Kinematic analysis of chewing and swallowing function after cervical spine surgery
Purpose Although movement of the hyoid bone is different for masticatory swallowing and liquid swallowing in normal subjects, it has not been studied after cervical spine surgery. Therefore, we analyzed the swallowing dynamics of masticatory swallowing in anterior cervical spine disease surgery usin...
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| Veröffentlicht in: | European spine journal 2024-01, Vol.33 (1), p.243-252 |
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| creator | Aritaki, Kota Nakagawa, Kazuharu Yoshimi, Kanako Yoshizawa, Akira Hasegawa, Shohei Yanagida, Ryosuke Hashimoto, Motonori Hirai, Takashi Yamaguchi, Kohei Nakane, Ayako Yoshii, Toshitaka Okawa, Atsushi Tohara, Haruka |
| description | Purpose
Although movement of the hyoid bone is different for masticatory swallowing and liquid swallowing in normal subjects, it has not been studied after cervical spine surgery. Therefore, we analyzed the swallowing dynamics of masticatory swallowing in anterior cervical spine disease surgery using foods that require chewing close to actual meals.
Methods
A day before and one week after the surgery, a videofluoroscopic swallow study (VFSS) was performed, and the distance of hyoid bone movement in the anterior and superior directions, amount of opening of the upper esophageal sphincter (UES), time of passage through the pharynx, number of swallows, and amount of pharyngeal residual were measured on the VFSS images during a masticatory swallow of corn flakes. The swallowing function was evaluated by DSS (dysphagia severity scale) and FOIS (functional oral intake scale). Imaging software was used for the measurements.
Results
Postoperative hyoid movement during masticatory swallowing was not significantly different for anterior movement but significantly limited in upward movement (
p
= 0.002); UES opening volume was significantly decreased (
p
|
| doi_str_mv | 10.1007/s00586-023-08022-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2890361266</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2921199901</sourcerecordid><originalsourceid>FETCH-LOGICAL-c425t-aa36f6beefa67f8159cc05db7c83f3a3ad7b3a898fb57b695f42167c1190d0583</originalsourceid><addsrcrecordid>eNp9kM9PwyAUx4nRuDn9BzwYEi9eqg9ooRzN4q-4xMTomVAKs0vXTmhd9t-L69TEgyfyeJ_3hfdB6JTAJQEQVwEgy3kClCWQA6WJ2ENjkjKagGR0H41BppBwQeQIHYWwACCZBH6IRkxIzjORj9HzY9XYpe4qg3Wj602oAm4dNm92XTXzeFfisNZ13W5L1zemq9oGa9dZj431H5XRNQ6rmIJD7-fWb47RgdN1sCe7c4Jeb29epvfJ7OnuYXo9S0xKsy7RmnHHC2ud5sLl8WvGQFYWwuTMMc10KQqmc5m7IhMFl5lLKeHCECKhjIuzCboYcle-fe9t6NSyCsbWtW5s2wdFcwmME8p5RM__oIu293HfSEkaE6UEEik6UMa3IXjr1MpXS-03ioD6Mq4G4yoaV1vjSsShs110Xyxt-TPyrTgCbABCbDVR0O_b_8R-AtiGjBs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2921199901</pqid></control><display><type>article</type><title>Kinematic analysis of chewing and swallowing function after cervical spine surgery</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Aritaki, Kota ; Nakagawa, Kazuharu ; Yoshimi, Kanako ; Yoshizawa, Akira ; Hasegawa, Shohei ; Yanagida, Ryosuke ; Hashimoto, Motonori ; Hirai, Takashi ; Yamaguchi, Kohei ; Nakane, Ayako ; Yoshii, Toshitaka ; Okawa, Atsushi ; Tohara, Haruka</creator><creatorcontrib>Aritaki, Kota ; Nakagawa, Kazuharu ; Yoshimi, Kanako ; Yoshizawa, Akira ; Hasegawa, Shohei ; Yanagida, Ryosuke ; Hashimoto, Motonori ; Hirai, Takashi ; Yamaguchi, Kohei ; Nakane, Ayako ; Yoshii, Toshitaka ; Okawa, Atsushi ; Tohara, Haruka</creatorcontrib><description>Purpose
Although movement of the hyoid bone is different for masticatory swallowing and liquid swallowing in normal subjects, it has not been studied after cervical spine surgery. Therefore, we analyzed the swallowing dynamics of masticatory swallowing in anterior cervical spine disease surgery using foods that require chewing close to actual meals.
Methods
A day before and one week after the surgery, a videofluoroscopic swallow study (VFSS) was performed, and the distance of hyoid bone movement in the anterior and superior directions, amount of opening of the upper esophageal sphincter (UES), time of passage through the pharynx, number of swallows, and amount of pharyngeal residual were measured on the VFSS images during a masticatory swallow of corn flakes. The swallowing function was evaluated by DSS (dysphagia severity scale) and FOIS (functional oral intake scale). Imaging software was used for the measurements.
Results
Postoperative hyoid movement during masticatory swallowing was not significantly different for anterior movement but significantly limited in upward movement (
p
= 0.002); UES opening volume was significantly decreased (
p
< 0.001), and bolus residue was significantly worse (
p
< 0.001), compared to preoperative. The pharyngeal transit time was not significantly different; the number of swallows increased (
p
< 0.001), along with DSS (
p
< 0.001) and FOIS (
p
< 0.001), with significant differences before and after surgery, indicating worsened swallowing function.
Conclusions
Swallowing function worsened in masticatory swallowing after surgery for cervical spine disease, mainly due to the restriction of upward movement of the hyoid bone and the resulting increase in pharyngeal residuals after swallowing.</description><identifier>ISSN: 0940-6719</identifier><identifier>ISSN: 1432-0932</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-023-08022-7</identifier><identifier>PMID: 37966578</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Back surgery ; Biomechanical Phenomena ; Bone surgery ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - surgery ; Chewing ; Deglutition ; Deglutition Disorders - diagnostic imaging ; Deglutition Disorders - etiology ; Dysphagia ; Esophageal sphincter ; Humans ; Hyoid bone ; Mastication ; Medicine ; Medicine & Public Health ; Neurosurgery ; Original Article ; Pharynx ; Sphincter ; Spine (cervical) ; Surgical Orthopedics ; Swallowing</subject><ispartof>European spine journal, 2024-01, Vol.33 (1), p.243-252</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c425t-aa36f6beefa67f8159cc05db7c83f3a3ad7b3a898fb57b695f42167c1190d0583</cites><orcidid>0000-0002-5752-5946 ; 0000-0002-5005-036X ; 0000-0001-5514-6419 ; 0000-0002-7034-4402 ; 0000-0002-5512-2609 ; 0000-0001-6200-0100 ; 0000-0003-3511-9020 ; 0000-0002-8998-8961 ; 0000-0002-5572-4159 ; 0000-0003-0227-8658 ; 0000-0001-9543-1388</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-023-08022-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-023-08022-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37966578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aritaki, Kota</creatorcontrib><creatorcontrib>Nakagawa, Kazuharu</creatorcontrib><creatorcontrib>Yoshimi, Kanako</creatorcontrib><creatorcontrib>Yoshizawa, Akira</creatorcontrib><creatorcontrib>Hasegawa, Shohei</creatorcontrib><creatorcontrib>Yanagida, Ryosuke</creatorcontrib><creatorcontrib>Hashimoto, Motonori</creatorcontrib><creatorcontrib>Hirai, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Kohei</creatorcontrib><creatorcontrib>Nakane, Ayako</creatorcontrib><creatorcontrib>Yoshii, Toshitaka</creatorcontrib><creatorcontrib>Okawa, Atsushi</creatorcontrib><creatorcontrib>Tohara, Haruka</creatorcontrib><title>Kinematic analysis of chewing and swallowing function after cervical spine surgery</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Although movement of the hyoid bone is different for masticatory swallowing and liquid swallowing in normal subjects, it has not been studied after cervical spine surgery. Therefore, we analyzed the swallowing dynamics of masticatory swallowing in anterior cervical spine disease surgery using foods that require chewing close to actual meals.
Methods
A day before and one week after the surgery, a videofluoroscopic swallow study (VFSS) was performed, and the distance of hyoid bone movement in the anterior and superior directions, amount of opening of the upper esophageal sphincter (UES), time of passage through the pharynx, number of swallows, and amount of pharyngeal residual were measured on the VFSS images during a masticatory swallow of corn flakes. The swallowing function was evaluated by DSS (dysphagia severity scale) and FOIS (functional oral intake scale). Imaging software was used for the measurements.
Results
Postoperative hyoid movement during masticatory swallowing was not significantly different for anterior movement but significantly limited in upward movement (
p
= 0.002); UES opening volume was significantly decreased (
p
< 0.001), and bolus residue was significantly worse (
p
< 0.001), compared to preoperative. The pharyngeal transit time was not significantly different; the number of swallows increased (
p
< 0.001), along with DSS (
p
< 0.001) and FOIS (
p
< 0.001), with significant differences before and after surgery, indicating worsened swallowing function.
Conclusions
Swallowing function worsened in masticatory swallowing after surgery for cervical spine disease, mainly due to the restriction of upward movement of the hyoid bone and the resulting increase in pharyngeal residuals after swallowing.</description><subject>Back surgery</subject><subject>Biomechanical Phenomena</subject><subject>Bone surgery</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - surgery</subject><subject>Chewing</subject><subject>Deglutition</subject><subject>Deglutition Disorders - diagnostic imaging</subject><subject>Deglutition Disorders - etiology</subject><subject>Dysphagia</subject><subject>Esophageal sphincter</subject><subject>Humans</subject><subject>Hyoid bone</subject><subject>Mastication</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Pharynx</subject><subject>Sphincter</subject><subject>Spine (cervical)</subject><subject>Surgical Orthopedics</subject><subject>Swallowing</subject><issn>0940-6719</issn><issn>1432-0932</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kM9PwyAUx4nRuDn9BzwYEi9eqg9ooRzN4q-4xMTomVAKs0vXTmhd9t-L69TEgyfyeJ_3hfdB6JTAJQEQVwEgy3kClCWQA6WJ2ENjkjKagGR0H41BppBwQeQIHYWwACCZBH6IRkxIzjORj9HzY9XYpe4qg3Wj602oAm4dNm92XTXzeFfisNZ13W5L1zemq9oGa9dZj431H5XRNQ6rmIJD7-fWb47RgdN1sCe7c4Jeb29epvfJ7OnuYXo9S0xKsy7RmnHHC2ud5sLl8WvGQFYWwuTMMc10KQqmc5m7IhMFl5lLKeHCECKhjIuzCboYcle-fe9t6NSyCsbWtW5s2wdFcwmME8p5RM__oIu293HfSEkaE6UEEik6UMa3IXjr1MpXS-03ioD6Mq4G4yoaV1vjSsShs110Xyxt-TPyrTgCbABCbDVR0O_b_8R-AtiGjBs</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Aritaki, Kota</creator><creator>Nakagawa, Kazuharu</creator><creator>Yoshimi, Kanako</creator><creator>Yoshizawa, Akira</creator><creator>Hasegawa, Shohei</creator><creator>Yanagida, Ryosuke</creator><creator>Hashimoto, Motonori</creator><creator>Hirai, Takashi</creator><creator>Yamaguchi, Kohei</creator><creator>Nakane, Ayako</creator><creator>Yoshii, Toshitaka</creator><creator>Okawa, Atsushi</creator><creator>Tohara, Haruka</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5752-5946</orcidid><orcidid>https://orcid.org/0000-0002-5005-036X</orcidid><orcidid>https://orcid.org/0000-0001-5514-6419</orcidid><orcidid>https://orcid.org/0000-0002-7034-4402</orcidid><orcidid>https://orcid.org/0000-0002-5512-2609</orcidid><orcidid>https://orcid.org/0000-0001-6200-0100</orcidid><orcidid>https://orcid.org/0000-0003-3511-9020</orcidid><orcidid>https://orcid.org/0000-0002-8998-8961</orcidid><orcidid>https://orcid.org/0000-0002-5572-4159</orcidid><orcidid>https://orcid.org/0000-0003-0227-8658</orcidid><orcidid>https://orcid.org/0000-0001-9543-1388</orcidid></search><sort><creationdate>20240101</creationdate><title>Kinematic analysis of chewing and swallowing function after cervical spine surgery</title><author>Aritaki, Kota ; Nakagawa, Kazuharu ; Yoshimi, Kanako ; Yoshizawa, Akira ; Hasegawa, Shohei ; Yanagida, Ryosuke ; Hashimoto, Motonori ; Hirai, Takashi ; Yamaguchi, Kohei ; Nakane, Ayako ; Yoshii, Toshitaka ; Okawa, Atsushi ; Tohara, Haruka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c425t-aa36f6beefa67f8159cc05db7c83f3a3ad7b3a898fb57b695f42167c1190d0583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Back surgery</topic><topic>Biomechanical Phenomena</topic><topic>Bone surgery</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - surgery</topic><topic>Chewing</topic><topic>Deglutition</topic><topic>Deglutition Disorders - diagnostic imaging</topic><topic>Deglutition Disorders - etiology</topic><topic>Dysphagia</topic><topic>Esophageal sphincter</topic><topic>Humans</topic><topic>Hyoid bone</topic><topic>Mastication</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Pharynx</topic><topic>Sphincter</topic><topic>Spine (cervical)</topic><topic>Surgical Orthopedics</topic><topic>Swallowing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aritaki, Kota</creatorcontrib><creatorcontrib>Nakagawa, Kazuharu</creatorcontrib><creatorcontrib>Yoshimi, Kanako</creatorcontrib><creatorcontrib>Yoshizawa, Akira</creatorcontrib><creatorcontrib>Hasegawa, Shohei</creatorcontrib><creatorcontrib>Yanagida, Ryosuke</creatorcontrib><creatorcontrib>Hashimoto, Motonori</creatorcontrib><creatorcontrib>Hirai, Takashi</creatorcontrib><creatorcontrib>Yamaguchi, Kohei</creatorcontrib><creatorcontrib>Nakane, Ayako</creatorcontrib><creatorcontrib>Yoshii, Toshitaka</creatorcontrib><creatorcontrib>Okawa, Atsushi</creatorcontrib><creatorcontrib>Tohara, Haruka</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aritaki, Kota</au><au>Nakagawa, Kazuharu</au><au>Yoshimi, Kanako</au><au>Yoshizawa, Akira</au><au>Hasegawa, Shohei</au><au>Yanagida, Ryosuke</au><au>Hashimoto, Motonori</au><au>Hirai, Takashi</au><au>Yamaguchi, Kohei</au><au>Nakane, Ayako</au><au>Yoshii, Toshitaka</au><au>Okawa, Atsushi</au><au>Tohara, Haruka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kinematic analysis of chewing and swallowing function after cervical spine surgery</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>33</volume><issue>1</issue><spage>243</spage><epage>252</epage><pages>243-252</pages><issn>0940-6719</issn><issn>1432-0932</issn><eissn>1432-0932</eissn><abstract>Purpose
Although movement of the hyoid bone is different for masticatory swallowing and liquid swallowing in normal subjects, it has not been studied after cervical spine surgery. Therefore, we analyzed the swallowing dynamics of masticatory swallowing in anterior cervical spine disease surgery using foods that require chewing close to actual meals.
Methods
A day before and one week after the surgery, a videofluoroscopic swallow study (VFSS) was performed, and the distance of hyoid bone movement in the anterior and superior directions, amount of opening of the upper esophageal sphincter (UES), time of passage through the pharynx, number of swallows, and amount of pharyngeal residual were measured on the VFSS images during a masticatory swallow of corn flakes. The swallowing function was evaluated by DSS (dysphagia severity scale) and FOIS (functional oral intake scale). Imaging software was used for the measurements.
Results
Postoperative hyoid movement during masticatory swallowing was not significantly different for anterior movement but significantly limited in upward movement (
p
= 0.002); UES opening volume was significantly decreased (
p
< 0.001), and bolus residue was significantly worse (
p
< 0.001), compared to preoperative. The pharyngeal transit time was not significantly different; the number of swallows increased (
p
< 0.001), along with DSS (
p
< 0.001) and FOIS (
p
< 0.001), with significant differences before and after surgery, indicating worsened swallowing function.
Conclusions
Swallowing function worsened in masticatory swallowing after surgery for cervical spine disease, mainly due to the restriction of upward movement of the hyoid bone and the resulting increase in pharyngeal residuals after swallowing.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37966578</pmid><doi>10.1007/s00586-023-08022-7</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5752-5946</orcidid><orcidid>https://orcid.org/0000-0002-5005-036X</orcidid><orcidid>https://orcid.org/0000-0001-5514-6419</orcidid><orcidid>https://orcid.org/0000-0002-7034-4402</orcidid><orcidid>https://orcid.org/0000-0002-5512-2609</orcidid><orcidid>https://orcid.org/0000-0001-6200-0100</orcidid><orcidid>https://orcid.org/0000-0003-3511-9020</orcidid><orcidid>https://orcid.org/0000-0002-8998-8961</orcidid><orcidid>https://orcid.org/0000-0002-5572-4159</orcidid><orcidid>https://orcid.org/0000-0003-0227-8658</orcidid><orcidid>https://orcid.org/0000-0001-9543-1388</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | European spine journal, 2024-01, Vol.33 (1), p.243-252 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Back surgery Biomechanical Phenomena Bone surgery Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - surgery Chewing Deglutition Deglutition Disorders - diagnostic imaging Deglutition Disorders - etiology Dysphagia Esophageal sphincter Humans Hyoid bone Mastication Medicine Medicine & Public Health Neurosurgery Original Article Pharynx Sphincter Spine (cervical) Surgical Orthopedics Swallowing |
| title | Kinematic analysis of chewing and swallowing function after cervical spine surgery |
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