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 |
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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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P
< 0.01). THS also prolonged mesopharyngeal contraction (
P
< 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 & 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. 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><citedby>FETCH-LOGICAL-c607t-dd0d138ff44a63ea7101a8c4f70ab4f84ae54ac7502cbd40e790c7816c46bcfe3</citedby><cites>FETCH-LOGICAL-c607t-dd0d138ff44a63ea7101a8c4f70ab4f84ae54ac7502cbd40e790c7816c46bcfe3</cites><orcidid>0000-0003-0544-325X</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/s00455-020-10217-9$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00455-020-10217-9$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33386483$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aoyagi, Yoichiro</creatorcontrib><creatorcontrib>Ohashi, Miho</creatorcontrib><creatorcontrib>Ando, Shiori</creatorcontrib><creatorcontrib>Inamoto, Yoko</creatorcontrib><creatorcontrib>Aihara, Keiko</creatorcontrib><creatorcontrib>Matsuura, Yoko</creatorcontrib><creatorcontrib>Imaeda, Sayuri</creatorcontrib><creatorcontrib>Saitoh, Eiichi</creatorcontrib><title>Effect of Tongue-Hold Swallow on Pharyngeal Contractile Properties in Healthy Individuals</title><title>Dysphagia</title><addtitle>Dysphagia</addtitle><addtitle>Dysphagia</addtitle><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
< 0.01). THS also prolonged mesopharyngeal contraction (
P
< 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><subject>Analysis</subject><subject>Care and treatment</subject><subject>Catheters</subject><subject>Contractility</subject><subject>Contractility (Biology)</subject><subject>Contraction</subject><subject>Deglutition disorders</subject><subject>Diagnosis</subject><subject>Dysphagia</subject><subject>Electromyography</subject><subject>Esophageal sphincter</subject><subject>Esophagus</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Imaging</subject><subject>Incisors</subject><subject>Medical examination</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle function</subject><subject>Muscles</subject><subject>Original</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Pharynx</subject><subject>Radiology</subject><subject>Rehabilitation</subject><subject>Risk factors</subject><subject>Saliva</subject><subject>Sensors</subject><subject>Software</subject><subject>Sphincter</subject><subject>Throat</subject><subject>Tongue</subject><issn>0179-051X</issn><issn>1432-0460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9UtFqFDEUHUSxa_UHfJCAL32ZejPJJDMvQlmqWyhYsII-hWzmZjclm6zJTEv_3qxbVysigdyHe87h3nNPVb2mcEoB5LsMwNu2hgZqCg2Vdf-kmlHOmhq4gKfVDKjsa2jp16PqRc43ALTpBXteHTHGOsE7Nqu-nVuLZiTRkusYVhPWi-gH8vlOex_vSAzkaq3TfVih9mQew5i0GZ1HcpXiFtPoMBMXyKK0x_U9uQiDu3XDpH1-WT2zpeCrh3pcfflwfj1f1JefPl7Mzy5rI0CO9TDAQFlnLedaMNSSAtWd4VaCXnLbcY0t10a20JjlwAFlD0Z2VBgulsYiO67e73W303KDg8HdjF5tk9uUwVXUTj3uBLdWq3irOi54K9oicPIgkOL3CfOoNi4b9F4HjFNWDZe8433xsUDf_gW9iVMKZT3VtFJw1vXlO6BW2qNywcadaztRdSbLCVohQRbU6T9Q5Q24cSYGtMXmx4RmTzAp5pzQHnakoHaBUPtAqBII9TMQqi-kN3-6c6D8SkABsD0gl1Y5c_q90n9kfwBwu8C0</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Aoyagi, Yoichiro</creator><creator>Ohashi, Miho</creator><creator>Ando, Shiori</creator><creator>Inamoto, Yoko</creator><creator>Aihara, Keiko</creator><creator>Matsuura, Yoko</creator><creator>Imaeda, Sayuri</creator><creator>Saitoh, Eiichi</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</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>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0544-325X</orcidid></search><sort><creationdate>20211001</creationdate><title>Effect of Tongue-Hold Swallow on Pharyngeal Contractile Properties in Healthy Individuals</title><author>Aoyagi, Yoichiro ; Ohashi, Miho ; Ando, Shiori ; Inamoto, Yoko ; Aihara, Keiko ; Matsuura, Yoko ; Imaeda, Sayuri ; Saitoh, Eiichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c607t-dd0d138ff44a63ea7101a8c4f70ab4f84ae54ac7502cbd40e790c7816c46bcfe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Analysis</topic><topic>Care and treatment</topic><topic>Catheters</topic><topic>Contractility</topic><topic>Contractility (Biology)</topic><topic>Contraction</topic><topic>Deglutition disorders</topic><topic>Diagnosis</topic><topic>Dysphagia</topic><topic>Electromyography</topic><topic>Esophageal sphincter</topic><topic>Esophagus</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Imaging</topic><topic>Incisors</topic><topic>Medical examination</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle function</topic><topic>Muscles</topic><topic>Original</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Pharynx</topic><topic>Radiology</topic><topic>Rehabilitation</topic><topic>Risk factors</topic><topic>Saliva</topic><topic>Sensors</topic><topic>Software</topic><topic>Sphincter</topic><topic>Throat</topic><topic>Tongue</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aoyagi, Yoichiro</creatorcontrib><creatorcontrib>Ohashi, Miho</creatorcontrib><creatorcontrib>Ando, Shiori</creatorcontrib><creatorcontrib>Inamoto, Yoko</creatorcontrib><creatorcontrib>Aihara, Keiko</creatorcontrib><creatorcontrib>Matsuura, Yoko</creatorcontrib><creatorcontrib>Imaeda, Sayuri</creatorcontrib><creatorcontrib>Saitoh, Eiichi</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences 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>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Dysphagia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aoyagi, Yoichiro</au><au>Ohashi, Miho</au><au>Ando, Shiori</au><au>Inamoto, Yoko</au><au>Aihara, Keiko</au><au>Matsuura, Yoko</au><au>Imaeda, Sayuri</au><au>Saitoh, Eiichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Tongue-Hold Swallow on Pharyngeal Contractile Properties in Healthy Individuals</atitle><jtitle>Dysphagia</jtitle><stitle>Dysphagia</stitle><addtitle>Dysphagia</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>36</volume><issue>5</issue><spage>936</spage><epage>943</epage><pages>936-943</pages><issn>0179-051X</issn><eissn>1432-0460</eissn><abstract>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
< 0.01). THS also prolonged mesopharyngeal contraction (
P
< 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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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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