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 |
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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. |
doi_str_mv | 10.1007/s00455-003-0013-y |
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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.</description><identifier>ISSN: 0179-051X</identifier><identifier>EISSN: 1432-0460</identifier><identifier>DOI: 10.1007/s00455-003-0013-y</identifier><identifier>PMID: 14571326</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>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</subject><ispartof>Dysphagia, 2003-10, Vol.18 (4), p.231-241</ispartof><rights>Springer-Verlag New York Inc. 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-b7361b9eb9b56dcfe96849d15d00eb052e5b762a6123a1cc44c136db4c438d653</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14571326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pelletier, Cathy A</creatorcontrib><creatorcontrib>Lawless, Harry T</creatorcontrib><title>Effect of citric acid and citric acid-sucrose mixtures on swallowing in neurogenic oropharyngeal dysphagia</title><title>Dysphagia</title><addtitle>Dysphagia</addtitle><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. 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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.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>14571326</pmid><doi>10.1007/s00455-003-0013-y</doi><tpages>11</tpages></addata></record> |
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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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