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Titolo:
Comparison of effortful and noneffortful swallows in healthy middle-aged and older adults
Autore:
Hind, JA; Nicosia, MA; Roecker, EB; Carnes, ML; Robbins, J;
Indirizzi:
William S Middleton Mem Vet Adm Med Ctr, Ctr Geriatr Res Educ & Clin, Madison, WI 53705 USA William S Middleton Mem Vet Adm Med Ctr Madison WI USA 53705 WI 53705 USA Univ Wisconsin, Dept Med, Madison, WI USA Univ Wisconsin Madison WI USAUniv Wisconsin, Dept Med, Madison, WI USA Univ Wisconsin, Inst Aging, Madison, WI USA Univ Wisconsin Madison WI USA niv Wisconsin, Inst Aging, Madison, WI USA Univ Wisconsin, Dept Biostat, Madison, WI USA Univ Wisconsin Madison WI USA v Wisconsin, Dept Biostat, Madison, WI USA
Titolo Testata:
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
fascicolo: 12, volume: 82, anno: 2001,
pagine: 1661 - 1665
SICI:
0003-9993(200112)82:12<1661:COEANS>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLEARANCE; PRESSURE; VOLUME;
Keywords:
deglutition disorders; geriatrics; rehabilitation; therapeutics;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Robbins, J William S Middleton Mem Vet Adm Med Ctr, Ctr Geriatr Res Educ &Clin, 2500Overlook Ter GRECC 11G, Madison, WI 53705 USA William S Middleton Mem Vet Adm Med Ctr 2500 Overlook Ter GRECC 11G Madison WI USA 53705
Citazione:
J.A. Hind et al., "Comparison of effortful and noneffortful swallows in healthy middle-aged and older adults", ARCH PHYS M, 82(12), 2001, pp. 1661-1665

Abstract

Objective: To assess the effects of effortful swallowing, a common compensatory strategy for dysphagia, on the bolus and swallowing mechanism of middle-aged and older men and women. Design: Case-controlled design in which subjects completed both the intervention technique and the control behavior. Setting: A university hospital. Participants: Sixty-four healthy men and women between 45 and 93 years of age from the community. Interventions: Participants swallowed 3-mL thin liquid boluses both normally and using the effortful swallow strategy. Main Outcomes Measures: The biomechanics and bolus flow patterns of swallows were analyzed from videofluoroscopic and simultaneous oral pressure data. Results: Subjects at all ages generated significantly increased oral pressures at each sensor location using the effortful swallow (p = .0001), with the pressure increase greater for the middle-aged subjects compared with older subjects. Several durational measures were significantly longer with the effortful swallow including: hyoid maximum anterior excursion (p < .04), laryngeal vestibule closure (p < .0001), and duration of the upper esophageal sphincter opening (p =.0001). The hyoid bone moved further in the superior direction with the effortful swallow (p = .002). There was a trend of decreased oral residue with the effortful swallow (p = .06). Conclusion: Biomechanical and bolus flow aspects of swallowing changed when healthy individuals performed effortful swallows with 3-mL boluses.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 01:21:51