Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Dysphagia
Published in: Dysphagia 2/2012

01-06-2012 | Original Article

Effects of Carbonated Liquids on Oropharyngeal Swallowing Measures in People with Neurogenic Dysphagia

Published in: Dysphagia | Issue 2/2012

Login to get access

Abstract

Aspiration is common in adults with neurogenic dysphagia and pharyngeal delay. This can lead to dehydration, malnutrition, and aspiration pneumonia. Diet modifications aimed at reducing thin liquid aspiration are partially successful or unpalatable or both. Carbonated liquids show some potential in influencing swallowing behavior. However, there is a paucity of evidence to support this intervention. This study compares the effects of carbonated thin liquids (CTL) with that of noncarbonated thin liquids (NCTL) on oropharyngeal swallowing in adults with neurogenic dysphagia and examines the palatability of the CTL stimulus. Seventeen people with pharyngeal delay attended for videofluoroscopy (VFSS). Outcome measures were oral transit time (OTT), pharyngeal transit time (PTT), stage transition duration (STD), initiation of the pharyngeal swallow (IPS), penetration-aspiration scale (PENASP), and pharyngeal retention (PR). A modification of Quartermaster Hedonic Scale (AQHS) was employed to assess palatability of the CTL. CTL vs. NCTL significantly decreased penetration and aspiration on 5-ml (P = 0.028) and 10-ml (P = 0.037) swallows. CTL had no significant effect on OTT, PTT, IPS, and PR for any volume of bolus. Only one participant disliked the CTL stimulus. These findings support the hypothesis that oropharyngeal swallowing can be modulated in response to sensory stimuli. Implications for research and clinical practice are discussed.
Literature
1.
Gates J, Hartnell GG, Gramigna GD. Videofluoroscopy and swallowing studies for neurologic disease: a primer. RadioGraphics. 2006;26:e22.PubMedCrossRef
2.
Mann G, Hankey GJ, Cameron D. Swallowing function after stroke: prognosis and prognostic factors at 6 months. Stroke. 1991;30:744–8.CrossRef
3.
Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005;36:2756–63.PubMedCrossRef
4.
Campbell-Taylor I. Oropharyngeal dysphagia in long-term care: misperceptions of treatment efficacy. J Am Med Dir Assoc. 2008;9:523–31.PubMedCrossRef
5.
Kuhlemeier KV, Palmer JB, Rosenberg D. Effect of liquid bolus consistency and delivery method on aspiration and pharyngeal retention in dysphagia patients. Dysphagia. 2001;16:119–22.PubMedCrossRef
6.
Finestone HM, Foley NC, Woodbury GM, Greene-Finestone L. Quantifying fluid intake in dysphagic stroke patients: a preliminary comparison of oral and nonoral strategies. Arch Phys Med Rehabil. 2001;82:1744–6.PubMedCrossRef
7.
Logemann J, Lindbald AS, Brandt D, et al. A randomized study of three interventions for aspiration of thin liquids in patients with dementia or Parkinson’s disease. J Speech Lang Hear Res. 2008;51:173–83.PubMedCrossRef
8.
Bartoshuk L, Duffy V, Leder S, Snyder D. Oral sensation: genetic and pathological sources of variation. Dysphagia. 2003;14:3–9.
9.
Jean A. Brain stem control of swallowing: neuronal network and cellular mechanisms. Physiol Rev. 2001;81:929–69.PubMed
10.
Logemann JA. Pre-swallow sensory input: its potential importance to dysphagic patients and normal individuals. Dysphagia. 1996;11:9–10.PubMedCrossRef
11.
12.
13.
Mistry S, Hamdy S. Neural control of feeding and swallowing. Phys Med Rehabil Clin N Am. 2008;19:709–28.PubMedCrossRef
14.
Robbins J, Butler SG, Daniels SK, et al. Swallowing and dysphagia rehabilitation: translating principles of neural plasticity into clinically oriented evidence. J Speech Lang Hear Res. 2008;51:S276–300.PubMedCrossRef
15.
Buettner A, Beer A, Hannig C, Settles M, Schieberle P. Physiological and analytical studies on flavor perception dynamics as induced by the eating and swallowing process. Food Qual Pref. 2002;13:497–504.CrossRef
16.
Carstens E, Carstens MI, Dessirier JM, O’Mahony M, Simons CT, Sudo M, Sudo S. It hurts so good: oral irritation by spices and carbonated drinks and the underlying neural mechanisms: Short communication. Food Qual Pref. 2002;13:431–43.CrossRef
17.
Chandrashekar J, Yarmolinsky D, Buchholtz L, Oka Y, Sly W, Ryba NJP, Zuker CS. The taste of carbonation. Science. 2009;326:443–5.PubMedCrossRef
18.
Duffy VB. Variation in oral sensation: implications for diet and health. Curr Opin Gastroenterol. 2007;23:171–7.PubMedCrossRef
19.
Green BG. Oral chemesthesis: an integral component of flavor. In: Taylor A, Roberts D, editors. Flavor perception. Oxford: Blackwell Publishing; 2004. p. 151–71.CrossRef
20.
Negoias S, Visschers R, Boelrijk A, Hummel T. New ways to understand aroma perception. Food Chem. 2008;108:1247–54.CrossRef
21.
Logemann JA, Pauloski BR, Colangelo L, Lazarus C, Fujiu M, Kahrilas PJ. Effects of a sour bolus on oropharyngeal swallowing measures in patients with neurogenic dysphagia. J Speech Hear Res. 1995;38:556–63.PubMed
22.
Pelletier CA, Lawless HT. Effect of citric acid and citric acid-sucrose mixtures on swallowing in neurogenic oropharyngeal dysphagia. Dysphagia. 2003;18:231–41.PubMedCrossRef
23.
Pelletier CA, Dhanaraj GE. The effect of taste and palatability on lingual swallowing pressure. Dysphagia. 2006;21:1–8.CrossRef
24.
Bulow M, Olsson R, Ekberg O. Videoradiographic analysis of how carbonated thin liquids and thickened liquids affect the physiology of swallowing in subjects with aspiration of thin liquids. Acta Radiol. 2003;44:366–72.PubMed
25.
Jennings KS, Siroky D, Jackson CG. Swallowing problems after excision of tumors of the skull base: diagnosis and management in 12 patients. Dysphagia. 1992;7:40–4.PubMedCrossRef
26.
27.
Miura Y, Morita Y, Koizumi H, Shingai T. Effects of taste solutions, carbonation, and cold stimulus on the power frequency content of swallowing submental surface electromyography. Chem Senses. 2009;34:325–31.PubMedCrossRef
28.
Newman L, Armstrong R, Rogers T, et al. The effect of carbonation on sensory dysphagia in the pediatric population. Dysphagia. 2001;16:146–50.
29.
Nixon TS. Use of carbonated liquids in the treatment of dysphagia. Network: a newsletter of dietetics in physical medicine and rehabilitation. New York: American Dietetic Association; 1997.
30.
Steele CM, Miller AJ. Sensory input pathways and mechanisms in swallowing: a review. Dysphagia. 2010;25:323–33.PubMedCrossRef
31.
32.
Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175–91.PubMedCrossRef
33.
34.
Logemann JA. Evaluation and treatment of swallowing disorders. 2nd ed. Austin, TX: Pro-Ed; 1998.
35.
Kim Y, McCullough GH, Asp CW. Temporal measurements of pharyngeal swallowing in normal populations. Dysphagia. 2005;20:290–6.PubMedCrossRef
36.
Kim Y, McCullough GH. Stage transition duration in patients poststroke. Dysphagia. 2007;22:299–305.PubMedCrossRef
37.
Martin-Harris B, Brodsky MB, Michel Y, Castell DO, Schleicher M, Sandidge J, Maxwell R, Blair J. MBS measurement tool for swallow impairment—MBSImp: establishing a standard. Dysphagia. 2008;23:392–405.PubMedCrossRef
38.
Rosenbek JC, Robbins J, Roecker EV, Coyle JL, Woods JL. A penetration-aspiration scale. Dysphagia. 1996;11:93–8.PubMedCrossRef
39.
Eisenhuber E, Schima W, Schober E, Pokieser P, Stadler A, Scharitzer M, et al. Videofluoroscopic assessment of patients with dysphagia: pharyngeal retention is a predictive factor for aspiration. Am J Roentgenol. 2002;178:393–8.
40.
Jones LV, Peryam DR, Thurstone LL. Development of a scale for measuring soldiers’ food preferences. Food Res. 1955;20:512–20.
41.
42.
Daniels SK, Schroeder MF, McClain M, Corey D, Rosenbek JC, Foundas AL. Dysphagia in stroke: development of a standard method to examine swallowing recovery. J Rehabil Res Dev. 2006;43:347–56.PubMedCrossRef
43.
Daniels SK, Schroeder MF, DeGeorge PC, Corey DM. Defining and measuring dysphagia following stroke. Am J Speech Lang Pathol. 2009;18:74–81.PubMedCrossRef
44.
Corbin-Lewis K, Liss JM, Sciortino KL. Clinical anatomy and physiology of the swallow mechanism. Clifton Park, NY: Thomson Delmar Learning; 2005.
45.
Dessirier JM, Simons CT, O’Mahony M, Carstens E. The oral sensation of carbonated water: cross-desensitization by capsaicin and potentiation by amiloride. Chem Senses. 2001;26:639–43.PubMedCrossRef
46.
Dessirier JM, Simons CT, Carstens MI, O’Mahony M, Carstens E. Psychophysical and neurobiological evidence that the oral sensation elicited by carbonated water is of chemogenic origin. Chem Senses. 2000;25:277–84.PubMedCrossRef
47.
Green BG. The effects of temperature and concentration on the perceived intensity and quality of carbonation. Chem Senses. 1992;17:435–50.CrossRef
48.
Hewson L, Hollowood T, Chandra S, Hort J. Gustatory, olfactory and trigeminal interactions in a model carbonated beverage. Chemosens Percept. 2009;2:94–107.CrossRef
49.
Yau NJN, McDaniel MR. The effect of temperature on carbonation perception. Chem Senses. 1991;16:337–48.CrossRef
50.
Sasaki CT, Leder SB. Comments on selected recent dysphagia literature. Dysphagia. 2008;23:208–12.CrossRef
51.
Simons CT, Dessirier JM, Carstens M, O’Mahony M, Carstens E. Neurobiological and psychophysical mechanisms underlying the oral sensation produced by carbonated water. J Neurosci. 1999;19:8134–44.PubMed
52.
Metadata
Title
Effects of Carbonated Liquids on Oropharyngeal Swallowing Measures in People with Neurogenic Dysphagia
Publication date
01-06-2012
Published in
Dysphagia / Issue 2/2012
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI
https://doi.org/10.1007/s00455-011-9359-8

Other articles of this Issue 2/2012

Dysphagia 2/2012 Go to the issue

Erratum

Erratum to: Analysis of Video Fluoroscopic Swallowing Study in Patients with Vocal Cord Paralysis

Original Article

Effects of Sequential Swallowing on Drive to Breathe in Young, Healthy Adults

Letter to the Editor

Letter by Daniels Regarding Article “Silent Aspiration Risk is Volume-Dependent”

Original Article

Removable, Fully Covered, Self-expandable Metal Stents for the Treatment of Refractory Benign Esophagogastric Anastomotic Strictures

Original Article

Analysis of Video Fluoroscopic Swallowing Study in Patients with Vocal Cord Paralysis

Original Article

Cricopharyngeal Dilatation for the Long-term Treatment of Dysphagia in Oculopharyngeal Muscular Dystrophy