tongue pressure during swallowing. J Prosthodont Res. 2009;53:28–32.
Ekberg O. The normal movements of the hyoid bone during swallow. Invest Radiol. 1986;21:408–10.
Kim Y, McCullough GH. Maximum hyoid displacement in normal swallowing. Dysphagia. 2008;23:274–9.
Palmer JB, Rudin NJ, Lara G, Crompton AW. Coordination of mastication and swallowing. Dysphagia. 1992;7:187–200.
Cook IJ, Dodds WJ, Dantas RO, Massey B, Kern MK, Lang IM, Brasseur JG, Hogan WJ. Opening mechanisms of the human upper esophageal sphincter. Am J Physiol. 1989;257:748–59.
Vandaele DJ, Perlman AL, Cassell MD. Intrinsic fibre architecture and attachments of the human epiglottis and their contributions to the mechanism of deglutition. J Anat. 1995;186:1–15.
Measurement Specialties, Inc. (2008) Piezo film sensors technical manual. http://www.meas-spec.com/downloads/Piezo_Technical_Manual.pdf. Accessed 13 Oct 2014.
Kawai H. The piezoelectricity of poly (vinylidene fluoride). Jpn J Appl Phys. 1969;8:975.
Kanda K, Saito T, Iga Y, Higuchi K, Maenaka K. Influence of parasitic capacitance on output voltage for series-connected thin-film piezoelectric devices. Sensors. 2012;12:16673–84.
Zhou J, Fei P, Gao Y, Gu Y, Liu J, Bao G, Wang ZL. Mechanical-electrical triggers and sensors using piezoelectric microwires/nanowires. Nano Lett. 2008;8(9):2725–30.
Toyosato A, Nomura S, Igarashi A, Ii N, Nomura A. A relation between the piezoelectric pulse transducer waveforms and food bolus passage during pharyngeal phase of swallow. Prosthodont Res Pract. 2007;6:272–5.
Youmans SR, Stierwalt JA. Normal swallowing acoustics across age, gender, bolus viscosity, and bolus volume. Dysphagia. 2011;26:374–84.
Dantas RO, Alves LM, Santos CM, de Cassiani A. Possible interaction of gender and age on human swallowing behavior. Arq Gastroenterol. 2011;48:195–8.
McCullough GH, Wertz RT, Rosenbek JC, Mills RH, Webb WG, Ross KB. Inter- and intrajudge reliability for videofluoroscopic swallowing evaluation measures. Dysphagia. 2001;16:110–8.
Kendall KA, McKenzie S, Leonard RJ, Gonçalves MI, Walker A. Timing of events in normal swallowing: a videofluoroscopic study. Dysphagia. 2000;15:74–83.
Ishida R, Palmer JB, Hiiemae KM. Hyoid motion during swallowing: factors affecting forward and upward displacement. Dysphagia. 2002;17:262–72.
Dantas RO, Kern MK, Massey BT, Dodds WJ, Kahrilas PJ, Brasseur JG, Cook IJ, Lang IM. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol. 1990;258:675–81.
Sonies BC, Parent LJ, Morrish K, Baum BJ. Durational aspects of the oral-pharyngeal phase of swallow in normal adults. Dysphagia. 1988;3:1–10.
Kendall KA, Leonard RJ. Hyoid movement during swallowing in older patients with dysphagia. Arch Otolaryngol Head Neck Surg. 2001;127:1224–9.
Johnson ER, McKenzie SW, Sievers A. Aspiration pneumonia in stroke. Arch Phys Med Rehabil. 1993;74:973–6.
Johnson ER, McKenzie SW, Rosenquist CJ, Lieberman JS, Sievers AE. Dysphagia following stroke: quantitative evaluation of pharyngeal transit times. Arch Phys Med Rehabil. 1992;73:419–23.
Ueda N, Nohara K, Kotani Y, Tanaka N, Okuno K, Sakai T. Effects of the bolus volume on hyoid movements in normal individuals. J Oral Rehabil. 2013;40:491–9.
Taniguchi H, Tsukada T, Ootaki S, Yamada Y, Inoue M. Correspondence between food consistency and suprahyoid muscle activity, tongue pressure, and bolus transit times during the oropharyngeal phase of swallowing. J Appl Physiol. 2008;105:791–9.
Park T, Kim Y, McCullough G. Oropharyngeal transition of the bolus in post-stroke patients. Am J Phys Med Rehabil. 2013;92:320–6.
Sonies BC, Wang C, Sapper DJ. Evaluation of normal and abnormal hyoid bone movement during swallowing by use of ultrasound duplex-Doppler imaging. Ultrasound Med Biol. 1996;22:1169–75.
Bingjie L, Tong Z, Xinting S, Jianmin X, Guijun J. Quantitative videofluoroscopic analysis of penetration–aspiration in poststroke patients. Neurol India. 2010;58:42–7.
Chi-Fishman G, Sonies BC. Effects of systematic bolus viscosity and volume changes on hyoid movement kinematics. Dysphagia. 2002;17:278–87.
Perry JL, Bae Y, Kuehn DP. Effect of posture on deglutitive biomechanics in healthy individuals. Dysphagia. 2012;27:70–80.
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This study was supported by a Grant-in-Aid for Scientific Research (No. 24500574 and 15K01362 to S. Kimura) from the Ministry of Education, Culture and Science: Japan.
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Sogawa, Y., Kimura, S., Harigai, T. et al. New Swallowing Evaluation Using Piezoelectricity in Normal Individuals. Dysphagia 30, 759–767 (2015). https://doi.org/10.1007/s00455-015-9654-x
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DOI: https://doi.org/10.1007/s00455-015-9654-x