nach oben

Dysphagia

Erschienen in:

28.02.2019 | Original Article

The Effects of Electrical Stimulation Pulse Duration on Lingual Palatal Pressure Measures During Swallowing in Healthy Older Adults

verfasst von: Ali Barikroo, Karen Hegland, Giselle Carnaby, Donald Bolser, Todd Manini, Michael Crary

Erschienen in: Dysphagia | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

Limited research in swallowing physiology has suggested that the most common existing transcutaneous electrical stimulation (TES) protocol (VitalStim) may not penetrate to layers of tissue to affect deep swallowing muscles. TES amplitude is the primary parameter that determines the depth of electrical current penetration (DECP). Preliminary work suggests that replacing a long-pulse duration with a short-pulse duration can increase maximum amplitude tolerance (MAT) within subjects’ comfort level. Increasing MAT may indicate a higher DECP. The current study evaluates this premise in reference to the effects of varying pulse duration on lingual-palatal pressure during swallowing. Thirty healthy older adults (60–70 years of age) participated in this study. Each subject swallowed three trials of 10 mL pudding under three TES conditions: no stimulation, short-pulse duration, and long-pulse duration. TES was delivered using two pairs of surface electrodes on the submental muscles. MAT and perceived discomfort levels were identified separately for short and long-pulse TES conditions. Lingual-palatal peak pressure, pressure integral, and pressure duration were measured under each condition. Two-way repeated measures ANOVAs were conducted to identify within subject effects of TES condition and tongue bulb location. Lingual-palatal pressure and pressure integral were significantly reduced in the short-pulse duration condition. MAT was significantly higher in the short-pulse duration versus the long-pulse duration condition. Furthermore, MAT was significantly correlated with lingual-palatal pressure. Changing pulse duration had no significant impact on tongue pressure duration. Results suggest that a short-pulse duration may penetrate deeper into muscles involved in swallowing. The specific impact is reflected in a reduced upward pressure of the tongue on the palate during swallowing. This ‘restrictive’ effect of TES on tongue pressure may have the potential to be used during a resistive exercise paradigm for tongue elevation during swallowing.

Bennett JW, van Lieshout PH, Steele CM. Tongue control for speech and swallowing in healthy younger and older subjects. Int J Orofac Myol. 2007;33:5–18.

Sakaue K, Fukui T, Sasakura C, Hori K, Ono T, Saito I. Tongue pressure production during swallowing in patients with mandibular prognathism. J Oral Rehabil. 2016;43(5):348–55. https://doi.org/10.1111/joor.12379.CrossRefPubMed

Bourdiol P, Mishellany-Dutour A, Peyron MA, Woda A. Tongue-mandible coupling movements during saliva swallowing. J Oral Rehabil. 2014;41(3):199–205. https://doi.org/10.1111/joor.12135.CrossRefPubMed

Steele C, Sasse C, Bressmann T. Tongue-pressure and hyoid movement timing in healthy liquid swallowing. Int J Lang Commun Disord. 2012;47(1):77–83. https://doi.org/10.1111/j.1460-6984.2011.00082.x.CrossRefPubMed

Park JS, Oh DH, Chang M. Comparison of maximal tongue strength and tongue strength used during swallowing in relation to age in healthy adults. J Phys Therapy Sci. 2016;28(2):442–5. https://doi.org/10.1589/jpts.28.442.CrossRef

Maeda K, Wakabayashi H, Shamoto H. Associations between tongue strength and swallowing difficulty in the older adults receiving long-term care. Clin Nutr. 2016;35(3):772–3. https://doi.org/10.1016/j.clnu.2016.01.025.CrossRefPubMed

Yoshida M, Kikutani T, Tsuga K, Utanohara Y, Hayashi R, Akagawa Y. Decreased tongue pressure reflects symptom of dysphagia. Dysphagia. 2006;21(1):61–5. https://doi.org/10.1007/s00455-005-9011-6.CrossRefPubMed

Stierwalt JA, Youmans SR. Tongue measures in individuals with normal and impaired swallowing. Am J Speech Lang Pathol. 2007;16(2):148–56. https://doi.org/10.1044/1058-0360(2007/019).CrossRefPubMed

Namasivayam AM, Steele CM, Keller H. The effect of tongue strength on meal consumption in long term care. Clin Nutr. 2015. https://doi.org/10.1016/j.clnu.2015.08.001.CrossRefPubMed

10.

Robin DA, Goel A, Somodi LB, Luschei ES. Tongue strength and endurance: relation to highly skilled movements. J Speech Hear Res. 1992;35(6):1239–45.CrossRefPubMed

11.

Lazarus CL, Husaini H, Falciglia D, DeLacure M, Branski RC, Kraus D, Lee N, Ho M, Ganz C, Smith B, Sanfilippo N. Effects of exercise on swallowing and tongue strength in patients with oral and oropharyngeal cancer treated with primary radiotherapy with or without chemotherapy. Int J Oral Maxillofac Surg. 2014;43(5):523–30. https://doi.org/10.1016/j.ijom.2013.10.023.CrossRefPubMed

12.

Malandraki GA, Kaufman A, Hind J, Ennis S, Gangnon R, Waclawik A, Robbins J. The effects of lingual intervention in a patient with inclusion body myositis and Sjogren’s syndrome: a longitudinal case study. Arch Phys Med Rehabil. 2012;93(8):1469–75. https://doi.org/10.1016/j.apmr.2012.02.010.CrossRefPubMed

13.

Robbins J, Gangnon RE, Theis SM, Kays SA, Hewitt AL, Hind JA. The effects of lingual exercise on swallowing in older adults. J Am Geriatr Soc. 2005;53(9):1483–9. https://doi.org/10.1111/j.1532-5415.2005.53467.x.CrossRefPubMed

14.

Robbins J, Kays SA, Gangnon RE, Hind JA, Hewitt AL, Gentry LR, Taylor AJ. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil. 2007;88(2):150–8. https://doi.org/10.1016/j.apmr.2006.11.002.CrossRefPubMed

15.

Lazarus C, Logemann JA, Pauloski BR, Rademaker AW, Helenowski IB, Vonesh EF, MacCracken E, Mittal BB, Vokes EE, Haraf DJ. Effects of radiotherapy woth or without chemotherapy on tongue strength and swallowing in patients with oral cancer. Head Neck J Sci Spec. 2007;29(7):632–7. https://doi.org/10.1002/hed.20577.CrossRef

16.

Steele CM, Bailey GL, Polacco RE, Hori SF, Molfenter SM, Oshalla M, Yeates EM. Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury. Int J Speech Lang Pathol. 2013;15(5):492–502. https://doi.org/10.3109/17549507.2012.752864.CrossRefPubMedPubMedCentral

17.

Carnaby GD, Harenberg L. What is “usual care” in dysphagia rehabilitation: a survey of USA dysphagia practice patterns. Dysphagia. 2013;28(4):567–74. https://doi.org/10.1007/s00455-013-9467-8.CrossRefPubMed

18.

Chen YW, Chang KH, Chen HC, Liang WM, Wang YH, Lin YN. The effects of surface neuromuscular electrical stimulation on post-stroke dysphagia: a systemic review and meta-analysis. Clin Rehabil. 2015;30(1):24–35. https://doi.org/10.1177/0269215515571681.CrossRefPubMed

19.

Ludlow CL, Humbert I, Saxon K, Poletto C, Sonies B, Crujido L. Effects of surface electrical stimulation both at rest and during swallowing in chronic pharyngeal dysphagia. Dysphagia. 2007;22(1):1–10. https://doi.org/10.1007/s00455-006-9029-4.CrossRefPubMedPubMedCentral

20.

Lee HY, Hong JS, Lee KC, Shin YK, Cho SR. Changes in hyolaryngeal movement and swallowing function after neuromuscular electrical stimulation in patients with Dysphagia. Ann Rehabil Med. 2015;39(2):199–209. https://doi.org/10.5535/arm.2015.39.2.199.CrossRefPubMedPubMedCentral

21.

Humbert IA, Poletto CJ, Saxon KG, Kearney PR, Crujido L, Wright-Harp W, Payne J, Jeffries N, Sonies BC, Ludlow CL. The effect of surface electrical stimulation on hyolaryngeal movement in normal individuals at rest and during swallowing. J Appl Physiol. 2006;101(6):1657–63. https://doi.org/10.1152/japplphysiol.00348.2006.CrossRefPubMed

22.

McClung JR, Goldberg SJ. Functional anatomy of the hypoglossal innervated muscles of the rat tongue: a model for elongation and protrusion of the mammalian tongue. Anat Rec. 2000;260(4):378–86.CrossRefPubMed

23.

Berretin-Felix G, Sia I, Barikroo A, Carnaby GD, Crary MA. Immediate effects of transcutaneous electrical stimulation on physiological swallowing effort in older versus young adults. Gerodontology. 2016;33(3):348–55. https://doi.org/10.1111/ger.12166.CrossRefPubMed

24.

Barikroo A, Berretin-Felix G, Carnaby G, Crary M. Effect of transcutaneous electrical stimulation amplitude on timing of swallow pressure peaks between healthy young and older adults. Gerodontology. 2017;34(1):24–32. https://doi.org/10.1111/ger.12221.CrossRefPubMed

25.

Denegar CR, Saliba E, Saliba SF. Therapeutic Modalities for Musculoskeletal Injuries. 4th ed. Illinois: Human Kinetics; 2016.

26.

Bracciano AG. Physical Agent Modalities: Theory and Application for the Occupational Therapist. New Jersey: SLACK Incorporated; 2008.

27.

Petrofsky J. The effect of the subcutaneous fat on the transfer of current through skin and into muscle. Med Eng Phys. 2008;30(9):1168–76. https://doi.org/10.1016/j.medengphy.2008.02.009.CrossRefPubMed

28.

Petrofsky J, Laymon M, Prowse M, Gunda S, Batt J. The transfer of current through skin and muscle during electrical stimulation with sine, square, Russian and interferential waveforms. J Med Eng Technol. 2009;33(2):170–81. https://doi.org/10.1080/03091900802054580.CrossRefPubMed

29.

Gorgey AS, Mahoney E, Kendall T, Dudley GA. Effects of neuromuscular electrical stimulation parameters on specific tension. Eur J Appl Physiol. 2006;97(6):737–44. https://doi.org/10.1007/s00421-006-0232-7.CrossRefPubMed

30.

Clair-Auger JM, Collins DF, Dewald JP. The effects of wide pulse neuromuscular electrical stimulation on elbow flexion torque in individuals with chronic hemiparetic stroke. Clin Neurophysiol. 2012;123(11):2247–55. https://doi.org/10.1016/j.clinph.2012.04.024.CrossRefPubMedPubMedCentral

31.

Lagerquist O, Collins DF. Influence of stimulus pulse width on M-waves, H-reflexes, and torque during tetanic low-intensity neuromuscular stimulation. Muscle Nerve. 2010;42(6):886–93. https://doi.org/10.1002/mus.21762.CrossRefPubMed

32.

Laufer Y, Elboim M. Effect of burst frequency and duration of kilohertz-frequency alternating currents and of low-frequency pulsed currents on strength of contraction, muscle fatigue, and perceived discomfort. Phys Ther. 2008;88(10):1167–76. https://doi.org/10.2522/ptj.20080001.CrossRefPubMed

33.

Mesin L, Merlo E, Merletti R, Orizio C. Investigation of motor unit recruitment during stimulated contractions of tibialis anterior muscle. J Electromyogr Kinesiol. 2010;20(4):580–9. https://doi.org/10.1016/j.jelekin.2009.11.008.CrossRefPubMed

34.

Reilly JP, Antoni H. Electrical stimulation and electropathology. Cambridge: Cambridge University Press; 1992.

35.

Scott WB, Causey JB, Marshall TL. Comparison of maximum tolerated muscle torques produced by 2 pulse durations. Phys Ther. 2009;89(8):851–7. https://doi.org/10.2522/ptj.20080151.CrossRefPubMed

36.

Doucet BM, Lam A, Griffin L. Neuromuscular electrical stimulation for skeletal muscle function. Yale J Biol Med. 2012;85(2):201–15.PubMedPubMedCentral

37.

Barikroo A, Carnaby G, Bolser D, Rozensky R, Crary M. Transcutaneous electrical stimulation on the anterior neck region: the impact of pulse duration and frequency on maximum amplitude tolerance and perceived discomfort. J Oral Rehabil. 2018. https://doi.org/10.1111/joor.12625.CrossRefPubMedPubMedCentral

38.

Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005;86(8):1516–20. https://doi.org/10.1016/j.apmr.2004.11.049.CrossRefPubMed

39.

Yoshikawa M, Yoshida M, Tsuga K, Akagawa Y, Groher ME. Comparison of three types of tongue pressure measurement devices. Dysphagia. 2011;26(3):232–7. https://doi.org/10.1007/s00455-010-9291-3.CrossRefPubMed

40.

Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16(1):87–101.CrossRefPubMed

41.

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175–91.CrossRefPubMed

42.

Adams GR, Harris RT, Woodard D, Dudley GA. Mapping of electrical muscle stimulation using MRI. J Appl Physiol. 1993;74(2):532–7.CrossRefPubMed

43.

Alon G, Allin J, Inbar GF. Optimization of pulse duration and pulse charge during transcutaneous electrical nerve stimulation. Aust J Physiother. 1983;29(6):195–201. https://doi.org/10.1016/S0004-9514(14)60670-X.CrossRefPubMed

44.

Mendell LM. The size principle: a rule describing the recruitment of motoneurons. J Neurophysiol. 2005;93(6):3024–6. https://doi.org/10.1152/classicessays.00025.2005.CrossRefPubMed

45.

Kesar T, Chou LW, Binder-Macleod SA. Effects of stimulation frequency versus pulse duration modulation on muscle fatigue. J Electromyogr Kinesiol. 2008;18(4):662–71. https://doi.org/10.1016/j.jelekin.2007.01.001.CrossRefPubMed

46.

Gorgey AS, Dudley GA. The role of pulse duration and stimulation duration in maximizing the normalized torque during neuromuscular electrical stimulation. J Orthop Sports Phys Therapy. 2008;38(8):508–16. https://doi.org/10.2519/jospt.2008.2734.CrossRef

47.

Steele CM, Bailey GL, Molfenter SM. Tongue pressure modulation during swallowing: water versus nectar-thick liquids. J Speech Lang Hear Res. 2010;53(2):273–83. https://doi.org/10.1044/1092-4388(2009/09-0076).CrossRefPubMed

48.

Perlman AL, Schultz JG, VanDaele DJ. Effects of age, gender, bolus volume, and bolus viscosity on oropharyngeal pressure during swallowing. J Appl Physiol. 1993;75(1):33–7.CrossRefPubMed

49.

Blissett A, Prinz JF, Wulfert F, Taylor AJ, Hort J. Effect of bolus size on chewing, swallowing, oral soft tissue and tongue movement. J Oral Rehabil. 2007;34(8):572–82. https://doi.org/10.1111/j.1365-2842.2007.01756.x.CrossRefPubMed

50.

Lan Y, Ohkubo M, Berretin-Felix G, Sia I, Carnaby-Mann GD, Crary MA. Normalization of temporal aspects of swallowing physiology after the McNeill dysphagia therapy program. Ann Otol Rhinol Laryngol. 2012;121(8):525–32.CrossRefPubMed

51.

Humbert IA, Christopherson H, Lokhande A. Surface electrical stimulation perturbation context determines the presence of error reduction in swallowing hyolaryngeal kinematics. Am J Speech-Lang Pathol. 2015;24(1):72–80. https://doi.org/10.1044/2014_AJSLP-14-0045.CrossRefPubMedPubMedCentral

52.

Hashimoto M, Igari K, Hanawa S, Ito A, Takahashi A, Ishida N, Koyama S, Ono T, Sasaki K. Tongue pressure during swallowing in adults with down syndrome and its relationship with palatal morphology. Dysphagia. 2014;29(4):509–18. https://doi.org/10.1007/s00455-014-9538-5.CrossRefPubMed

53.

Cheng CF, Peng CL, Chiou HY, Tsai CY. Dentofacial morphology and tongue function during swallowing. Am J Orthod Dentofac. 2002;122(5):491–9. https://doi.org/10.1067/mod.2002.128865.CrossRef

54.

Park JW, Oh JC, Lee HJ, Park SJ, Yoon TS, Kwon BS. Effortful swallowing training coupled with electrical stimulation leads to an increase in hyoid elevation during swallowing. Dysphagia. 2009;24(3):296–301. https://doi.org/10.1007/s00455-008-9205-9.CrossRefPubMed

Titel: The Effects of Electrical Stimulation Pulse Duration on Lingual Palatal Pressure Measures During Swallowing in Healthy Older Adults
verfasst von: Ali Barikroo
Karen Hegland
Giselle Carnaby
Donald Bolser
Todd Manini
Michael Crary
Publikationsdatum: 28.02.2019
Verlag: Springer US
Erschienen in: Dysphagia / Ausgabe 4/2019
Print ISSN: 0179-051X
Elektronische ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-019-09991-y

Neu im Fachgebiet HNO

16.04.2024 | HNO-Chirurgie | Nachrichten

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Springer Medizin

The Effects of Electrical Stimulation Pulse Duration on Lingual Palatal Pressure Measures During Swallowing in Healthy Older Adults

Abstract

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update HNO

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 4/2019

Reply to Wakabayashi Regarding “Sarcopenia is an Independent Risk Factor for Dysphagia in Community-Dwelling Older Adults”

Alteration of Brain Functional Connectivity in Parkinson’s Disease Patients with Dysphagia

Dysphagia and Associated Pneumonia in Stroke Patients from Brazil: A Systematic Review

What Are We Really Measuring? A Content Comparison of Swallowing Outcome Measures for Head and Neck Cancer Based on the International Classification of Functioning, Disability and Health (ICF)

A Comparative Analysis of Eating Behavior of School-Aged Children with Eosinophilic Esophagitis and Their Caregivers' Quality of Life: Perspectives of Caregivers

An Investigation of Factors Related to Food Intake Ability and Swallowing Difficulty After Surgery for Thoracic Esophageal Cancer

Neu im Fachgebiet HNO

HNO-Op. auch mit über 90?

Intrakapsuläre Tonsillektomie gewinnt an Boden

Bilateraler Hörsturz hat eine schlechte Prognose

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update HNO