Modulation of human swallowing behaviour by thermal and chemical stimulation in health and after brain injury

Shaheen Hamdy, S. Jilani, V. Price, C. Parker, N. Hall, M. Power, Claire Mitchell

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Few data support thermal or chemical stimulation as therapy for neurogenic dysphagia. Our aims were to explore the behavioural effects of thermal (cold) and chemical (citrus) modalities on water swallowing in health (n = 65, mean age 45 years, 44 females) and acute stroke (n = 22, mean age 67 years, eight females). Multiple randomized timed 50-mL swallowing tests were performed for each of four water conditions: (a) room temperature (RT), (b) cold (CD), (c) citrus (CT) and (d) combined cold and citrus (CD + CT). The inter-swallow interval (ISI), swallowing volume velocity (speed), and volume per swallow (capacity) were measured. In health, compared to RT, only CD + CT slowed the speed (12.3 ± 0.5 vs 10.3 ± 0.5 mL s-1, P <0.03) and decreased the capacity (16.4 ± 0.9 vs 14.6 ± 0.7 mL per swallow, P <0.02) of swallowing. ISI was unaffected, except by CD + CT in healthy young subjects (
    Original languageEnglish
    Pages (from-to)69-77
    Number of pages8
    JournalNeurogastroenterology and Motility
    Volume15
    Issue number1
    DOIs
    Publication statusPublished - Feb 2003

    Keywords

    • Deglutition
    • Pharynx
    • Sensation
    • Stroke
    • Taste
    • Water swallow test

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