Effects of Age, Gender, Bolus Condition, Viscosity, and Volume on Pharyngeal and Upper Esophageal Sphincter Pressure and Temporal Measurements During Swallowing.

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Title: Effects of Age, Gender, Bolus Condition, Viscosity, and Volume on Pharyngeal and Upper Esophageal Sphincter Pressure and Temporal Measurements During Swallowing.
Authors: Butler, Susan G.1 sbutler@wfubmc.edu, Stuart, Andrew2, Castell, Donald3, Russell, Gregory B.4, Koch, Kenneth4, Kemp, Shannon4
Source: Journal of Speech, Language & Hearing Research. Feb2009, Vol. 52 Issue 1, p240-253. 14p. 1 Black and White Photograph, 1 Diagram, 2 Charts, 5 Graphs.
Subject Terms: Deglutition, Pharyngoesophageal sphincter, Muscle contraction, Endoscopy, Videofluoroscopy, Biomechanics
Abstract: Purpose: The purpose of this study was to determine the effects of trial (i.e., Trial 1 vs. Trial 2); viscosity (i.e., saliva, thin, nectar-thick, honey-thick, and pudding-thick water); volume (i.e., 5 mL vs. 10 mL); age (i.e., young vs. older adults); and gender on pharyngeal (i.e., upper and lower) and upper esophageal sphincter (UES) pressures, durations, and onsets (i.e., onset of upper pharyngeal pressures relative to onsets of UES relaxations and onset of lower relative to upper pharyngeal pressures). Method: Twenty-three young adults (M = 30 years) and 21 older healthy adults (M = 75 years) participated. Measurements were acquired with a 2.1-mm catheter during simultaneous manometric and endoscopic swallowing assessment. Participants contributed 18 swallows, affording a study total of 792 swallows for analyses. Results: There was no significant effect of trial on any measurement of pressure, duration, and onset (ps = .63, .39, and .71, respectively). It was found that viscosity, volume, age, and gender affected pressure, duration, and onset measurements (e.g., onset of upper pharyngeal pressures relative to onsets of UES relaxations) but in varying degrees relative to the location in the pharynx or UES and the type of measurement (e.g., pressure, onset). Conclusions: Manometric measurements vary with respect to age, gender, and bolus variables and interactions of each. Consideration of these variables is paramount in understanding normal and pathological swallowing if manometry is to develop as a quantitative adjunct to videofluoroscopic and endoscopic swallowing tools. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Label: Title
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  Data: Effects of Age, Gender, Bolus Condition, Viscosity, and Volume on Pharyngeal and Upper Esophageal Sphincter Pressure and Temporal Measurements During Swallowing.
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  Data: <searchLink fieldCode="AR" term="%22Butler%2C+Susan+G%2E%22">Butler, Susan G.</searchLink><relatesTo>1</relatesTo><i> sbutler@wfubmc.edu</i><br /><searchLink fieldCode="AR" term="%22Stuart%2C+Andrew%22">Stuart, Andrew</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Castell%2C+Donald%22">Castell, Donald</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Russell%2C+Gregory+B%2E%22">Russell, Gregory B.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Koch%2C+Kenneth%22">Koch, Kenneth</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Kemp%2C+Shannon%22">Kemp, Shannon</searchLink><relatesTo>4</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Speech%2C+Language+%26+Hearing+Research%22">Journal of Speech, Language & Hearing Research</searchLink>. Feb2009, Vol. 52 Issue 1, p240-253. 14p. 1 Black and White Photograph, 1 Diagram, 2 Charts, 5 Graphs.
– Name: Subject
  Label: Subject Terms
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  Data: <searchLink fieldCode="DE" term="%22Deglutition%22">Deglutition</searchLink><br /><searchLink fieldCode="DE" term="%22Pharyngoesophageal+sphincter%22">Pharyngoesophageal sphincter</searchLink><br /><searchLink fieldCode="DE" term="%22Muscle+contraction%22">Muscle contraction</searchLink><br /><searchLink fieldCode="DE" term="%22Endoscopy%22">Endoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Videofluoroscopy%22">Videofluoroscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Biomechanics%22">Biomechanics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: The purpose of this study was to determine the effects of trial (i.e., Trial 1 vs. Trial 2); viscosity (i.e., saliva, thin, nectar-thick, honey-thick, and pudding-thick water); volume (i.e., 5 mL vs. 10 mL); age (i.e., young vs. older adults); and gender on pharyngeal (i.e., upper and lower) and upper esophageal sphincter (UES) pressures, durations, and onsets (i.e., onset of upper pharyngeal pressures relative to onsets of UES relaxations and onset of lower relative to upper pharyngeal pressures). Method: Twenty-three young adults (M = 30 years) and 21 older healthy adults (M = 75 years) participated. Measurements were acquired with a 2.1-mm catheter during simultaneous manometric and endoscopic swallowing assessment. Participants contributed 18 swallows, affording a study total of 792 swallows for analyses. Results: There was no significant effect of trial on any measurement of pressure, duration, and onset (ps = .63, .39, and .71, respectively). It was found that viscosity, volume, age, and gender affected pressure, duration, and onset measurements (e.g., onset of upper pharyngeal pressures relative to onsets of UES relaxations) but in varying degrees relative to the location in the pharynx or UES and the type of measurement (e.g., pressure, onset). Conclusions: Manometric measurements vary with respect to age, gender, and bolus variables and interactions of each. Consideration of these variables is paramount in understanding normal and pathological swallowing if manometry is to develop as a quantitative adjunct to videofluoroscopic and endoscopic swallowing tools. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1044/1092-4388(2008/07-0092)
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        Text: English
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        StartPage: 240
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      – SubjectFull: Deglutition
        Type: general
      – SubjectFull: Pharyngoesophageal sphincter
        Type: general
      – SubjectFull: Muscle contraction
        Type: general
      – SubjectFull: Endoscopy
        Type: general
      – SubjectFull: Videofluoroscopy
        Type: general
      – SubjectFull: Biomechanics
        Type: general
    Titles:
      – TitleFull: Effects of Age, Gender, Bolus Condition, Viscosity, and Volume on Pharyngeal and Upper Esophageal Sphincter Pressure and Temporal Measurements During Swallowing.
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            NameFull: Butler, Susan G.
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            NameFull: Stuart, Andrew
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              Text: Feb2009
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              Y: 2009
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