Effect of Tongue-Hold Swallow on Pharyngeal Contractile Properties in Healthy Individuals

Tongue-hold swallow (THS) is a swallow exercise in which an individual swallows saliva while holding the anterior portion of the tongue between the front teeth. The effect of THS on pharyngeal contractile vigor is still unclear. The purpose of this study was to quantify THS using high-resolution man...

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Veröffentlicht in:Dysphagia 2021-10, Vol.36 (5), p.936-943
Hauptverfasser: Aoyagi, Yoichiro, Ohashi, Miho, Ando, Shiori, Inamoto, Yoko, Aihara, Keiko, Matsuura, Yoko, Imaeda, Sayuri, Saitoh, Eiichi
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container_issue 5
container_start_page 936
container_title Dysphagia
container_volume 36
creator Aoyagi, Yoichiro
Ohashi, Miho
Ando, Shiori
Inamoto, Yoko
Aihara, Keiko
Matsuura, Yoko
Imaeda, Sayuri
Saitoh, Eiichi
description Tongue-hold swallow (THS) is a swallow exercise in which an individual swallows saliva while holding the anterior portion of the tongue between the front teeth. The effect of THS on pharyngeal contractile vigor is still unclear. The purpose of this study was to quantify THS using high-resolution manometry with a contractile integral analysis. Twenty-two healthy participants performed three different saliva swallow tasks: normal swallow, weak THS (in which the tongue was protruded 1 cm outside the upper incisors), and strong THS (in which the tongue was protruded 2 cm outside the upper incisors). The participants repeated each task twice randomly. Pharyngeal and upper esophageal sphincter metrics, including the pharyngeal contractile integral, were analyzed. Both weak and strong THS enhanced the velopharyngeal contractile integral and peak pressure compared with normal swallow ( P  
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The effect of THS on pharyngeal contractile vigor is still unclear. The purpose of this study was to quantify THS using high-resolution manometry with a contractile integral analysis. Twenty-two healthy participants performed three different saliva swallow tasks: normal swallow, weak THS (in which the tongue was protruded 1 cm outside the upper incisors), and strong THS (in which the tongue was protruded 2 cm outside the upper incisors). The participants repeated each task twice randomly. Pharyngeal and upper esophageal sphincter metrics, including the pharyngeal contractile integral, were analyzed. Both weak and strong THS enhanced the velopharyngeal contractile integral and peak pressure compared with normal swallow ( P  &lt; 0.01). THS also prolonged mesopharyngeal contraction ( P  &lt; 0.01). Holding the tongue anteriorly during swallow requires significant biomechanical changes to pharyngeal contractile properties at the superior and middle pharyngeal constrictor levels; thus, it may serve as a resistance exercise for the muscles that are involved in bolus propulsion.</description><identifier>ISSN: 0179-051X</identifier><identifier>EISSN: 1432-0460</identifier><identifier>DOI: 10.1007/s00455-020-10217-9</identifier><identifier>PMID: 33386483</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Analysis ; Care and treatment ; Catheters ; Contractility ; Contractility (Biology) ; Contraction ; Deglutition disorders ; Diagnosis ; Dysphagia ; Electromyography ; Esophageal sphincter ; Esophagus ; Gastroenterology ; Hepatology ; Imaging ; Incisors ; Medical examination ; Medicine ; Medicine &amp; Public Health ; Muscle function ; Muscles ; Original ; Original Article ; Otorhinolaryngology ; Pharynx ; Radiology ; Rehabilitation ; Risk factors ; Saliva ; Sensors ; Software ; Sphincter ; Throat ; Tongue</subject><ispartof>Dysphagia, 2021-10, Vol.36 (5), p.936-943</ispartof><rights>The Author(s) 2021</rights><rights>COPYRIGHT 2021 Springer</rights><rights>The Author(s) 2021. 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The effect of THS on pharyngeal contractile vigor is still unclear. The purpose of this study was to quantify THS using high-resolution manometry with a contractile integral analysis. Twenty-two healthy participants performed three different saliva swallow tasks: normal swallow, weak THS (in which the tongue was protruded 1 cm outside the upper incisors), and strong THS (in which the tongue was protruded 2 cm outside the upper incisors). The participants repeated each task twice randomly. Pharyngeal and upper esophageal sphincter metrics, including the pharyngeal contractile integral, were analyzed. Both weak and strong THS enhanced the velopharyngeal contractile integral and peak pressure compared with normal swallow ( P  &lt; 0.01). THS also prolonged mesopharyngeal contraction ( P  &lt; 0.01). Holding the tongue anteriorly during swallow requires significant biomechanical changes to pharyngeal contractile properties at the superior and middle pharyngeal constrictor levels; thus, it may serve as a resistance exercise for the muscles that are involved in bolus propulsion.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>33386483</pmid><doi>10.1007/s00455-020-10217-9</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0544-325X</orcidid><oa>free_for_read</oa></addata></record>
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source Springer Nature - Complete Springer Journals
subjects Analysis
Care and treatment
Catheters
Contractility
Contractility (Biology)
Contraction
Deglutition disorders
Diagnosis
Dysphagia
Electromyography
Esophageal sphincter
Esophagus
Gastroenterology
Hepatology
Imaging
Incisors
Medical examination
Medicine
Medicine & Public Health
Muscle function
Muscles
Original
Original Article
Otorhinolaryngology
Pharynx
Radiology
Rehabilitation
Risk factors
Saliva
Sensors
Software
Sphincter
Throat
Tongue
title Effect of Tongue-Hold Swallow on Pharyngeal Contractile Properties in Healthy Individuals
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