Top

Published in:

01-08-2004

Influence of Bolus Consistency on Lingual Behaviors in Sequential Swallowing

Authors: Catriona M. Steele, PhD, SLP(C), CCC-SLP, Reg. CASLPO, Pascal H.H.M. Van Lieshout, PhD

Published in: Dysphagia | Issue 3/2004

Abstract

Thickened liquids are a commonly recommended intervention for dysphagia. Previous research has documented differences in temporal aspects of bolus transit for paste versus liquid consistencies; however, the influence of liquid viscosity on tongue movements during swallowing remains unstudied. We report an analysis of the influence of bolus consistency on lingual kinematics during swallowing. Electromagnetic midsagittal articulography was used to trace tongue body and dorsum movement during sequential swallows of three bolus consistencies: thin, nectar-thick, and honey-thick liquids. Rheological profiling was conducted to characterize viscosity and density differences among six liquids (two of each consistency). Eight healthy volunteers participated; four were in a younger age cohort (under age 30) and four were over the age of 50. The primary difference observed across the liquids of interest was a previously unreported phenomenon of sip-mass modulation; both flavor and density appeared to influence sip-sizing behaviors. Additionally, significantly greater variability in lingual movement patterns was observed in the older subject group. Systematic variations in lingual kinematics related to bolus consistency were restricted to the variability of downward tongue dorsum movement. Otherwise, the present analysis failed to find empirical evidence of significant modulations in tongue behaviors across the thin to honey-thick consistency range.

Jones, B, Donner, MW 1991Interpreting the study (Chapter 4)Jones, BDonner, MW eds. Normal and abnormal swallowing: Imaging in diagnosis and therapySpringer-VerlagNew York

Logemann, JA 1983Evaluation and treatment of swallowing disordersCollege Hill Press, IncSan Diego, CA

Curran, J, Groher, ME 1990Development and dissemination of an aspiration risk reduction dietDysphagia5612PubMed

Martin RE: A comparison of lingual movement in swallowing and speech production. Doctoral dissertation, University of Wisconsin–Madison, 1991

Pardoe, EM 1993Development of a multistage diet for dysphagiaJ Am Diet Assoc93571CrossRef

Robbins, J, Nicosia, MA, Hind, JA, Gill, GD, Blanco, R, Logemann, JA 2002Defining physical properties of fluids for dysphagia evaluation and treatment. Perspectives on Swallowing and Swallowing Disorders (Dysphagia)Am Speech Lang Hear Assoc Special Interest Div 13 Newslett111619

National Dysphagia Diet Task Force2002National Dysphagia Diet: Standardization for Optimal CareAmerican Dietetic AssociationChicago IL

Martin, RE, Murray, GM, Kemppainen, P, Masuda, Y, Sessle, BJ 1997Functional properties of neurons in the primate tongue primary motor cortex during swallowingJ Neurophysiol7815161530PubMed

Jean, A 2001Brain stem control of swallowing: neuronal network and cellular mechanismsPhysiol Rev81929969PubMed

10.

Sawczuk, A, Mosier, KM 2001Neural control of tongue movement with respect to respirationSwallowing and Crit Rev Oral Biol Med121837

11.

Logemann, JA, Pauloski, BR, Colangelo, L, Lazarus, C, Fujiu, M, Kahrilas, PJ 1995Effects of a sour bolus on oropharyngeal swallowing measures in patients with neurogenic dysphagiaJ Speech Hear Res38556563PubMed

12.

Pelletier, CA, Lawless, HT 2003Effect of citric acid and citric acid–sucrose mixture on swallowingDysphagia18231241CrossRefPubMed

13.

Smith, CH, Logemann, JA, Burghardt, WR, Carrell, TD, Zecker, SG 1997Oral sensory discrimination of fluid viscosityDysphagia126873PubMed

14.

Bourne, MC 1982Viscosity and consistencyBourne, MC eds. Food texture and viscosity: Concept and measurementAcademic PressNew York199246

15.

Tung, MA, Paulson, AT 1995Rheoiogical concepts for probing ingredient interactions in food systemsGaonkar, AG eds. Ingredient interactions: Effects on food qualityNew YorkMarcel Dekker, Inc.4584

16.

Shama, F, Sherman, P 1973Identification of stimuli controlling the sensory evaluation of viscosityJ Texture Stud4111118

17.

Stevens, SS, Guirao, M 1964Scaling of apparent viscosityScience.11571158PubMed

18.

Wood, FW 1968Psychophysical studies on the consistency of liquid foodsWood Fw, eds. Society of chemical industry monograph no. 27: Rheology and texture of foodstuffsKent Staples Printers Ltd.Rochester4049

19.

Lazarus, C, Logemann, JA, Rademaker, AW, Kahrilas, PJ, Pajak, R, Lazar, R, Halper, A 1993Effects of bolus volume, viscosity, and repeated swallows in nonstroke subjects and stroke patientsArch Phys Med Rehabil7410661070CrossRefPubMed

20.

Bisch, EM, Logemann, JA, Rademaker, AW, Kahrilas, PJ, Lazarus, CL 1994Pharyngeal effects of bolus volume, viscosity, and temperature in patients with dysphagia resulting from neurologic impairment and in normal subjectsJ Speech Hear Res3710411059PubMed

21.

Dantas, RO, Dodds, WJ 1990Effect of bolus volume and consistency on swallow-induced submental and infrahyoid electromyographic activityBraz J Med Biol Res233744PubMed

22.

Dantas, RO, Kern, MK, Massey, BT, Dodds, WJ, Kahrilas, PJ, Brasseur, JG, Cook, IJ, Land, IM 1990Effects of swallowed bolus variables on oral and pharyngeal phases of swallowingAm J Physiol258G675G681PubMed

23.

Perlman, AL, Vandaele, DJ, Otterbacher, MS 1995Quantitative assessment of hyoid bone displacement from video images during swallowingJ Speech Hear Res38579585PubMed

24.

Chi–Fishman, G, Sonies, BC 2002Effects of systematic bolus viscosity and volume changes on hyoid movement kinematicsDysphagia17278287CrossRefPubMed

25.

Cichero, JAY, Hay, G, Murdoch, BE, Halley, PJ 1997Videofluoroscopy fluids versus mealtime fluids: Differences in viscosity and density made clearJ Med Speech Lang Pathol5203215

26.

Steele CM: Kinematics and coordinative dynamics of normal human swallowing. Doctoral dissertation, University of Toronto, 2003

27.

Borwankar, RP 1992Food texture and rheology: a tutorial reviewJ Food Eng1616CrossRef

28.

Dantas, RO, Dodds, WJ, Massey, BT, Kern, MK 1989The effect of high- vs low-density barium preparations on the quantitative features of swallowingAJR Am J Roentgenol15311911195PubMed

29.

Steele, CM, Lieshout, PHHM 2004Use of electromagnetic midsagittal articulography in the study of swallowingJ Speech Lang Hear Res47342352PubMed

30.

Steele, CM, Van Lieshout, PHHM, Goff, HD 2003The rheology of liquids: A comparison of clinicians’ subjective impressions and objective measurementDysphagia18182195CrossRefPubMed

31.

Reimers–Neils, L, Logemann, J, Larson, C 1994Viscosity effects on EMG activity in normal swallowDysphagia9101106PubMed

32.

Lieshout, PHHM, Rutjens, CAW, Spauwen, PHM 2002The dynamics of interlip coupling in speakers with a repaired unilateral cleft lip historyJ Speech Lang Hear Res45519PubMed

33.

Nelson, WL 1983Physical principles for economies of skilled movementsBiol Cybernet46135147

34.

Perkell, JS, Zandipour, M 2002Economy of effort in different speaking conditions II. Kinematic performance spaces for cyclical and speech movementsJ Acoust Soc Am11216421651CrossRefPubMed

35.

Miller, JL, Watkin, KL 1996The influence of bolus volume and viscosity on anterior lingual force during the oral stage of swallowingDysphagia11117124PubMed

36.

Nicosia, MA, Hind, JA, Roecker, EB, Carnes, M, Doyle, J, Dengel, GA, Robbins, J 2000Age effects on the temporal evolution of isometric and swallowing pressureJ Gerontol Ser A Biol Sci Med Sci55M634M640

37.

Pouderoux, P, Kahrilas, PJ 1995Deglutitive tongue force modulation by volition, volume, and viscosity in humansGastroenterology10814181426PubMed

38.

Sonies, BC, Parent, LJ, Morrish, K, Baum, BJ 1988Durational aspects of the oral–pharyngeal phase of swallow in normal adultsDysphagia3110PubMed

39.

Lof, GL, Robbins, J 1990Test–retest variability in normal swallowingDysphagia4236242PubMed

40.

Medical Research Council of Canada, NSERCC, Social Sciences and Humanities Research Council of Canada. Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. Ottawa, ON, 1998

41.

Hasegawa–Johnson, M 1998Electromagnetic exposure safety of the Carstens articulograph AG100J Acoust Soc Am10425292532CrossRefPubMed

42.

Li, M, Brasseur, JG, Kern, MK, Dodds, WJ 1992Viscosity measurements of barium sulfate mixtures for use in motility studies of the pharynx and esophagusDysphagia71730PubMed

43.

Schönle, PW, Gräbe, K, Wenig, P, Höhne, J, Schrader, J, Conrad, B 1987Electromagnetic articulography: Use of alternating magnetic fields for tracking movements of multiple points inside and outside the vocal tractBrain Lang.2635CrossRefPubMed

44.

Hamlet, SL, Nelson, RJ, Patterson, RL 1990Interpreting the sounds of swallowing: fluid flow through the cricopharyngeusAnn Otol Rhinol Larynsol99749752

45.

Perlman, AL, Ettema, SL, Barkmeier, J 2000Respiratory and acoustic signals associated with bolus passage during swallowingDysphagia158994PubMed

46.

Cichero, JA, Murdoch, BE 1998The physiologic cause of swallowing sounds: answers from heart sounds and vocal tract acousticsDysphagia133952PubMed

47.

Westbury, JR 1994On coordinate systems and the representation of articulatory movementsJ Acoust Sco Am9522712273

48.

Lieshout, PHHM, Moussa, W 2000The assessment of speech motor behaviors using electromagnetic articulographyPhonetician81922

49.

Westbury, JR 1998Mandible and hyoid bone movements during speechJ Speech Hear Res31405416

50.

Westbury, JR, Lindstrom, MJ, McClean, MD 2002Tongues and lips without jaws: a comparison of methods for decoupling speech movementsJ Speech Language Hear Res45651662

51.

Feise, RJ 2002Do multiple outcome measure require p-value adjustment?BMC Med Res Methodol28, 2002

52.

Tasko, SM, Kent, RD, Westbury, JR 2002Variability in tongue movement kinematics during normal liquid swallowingDysphagia17126138CrossRefPubMed

53.

Robbins, J, Hamilton, JW, Lof, GL, Kempster, GB 1992Oropharyngeal swallowing in normal adults of different agesGastroenterology103823829PubMed

54.

Rademaker, AW, Pauloski, BR, Colangelo, LA, Logemann, JA 1998Age and volume effects on liquid swallowing function in normal womenJ Speech Lang Hear Res41275284PubMed

55.

Logemann, JA, Pauloski, BR, Rademaker, AW, Colangelo, LA, Kahrilas, PJ, Smith, CH 2000Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older menJ Speech Lang Hear Res4312641274PubMed

56.

Hind, JA, Nicosia, MA, Roecker, EB, Carnes, ML, Robbins, J 2001Comparison of effortful and noneffortful swallows in healthy middle- aged and older adultsArch Phys Med Rehabil8216611665CrossRefPubMed

57.

Chavez, EM, Ship, JA 2000Sensory and motor deficits in the elderly: impact on oral healthJ Public Health Dent60297303PubMed

58.

Kahrilas, PJ, Lin, S, Logemann, JA, Ergun, GA, Facchini, F 1993Deglutitive tongue action: volume accommodation and bolus propulsionGastroenterology104152162PubMed

59.

Hamlet, SL 1989Dynamic aspects of lingual propulsive activity in swallowingDysphagia4136145PubMed

60.

Hamlet, SL, Stone, M, Shawker, TH 1988Posterior tongue grooving in deglutition and speech: preliminary observationsDysphagia36568PubMed

61.

Weismer, G, Bunton, K 1999Influences of pellet markers on speech production behavior: acoustical and perceptual measuresJ Acoust Soc Am10528822894CrossRefPubMed

62.

Riely, RR, Smith, A 2003Speech movements do not scale by orofacial structure sizeJ Appl Physiol9421192126PubMed

63.

Hiss SG, Dikeman KJ, Green J, Inman A, Kelchner L, Lazarus C, Miller C, Hasselkus A, Johnson A: Knowledge and skills needed by speech–language pathologists performing videofluoroscopic swallowing examinations. (draft). Rockville, MD: American Speech–Language Hearing Association (ASHA) Special Interest Division 13, Swallowing and Swallowing Disorders, 2003

Title: Influence of Bolus Consistency on Lingual Behaviors in Sequential Swallowing
Authors: Catriona M. Steele, PhD, SLP(C), CCC-SLP, Reg. CASLPO
Pascal H.H.M. Van Lieshout, PhD
Publication date: 01-08-2004
Publisher: Springer-Verlag
Published in: Dysphagia / Issue 3/2004
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-004-0006-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Influence of Bolus Consistency on Lingual Behaviors in Sequential Swallowing

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2004

Use of Fiberoptic Endoscopic Evaluation of Swallowing (FEES) in Patients with Amyotrophic Lateral Sclerosis

Movement-Related Cortical Potentials Associated with Saliva and Water Bolus Swallowing

UES Opening and Cricopharyngeal Bar in Nondysphagic Elderly and Nonelderly Adults

Volume and Rate of Milk Delivery as Determinants of Swallowing in an Infant Model Animal (Sus scrofia)

Functional Benefits of Dysphagia Therapy Using Adjunctive sEMG Biofeedback

Comments on Selected Recent Dysphagia Literature