Modulation of pharyngeal swallowing by bolus volume and viscosity

Author:

Ferris Lara1ORCID,Doeltgen Sebastian2,Cock Charles13ORCID,Rommel Nathalie4,Schar Mistyka15,Carrión Silvia67,Scholten Ingrid2,Omari Taher1

Affiliation:

1. College of Medicine and Public Health, Flinders University, Adelaide, Australia

2. College of Nursing and Health Sciences, Flinders University, Adelaide, Australia

3. Department of Luminal Gastroenterology, Flinders Medical Centre, Adelaide, Australia

4. Department of Neurosciences, Oto-rhino-laryngology Research Group, KU Leuven, Belgium

5. Department of Speech Pathology and Audiology, Flinders Medical Centre, Adelaide, Australia

6. Gastrointestinal Physiology Laboratory, Department of Surgery, Hospital de Mataró, Universitat Autònoma de Barcelona, Mataró, Spain

7. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas, Instituto de Salud Carlos III, Barcelona, Spain

Abstract

The neuromodulation of the healthy oropharyngeal swallow response was described in relation to bolus volume and viscosity challenges, using intraluminal pressure and impedance topography methods. Among a wide range of physiological measures, those indicative of distension pressure, luminal opening, and flow timing were most significantly altered by bolus condition and therefore considered potential markers of swallow neuromodulation. The study methods and associated findings inform a diagnostic framework for swallow assessment in patients with oropharyngeal dysphagia.

Funder

College of Medicine and Public Health, Flinders University

Department of Health, Australian Government | National Health and Medical Research Council

Publisher

American Physiological Society

Subject

Physiology (medical),Gastroenterology,Hepatology,Physiology

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