Lingual Pressure as a Clinical Indicator of Swallowing Function in Parkinson's Disease

Pitts, Laura L.; Morales, Sarah; Stierwalt, Julie A.G.

doi:10.1044/2017_jslhr-s-17-0259

Cited by 46 publications

(41 citation statements)

References 28 publications

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“…Our study demonstrated that the effective therapy rate, swallowing function, and VFSE of patients in the OG were better that those of patients in the CG, consistent with previous research. 15 …”

Section: Discussionmentioning

confidence: 99%

“…Hence, stimulating the nerves associated with swallowing, and contractile reflex induction improves swallowing function. 14 During swallowing training, food intake is increased as the oral and esophageal 15 The inflammatory response is a key factor causing vascular dementia and neurodegenerative disease. IL-1 is a proinflammatory factor that activates various inflammatory cells and plays an essential role in secondary brain damage.…”

Section: Discussionmentioning

confidence: 99%

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RETRACTED: Effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia

Zhang

Huang

et al. 2021

J Int Med Res

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Objective We investigated the effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia. Methods We randomly classified 214 patients with senile vascular dementia and swallowing dysfunction into a control group (CG, n = 106) and observation group (OG, n = 108). Both groups underwent health education, psychological intervention, and training of the oral muscle group. The OG additionally underwent the Mendelsohn maneuver and swallowing training. The Hasegawa Dementia Scale (HDS), China Stroke Scale (CSS), and Neurobehavioral Cognitive Status Examination (NCSE) were used to evaluate dementia, neurological impairment, and cognitive dysfunction, respectively. Results The OG had a higher rate of effective therapy than the CG. After intervention, the OG showed better swallowing function than the CG. At 15 days and 1 month after intervention, the OG had higher video fluoroscopic swallowing exam scores than the CG. The OG had lower serum interleukin (IL)-1, IL-6, and tumor necrosis factor-α levels than the CG. After intervention, the OG had higher HDS and NCSE scores and lower CSS scores than the CG. Conclusions The Mendelsohn maneuver and swallowing training can improve swallowing function in patients with senile vascular dementia complicated with dysphagia and help to ameliorate the inflammatory response.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

RETRACTED: Effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia

Zhang

Huang

et al. 2021

J Int Med Res

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show abstract

“…Shaker et al 6 reported that pressure forms in the oral cavity from the anterior to the posterior part during swallowing and that tongue pressure, which is the contact pressure between the tongue and the palate, is the largest driving force for sending the bolus from the oral cavity to the pharynx. Since then, the measurement of tongue pressure has been considered to be an effective method for evaluating tongue motion, and this led to the development of a wide variety of tongue pressure‐measuring devices, such as probe‐type tongue pressure measurement devices that measure maximum tongue pressing force 7‐10 and a sensor sheet system that measures tongue pressure during swallowing, 11‐16 resulting in numerous studies of tongue pressure.…”

Section: Introductionmentioning

confidence: 99%

Coordination between lingual motion and pressure production during dipper/tipper type swallows

Shitara

Fujiwara

Okawa

et al. 2020

J of Oral Rehabilitation

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Background: Tongue motor biomechanics during swallowing was not fully elucidated due to the technical difficulty. Objective: To evaluate the relationship between tongue motion and tongue pressure production by simultaneously measuring tongue motion and tongue pressure during water swallowing. Methods: In 12 healthy male participants (mean age, 30.8 ± 4.2 years), tongue pressure and tongue motion trajectory during dipper-and tipper-type swallows of 3 mL of water were measured using a sensor sheet system equipped with five sensing points and an electromagnetic articulography, respectively. The temporal correlation between motion of anterior/posterior tongue and tongue pressure production during swallowing was evaluated on the synchronised waveforms. Results: In the dipper-type swallow, a similar up-and-down motion pattern in vertical direction was observed among all participants before tongue pressure production. Those motion patterns were common at the anterior and posterior tongue locations with a temporal difference in some segment of tongue motion. On the other hand, tongue directly attached to hard palate with temporal synchronicity between the anterior and posterior parts. In both types of swallow, a strong temporal correlation was found between the timing of tongue-palate contact and the Onset of tongue pressure by intra-class correlation coefficients. Conclusion: From the simultaneous measurement of tongue motion and tongue pressure production, the tongue motion pattern during water swallowing and the temporal correlation between tongue motion and tongue pressure production were elucidated.

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“…As MTP reduces and tongue‐to‐palate pressure required for swallowing remains constant, a reduction of the functional reserve may potentially result in a disruption to the swallowing process. In other populations, reduced MTP has been reported to be associated with the presence of OD 16,17,33‐36 . In the sample of patients recruited in the study, MTP was on average 29.7 ± 14 kPa.…”

Section: Discussionmentioning

confidence: 83%

Association between maximum tongue pressure and swallowing safety and efficacy in amyotrophic lateral sclerosis

Pizzorni

Ginocchio

Bianchi

et al. 2020

Neurogastroenterology Motil

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Background Oropharyngeal dysphagia (OD) is common in amyotrophic lateral sclerosis (ALS), leading to a reduction of swallowing safety and efficacy. The tongue has an important role in swallowing function for oral processing and bolus propulsion through the pharynx. The study aims to analyze the association between instrumental findings of OD and tongue pressure. Methods Patients with ALS referred for fiberoptic endoscopic evaluation of swallowing (FEES) were recruited. FEES was conducted to test swallowing function with liquid (5, 10, and 20 ml), semisolid (5, 10, and 20 ml), and solid. FEES recordings were assessed for swallowing safety, using the penetration‐aspiration scale (PAS), and for swallowing efficacy, using the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS). PAS scores >2 were suggestive of penetration, PAS scores >5 of aspiration, and YPRSRS scores >2 of residue. Maximum tongue pressure (MTP) and tongue endurance were measured using the Iowa Oral Performance Instrument. Tongue pressure measurements were compared between patients with and without penetration, aspiration, or residue. Key results Fifty‐five patients with ALS were included. Mean MTP was 29.7 kPa, and median tongue endurance was 10 seconds. Patients with residue in the pyriform sinus had a significantly lower MTP than patients without residue in the pyriform sinus with semisolids 10 ml (P = .011) and 20 ml (P = .032). Patients with a tongue endurance <10 seconds exhibited higher frequency of penetration with liquids 5 ml (P = .046), liquids 10 ml (P = .015), and solids (P = .22). Conclusion and inferences In patients with ALS, MTP is significantly associated with an impairment of swallowing efficacy and tongue endurance was significantly associated with an impairment of swallowing safety.

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Lingual Pressure as a Clinical Indicator of Swallowing Function in Parkinson's Disease

Cited by 46 publications

References 28 publications

RETRACTED: Effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia

RETRACTED: Effect of the Mendelsohn maneuver and swallowing training in patients with senile vascular dementia complicated with dysphagia

Coordination between lingual motion and pressure production during dipper/tipper type swallows

Association between maximum tongue pressure and swallowing safety and efficacy in amyotrophic lateral sclerosis

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