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Rheological Aspects of Swallowing and Dysphagia

  • Chapter
Dysphagia

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Dysphagia is a combination of symptoms affecting a person’s ability to swallow. On the other hand, swallowing is about transferring of liquids and boluses from the mouth into the stomach. Boluses may have several solid-like consistencies and drinks may have different viscosities. Because rheology is the study of the deformation and flow of matter; the connection between swallowing and rheology and thus dysphagia is clear. This rheology science helps to better understand how a bolus is deformed and thus flowing during the swallowing process. Knowledge of the deformability and flow of a bolus is important to better understand dysphagia, or swallowing impairment. This chapter is organized as follows. Section 2 gives a short description of the material functions or rheological properties. Rheological data of products used for dysphagia are used as examples. Section 3 focuses on the rheological aspects of oral processing and bolus transportation. This is followed by a practical example on how to design new products for the nutritional management of dysphagic patients. The chapter ends with some concluding remarks.

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References

  • Bardan E, Kern M, Arndorfer RC, Hofmann C, Shaker R (2006) Effect of aging on bolus kinematics during the pharyngeal phase of swallowing. Am J Physiol Gastrointest Liver Physiol 290:G458–G465

    Article  PubMed  CAS  Google Scholar 

  • Barnes HA (2000) A handbook of elementary rheology. Institute of Non-Newtonian Fluid Mechanics, University of Wales, Aberystwyth

    Google Scholar 

  • Battagel J, Johal A, Smith AM, Kotecha B (2002) Postural variations in oropharyngeal dimensions in subjects with sleep disordered breathing—a cephalometric study. Eur J Orthodont 24:263–276

    Article  Google Scholar 

  • Bird RB, Armstrong RC, Hassager O (1987) Dynamics of polymeric liquids: fluid dynamics, vol 1, 2nd edn. Wiley, New York

    Google Scholar 

  • Bredenoord AJ, Smout AJPM (2008) High resolution manometry. Digest Liver Dis 40:174–181

    Article  CAS  Google Scholar 

  • British Dietetic Association (2009) National descriptors for texture modification in adults. British Dietetic Association, Birmingham

    Google Scholar 

  • Brito-de la Fuente E, Quinchia L, Valencia C, Partal P, Franco JM, Gallegos C (2010) Rheology of a new spoon-thick consistency oral nutritional supplement (ONS) in comparison with a swallow barium test feed (SBTF). In: Proceedings Dysphagia Research Society 18th annual meeting, San Diego, CA, USA, 4–6 March 2010

    Google Scholar 

  • Brito-de la Fuente E, Staudinger-Prevost N, Quinchia L, Valencia C, Partal P, Franco JM, Gallegos C (2011) Design of a new spoon-thick consistency oral nutrition supplement (ONS) using rheological similarity with a swallow barium test feed (SBTF) (Submitted to Dysphagia, In press)

    Google Scholar 

  • Buettner A, Beer A, Hannig C, Settles M (2001) Observation of the swallowing process by applications of videfluoroscopy and real time magnetic resonance imaging-consequences for retronasal aroma stimulation. Chem Sens 26:1211–1219

    Article  CAS  Google Scholar 

  • Bülow M, Olsson R, Ekberg O (2003) Videoradiographic analysis of how carbonated thin liquids and thickened liquids affect the physiology of swallowing in subject with aspiration on thin liquids. Acta Radiol 44:366–372

    PubMed  Google Scholar 

  • Cabre M, Serra-Prat M, Palomera E, Almirall J, Pallares R, Clavé P (2010) Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age Ageing 39(1):39–45

    Article  PubMed  Google Scholar 

  • Carreau PJ (1972) Rheological equations from molecular network theories. Trans Soc Rheol 16:99–127

    Article  CAS  Google Scholar 

  • Carreau PJ, Dekee D, Chhabra RP (1997) Rheology of polymeric systems: principles and applications. Hanser, Munich

    Google Scholar 

  • Chen J (2009) Food oral processing—a review. Food Hydrocolloids 23:1–25

    Article  Google Scholar 

  • Chhabra RP, Richardson JF (1999) Non-Newtonian flow in the process industries. Butterworth-Heinemann, Oxford

    Google Scholar 

  • Clavé P, De Kraa M, Arreola V, Girvent M, Farré R, Palomera E, Serrat-Pratt M (2006) The effect of bolus viscosity on swallowing function in neurogénica dysphagia. Aliment Pharmacol Ther 24:1385–1394

    Article  PubMed  Google Scholar 

  • Dealy JM, Wissbrun KF (1995) Melt rheology and its role in plastic processing. Chapman and Hall, London

    Google Scholar 

  • Ekberg O, Bülow M, Ekman S, Hall G, Stading M, Wendin K (2009) Effect of barium sulfate contrast medium on rheology and sensory texture attributes in a model food. Acta Radiologica 2:131–138

    Article  Google Scholar 

  • Emri I (2010) Time-dependent behaviour of solid polymers. In: Gallegos C, Walters K (eds) Rheology: encyclopaedia of life support systems (EOLSS), UNESCO. Eolss, Oxford, pp 247–330

    Google Scholar 

  • Ferry JD (1980) Viscoelastic properties of polymers. Wiley, New York

    Google Scholar 

  • Gallegos C, Martínez-Boza FJ (2010) Linear viscoelasticity. In: Gallegos C, Walters K (eds) Rheology: encyclopaedia of life support systems (EOLSS), UNESCO. Eolss, Oxford, pp 120–143

    Google Scholar 

  • Gallegos C, Walters K (2010) Rheology. In: Gallegos C, Walters K (eds) Rheology: encyclopaedia of life support systems (EOLSS), UNESCO. Eolss, Oxford, pp 1–14

    Google Scholar 

  • Germain I, Dufresne T, Ramaswamy HS (2006) Rheological characterization of thickened beverages used in the treatment of dysphagia. J Food Eng 73:64–74

    Article  Google Scholar 

  • Hasegawa A, Otogure A, Kumagai H, Nakazawa F (2005) Velocity of swallowed gel food in the pharynx by ultrasonic method. J Jpn Soc Food Sci Technol 52:441–447

    Article  Google Scholar 

  • Ickenstein GW (2011) Diagnosis, treatment of neurogenic dysphagia. UNI-MED, Bremen

    Google Scholar 

  • Imam H, Shay S, Ali A, Baker M (2005) Bolus transit patterns in healthy subjects: a study using simultaneous impedance monitoring, videoesophagram, and esophageal manometry. Am J Physiol Gastrointest Liver Physiol 288:G1000–G1006

    Article  PubMed  CAS  Google Scholar 

  • Kahrilas PJ, Dodds WJ, Hogan WJ (1988) Effect of peristaltic dysfunction on esophageal volume clearance. Gastroenterology 94:73–80

    PubMed  CAS  Google Scholar 

  • Li M, Brasseur JG, Doods W (1994) Analyses of normal and abnormal esophageal transport using computer simulations. Am J Physiol Gastrointest Liver Physiol 266:G525–G543

    Google Scholar 

  • Mackley MR, Marshall RTJ, Smeulders JB, Zhao FD (1994) The rheological characterization of polymeric and colloidal fluids. Chem Eng Sci 49:2551–2565

    Article  CAS  Google Scholar 

  • Macosko CW (1994) Rheology principles, measurements and applications. VCH, New York

    Google Scholar 

  • Madiedo JM, Gallegos C (1997a) Rheological characterization of oil-in-water emulsions by means of relaxation and retardation spectra. Recent Res Devel Oil Chem 1:79–90

    Google Scholar 

  • Madiedo JM, Gallegos C (1997b) Rheological characterization of oil-in-water food emulsions by means of relaxation and retardation spectra. Appl Rheol 7:161–167

    CAS  Google Scholar 

  • Meng Y, Rao MA, Datta AK (2005) Computer simulation of the pharyngeal bolus transport of Newtonian and non-Newtonian fluids. Trans Inst Chem Eng Part C 83:297–305

    Google Scholar 

  • Mizunuma H, Sonomura M, Shimokasa K, Ogoshp H, Nakamura S, Tayama N (2009) Numerical modelling and simulation on the swallowing of jelly. J Text Stud 40:406–426

    Article  Google Scholar 

  • National Dysphagia Diet Task Force (2002) National dysphagia diet: standardization for optimal care. American Dietetic Association, Chicago

    Google Scholar 

  • Nguyen HN, Silny J, Albers D, Roeb E, Gartung C, Rau G, Metern S (1997) Dynamics of esophageal bolus transport in heathy subjects studied using multiple intraluminal impedancometry. Am J Physiol Gastrointest Liver Physiol 273:G958–G964

    CAS  Google Scholar 

  • Nicosia MA, Robbins J (2001) The fluid mechanics of bolus ejection from the oral cavity. J Biomech 34:1537–1544

    Article  PubMed  CAS  Google Scholar 

  • O’Leary M, Hanson B, Smith C (2010) Viscosity and non-Newtonian features of thickened fluids used for dysphagia therapy. J Food Sci 75(6):E330–E338

    Article  PubMed  Google Scholar 

  • Omari TI, Rommel N, Szczesniak M, Fuentealba S, Dinning P, Davidson G, Cook I (2006) Assessment of intraluminal impedance for the detection of pharyngeal bolus flow during swallowing in healthy adults. Am J Physiol Gastrointest Liver Physiol 290:G183–G188

    Article  PubMed  CAS  Google Scholar 

  • Ould-Eleya M, Gunasekaran S (2007) Rheology of barium sulfate suspensions and pre-thickened beverages used in diagnosis and treatment of dysphagia. Appl Rheol 17:33137-1–33137-8

    Google Scholar 

  • Partal P, Franco JM (2010) Non-Newtonian fluids. In: Gallegos C, Walters K (eds) Rheology: encyclopaedia of life support systems (EOLSS), UNESCO. Eolss, Oxford, pp 96–119

    Google Scholar 

  • Penman JP, Thomson M (1998) A review of the textured diets developed for the management of dysphagia. J Hum Nutr Diet 11:51–60

    Google Scholar 

  • Quinchia LA, Valencia C, Partal P, Franco JM, Brito-de la Fuente E, Gallegos C (2011) Linear and non-linear viscoelasticity of puddings for nutritional management of dysphagia. Food Hydrocolloids 25:586–593

    Article  CAS  Google Scholar 

  • Reiner M (1964) The Deborah number. Phys Today 17:62

    Article  Google Scholar 

  • Rolón-Garrido V, Wagner M (2009) The damping function in rheology. Rheol Acta 48:245–284

    Article  Google Scholar 

  • Sopade PA, Halley PJ, Cichero JAY, Ward LC (2007) Rheological characterisation of food thickeners marketed in Australia in various media for the management of dysphagia I: water and cordial. J Food Eng 79:69–82

    Article  Google Scholar 

  • Srinivasan R, Vela MF, Kartz PO, Tutuian R, Castell JA, Castell DO (2001) Esophageal function testing using multichannel intraluminal impedance. Am J Physiol Gastrointest Liver Physiol 280:G457–G462

    Google Scholar 

  • Steele C, Cichero JA (2008) A question of rheological control. Dysphagia 23:199–201

    Article  PubMed  Google Scholar 

  • Steele CM, Lieshout PHHM, Goff HD (2003) The rheology of liquids: a comparison of clinician’s subjective impression and objective measurement. Dysphagia 18:182–195

    Article  PubMed  Google Scholar 

  • Takasaki K, Umeki H, Enatsu K, Tanaka F, Sakihama N, Kumagami H, Takahashi H (2008) Investigation of pharyngeal swallowing function using high-resolution manometry. Laryngoscope 118(10):1729–1732

    Article  PubMed  Google Scholar 

  • Wagner MH (1979) Zur Netzwerktheorie von Polymer-Schmelzen. Rheol Acta 18:33–50

    Article  CAS  Google Scholar 

  • Walters K (2010) History of rheology. In: Gallegos C, Walters K (eds) Rheology: encyclopaedia of life support systems (EOLSS), UNESCO. Eolss, Oxford, pp 15–30

    Google Scholar 

  • Williams RB, Pal A, Brasseur G, Cook I (2001) Space-time pressure structure of pharyngo–esophageal segment during swallowing. Am J Physiol Gastrointest Liver Physiol 281:G1290–G1300

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Innovation and Development Centre Clinical Nutrition and Pharmaceuticals, Science Production and Technology, Fresenius Kabi Deutschland GmbH, 61440, Oberursel, Germany

    Edmundo Brito-de la Fuente

  2. Department of Clinical Sciences/Medical Radiology, Shane University Hospital, Lund University, 205 02, Malmö, Sweden

    Olle Ekberg

  3. Departamento de Ingeniería Química, Universidad de Huelva, 21071, Huelva, Spain

    Críspulo Gallegos

Authors
  1. Edmundo Brito-de la Fuente
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  2. Olle Ekberg
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  3. Críspulo Gallegos
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Corresponding author

Correspondence to Edmundo Brito-de la Fuente .

Editor information

Editors and Affiliations

  1. Skåne University Hospital, Dept. Clinical Sciences/, Lund University, Södra Förstadsgatan 101, Malmö, 205 02, Sweden

    Olle Ekberg

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© 2011 Springer-Verlag Berlin Heidelberg

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Brito-de la Fuente, E., Ekberg, O., Gallegos, C. (2011). Rheological Aspects of Swallowing and Dysphagia. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_362

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  • DOI: https://doi.org/10.1007/174_2011_362

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17886-3

  • Online ISBN: 978-3-642-17887-0

  • eBook Packages: MedicineMedicine (R0)

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