Videofluoroscopic analysis of different volumes of liquid bolus swallowing in healthy individuals: comparison between height and sex

Regueiro, Marcia R.K. Bernardi; Nascimento, Weslania Viviane; Parreira, Luana Casari; Dantas, Roberto Oliveira

doi:10.6061/clinics/2017(11)08

Cited by 4 publications

(2 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Thin liquids were more easily cleared than thicker consistencies, which is frequently noted with patients suffering from osteophytes or other spinal deformities. There is much evidence documented about the impact of bolus volume and viscosity on swallow and muscle activation [28][29][30][31][32]. The patient needed to swallow six or more times to clear 80% of the pharyngeal residue.…”

Section: Results/outcomesmentioning

confidence: 99%

Impact of Osteophytectomy on Swallowing Function in a Patient with Chronic Dysphagia

Howard¹,

Phillips²,

Henley³

et al. 2020

obm geriatr

View full text Add to dashboard Cite

Anterior cervical osteophytes are common in the geriatric population. Dysphagia can occur in individuals suffering from these spinal abnormalities. Surgical intervention is an uncommon course of treatment for these patients, but is often utilized as a last resort with the hope of swallow recovery. The purpose of this article is to highlight a unique case study documenting the required treatment course for dysphagia associated with osteophytes and subsequent osteophytectomy. We review current literature of both conservative and surgical interventions, as well as discuss the rehabilitation course for a complex patient with persistent dysphagia. Various outcome measures were utilized during the patient’s inpatient stay to track progress including the Functional Oral Intake Scale (FOIS), the Bolus Residue Scale (BRS), Penetration Aspiration Scale (PenAsp), Dysphagia Outcome Severity Scale (DOSS), and a Modified Barium Swallow Study (MBSS). The patient received rehabilitative training including oral motor and pharyngeal strengthening exercises, respiratory strengthening, speech instruction, cognitive retraining, and instrumental assessment. Following osteophytectomy and dysphagia rehabilitation the patient did not show any change based on a repeat MBSS which revealed the necessity for the patient to remain nothing per oral (NPO). The patient demonstrated an inability to manage his secretions, requiring continual suctioning. Upon discharge the patient remained NPO with the exception of ice chips, utilized a PEG for nutrition, and had a red capped tracheostomy. He was on room air and independently utilized oral suction as needed for secretion management. Our patient’s clinical course was not aligned with typical osteophytectomy recovery as progress after his 25-day inpatient stay was limited. The goal of this case study is to contribute information to the limited and variable data available regarding treatment options, outcome measures and timelines for recovery as it pertains to patients who undergo an osteophytectomy.

show abstract

Section: Results/outcomesmentioning

confidence: 99%

Impact of Osteophytectomy on Swallowing Function in a Patient with Chronic Dysphagia

Howard¹,

Phillips²,

Henley³

et al. 2020

obm geriatr

View full text Add to dashboard Cite

show abstract

“…Videofluoroscopic assessment of swallowing was performed on 40 healthy individuals, 20 men and 20 women aged 20 to 50 years. Details about the age, height, weight and body mass index of the volunteers were previously published [25]. Subjects were divided into “tall” and “short” groups, based on the mean height of the Brazilian population, i.e., 172 cm for men and 161 cm for women (Brazilian Institute of Geography and Statistics, 2009).…”

Section: Methodsmentioning

confidence: 99%

Influence of Body Height on Oral and Pharyngeal Transit Time of a Liquid Bolus in Healthy Volunteers

et al. 2018

Self Cite

View full text Add to dashboard Cite

BackgroundSwallowing duration may be influenced by several factors. The effect of body height on oral-pharyngeal bolus transit has not been clearly elucidated. The hypothesis of this investigation was that height has influence on oral-pharyngeal transit time of a liquid bolus.MethodsVideofluoroscopic assessment of swallowing was performed on 40 healthy volunteers: 20 “tall” (171 cm to 207 cm) and 20 “short” (152 cm to 170 cm) subjects, 10 men and 10 women in each group. Each subject performed three swallows of 10 mL of liquid barium bolus. The following parameters were measured: oral transit time (OTT): time from the beginning of tongue tip movement at incisors to arrival of the bolus tail at the fauces; pharyngeal transit time (PTT): time between the arrival of the bolus tail at fauces and complete passage of the bolus tail through the upper esophageal sphincter (UES); pharyngeal clearance (PC): time between the arrival of the bolus head at fauces to complete passage of the bolus tail through the UES; UES opening (UESO): time between the arrival of the bolus head at the UES to complete passage of the bolus tail through the UES; duration of hyoid movement (HM): time interval between the onset and the end of hyoid movement; oral-pharyngeal transit time (OPTT): time from the beginning of tongue tip movement at incisors until complete passage of the bolus tail through the UES. The statistical analysis was done by a linear model with mixed effects. Correlation between height and swallowing events duration was assessed by Spearman’s correlation coefficient (r).ResultsIn women OTT, PC, HM and OPTT were longer in tall than in short subjects, what was not seen in men. In women there was a positive correlation between OTT, PTT and OPTT and height. Men (mean height: 177 cm) had longer PTT and PC than women (mean height: 166 cm).ConclusionsIn women, oral and pharyngeal transit time of a 10 mL liquid bolus were influenced by height and was longer in taller subjects.

show abstract

Thin Liquid Bolus Volume Alters Pharyngeal Swallowing: Kinematic Analysis Using 3D Dynamic CT

et al. 2022

View full text Add to dashboard Cite

Videofluoroscopic analysis of different volumes of liquid bolus swallowing in healthy individuals: comparison between height and sex

Cited by 4 publications

References 28 publications

Impact of Osteophytectomy on Swallowing Function in a Patient with Chronic Dysphagia

Impact of Osteophytectomy on Swallowing Function in a Patient with Chronic Dysphagia

Influence of Body Height on Oral and Pharyngeal Transit Time of a Liquid Bolus in Healthy Volunteers

Thin Liquid Bolus Volume Alters Pharyngeal Swallowing: Kinematic Analysis Using 3D Dynamic CT

Contact Info

Product

Resources

About