Effect of citric acid and citric acid-sucrose mixtures on swallowing in neurogenic oropharyngeal dysphagia

The ability of sour and sweet-sour mixtures to improve swallowing in 11 nursing home residents with neurogenic oropharyngeal dysphagia was investigated using fiberoptic endoscopic evaluation of swallowing. Citric acid (2.7%) significantly reduced aspiration and penetration compared with water. Teasp...

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Veröffentlicht in:Dysphagia 2003-10, Vol.18 (4), p.231-241
Hauptverfasser: Pelletier, Cathy A, Lawless, Harry T
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Lawless, Harry T
description The ability of sour and sweet-sour mixtures to improve swallowing in 11 nursing home residents with neurogenic oropharyngeal dysphagia was investigated using fiberoptic endoscopic evaluation of swallowing. Citric acid (2.7%) significantly reduced aspiration and penetration compared with water. Teaspoon delivery of liquids significantly reduced aspiration and penetration compared with natural cup drinking. Subjects tended to appropriately self-regulate the cup volume they consumed after the first trial. A significant increase in spontaneous dry swallows was observed after both taste stimuli. The mechanisms for improved swallowing due to citric acid are not understood but may be due to increased gustatory and trigeminal stimulation of acid to the brainstem in neurologically impaired subjects.
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subjects Aged
Aged, 80 and over
Anticoagulants - administration & dosage
Citric Acid - administration & dosage
Deglutition - drug effects
Deglutition - physiology
Deglutition Disorders - drug therapy
Deglutition Disorders - etiology
Deglutition Disorders - physiopathology
Dentistry
Drinking
Drug Therapy, Combination
Female
Humans
Male
Middle Aged
Nervous System Diseases - complications
Nervous System Diseases - physiopathology
Oropharynx - drug effects
Oropharynx - physiopathology
Sucrose - administration & dosage
title Effect of citric acid and citric acid-sucrose mixtures on swallowing in neurogenic oropharyngeal dysphagia
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