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

Butler, Susan G.; Stuart, Andrew; Castell, Donald; Russell, Gregory B.; Koch, Kenneth; Kemp, Shannon
February 2009
Journal of Speech, Language & Hearing Research;Feb2009, Vol. 52 Issue 1, p240
Academic Journal
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.


Related Articles

  • Videofluoroscopic Findings in Dysphagic Patients With Cricopharyngeal Dysfunction: Before and After Open Cricopharyngeal Myotomy. Muñoz, Amanda A.; Shapiro, Jo; Cuddy, Lorraine Downey; Misono, Stephanie; Bhattacharyya, Neil // Annals of Otology, Rhinology & Laryngology;Jan2007, Vol. 116 Issue 1, p49 

    Objectives: Functional outcomes after open cricopharyngeal myotomy (CPM) for Zenker's diverticulum (ZD) and cricopharyngeal dysfunction without diverticulum (CPD) have not been uniformly measured by videofluorographic swallow study (VFSS). Here we characterize preoperative VFSS findings in these...

  • RADIOLOGICAL CASE OF THE MONTH. Bartalena, Tommaso; Giannelli, Giovanni; Brusori, Stefano; Paganelli, Francesca; Mattioli, Sandro // Applied Radiology;Apr2007, Vol. 36 Issue 4, p48H 

    The article presents the case of an 83-year-old woman who was diagnosed with cricopharyngeal bar and incarcerated hiatal hernia. The patient had an 18-month history of dysphagia for solids. A videofluoroscopy was performed, together with the administration of thin and thick liquid barium. An...

  • Botulinum toxin for dysphagia due to cricopharyngeal dysfunction. Moerman, M.; Callier, Yves; Dick, Catherine; Vermeersch, Hubert // European Archives of Oto-Rhino-Laryngology;Jan2002, Vol. 259 Issue 1, p1 

    Botulinum injection in the cricopharyngeal muscle has not yet been described thoroughly. In reviewing the literature, only 24 cases were found in which botulinum injection was used to treat cricopharyngeal dysfunction. We want to add another four cases and discuss specific indications and...

  • Anatomic Study of Laser-Assisted Endoscopic Cricopharyngeus Myotomy.  // Annals of Otology, Rhinology & Laryngology;Dec2005, Vol. 114 Issue 12, p897 

    The article focuses on laser-assisted endoscopic cricopharyngeus muscle myotomy. It is used for the treatment of dysphagia, which is caused by improper functioning of the cricopharyngeus muscle. The cricopharyngeus muscle normally functions as a spinctor, controlling the passage of food and...

  • KTP LASER ASSISTED MICROENDOSCOPIC CRICOPHARYNGEAL MYOTOMY AND WEB EXCISION FOR DYSPHAGIA MANAGEMENT. Hazarika, P.; Parul, P.; Kailesh, P.; Balakrishnan, R.; Hazarika, M.; Singh, Rohit; Amar Bin Imran // Indian Journal of Otolaryngology & Head & Neck Surgery;Oct-Dec2005, Vol. 57 Issue 4, p290 

    Cricopharyngeal dysfunction is defined as the delayed or incomplete relaxation of the cricopharyngeal muscle during swallowing. This may cause dysphagia and aspiration, affecting the quality of life. For this condition, injection of botulinum toxin into the cricopharyngeus, dilatation of...

  • Temporal Measurements of Pharyngeal Swallowing in Normal Populations. Youngsun Kim; McCullough, Gary H.; Asp, Carl W. // Dysphagia (0179051X);Fall2005, Vol. 20 Issue 4, p290 

    The purpose of this investigation was to examine the temporal differences among three measures of pharyngeal stage transition in 40 normal subjects. The measures were (1) Pharyngeal Delay Time (PDT), (2) Stage Transition Duration (STD), and (3) Delayed Pharyngeal Swallow (DPS). Results showed a...

  • A dysphagia study in patients with sporadic inclusion body myositis (s-IBM). Murata, Ken-ya; Kouda, Ken; Tajima, Fumihiro; Kondo, Tomoyoshi // Neurological Sciences;Aug2012, Vol. 33 Issue 4, p765 

    The nature of the swallowing impairment in patients with sporadic inclusion body myositis (s-IBM) has not been well characterized. In this study, we examined ten consecutive s-IBM patients using videofluoroscopy (VF) and computed pharyngoesophageal manometry (CPM). The patients were divided into...

  • Oncological Perspectives in Barrett's Esophagus. QUIROZ-SANDOVAL, OSVALDO A.; PADILLA-ROSCIANO, ALEJANDRO E.; LÓPEZ-BASAVE, HORACIO N.; LEÓN-TAKAHASHI, ALBERTO M.; LINO-SILVA, LEONARDO S.; HERRERA-GÓMEZ, ÁNGEL // Journal of Cancerology;Oct-Dec2015, Vol. 2 Issue 4, p140 

    Barrett's esophagus refers to an acquired condition in which the normal squamous esophageal epithelium is replaced by a specialized type of columnar epithelium. Patients with Barrett's esophagus have a 30-60-fold greater risk of developing adenocarcinoma of the esophagus than the rest of the...

  • Krikofarynge�lna achal�zia ako pr�cina chronick�ho dr�div�ho ka�la u dojcata. Jovankovicov�, A.; Jakub�kov�, J.; Bibza, J. // Czecho-Slovak Pediatrics / Cesko-Slovenska Pediatrie;Feb2011, Vol. 66 Issue 2, p99 

    Cricopharyngeal achalasia is a rare clinical diagnosis characterized by impaired relaxation of the upper esophageal sphincter (cricopharyngeal muscle) during deglutination. We report about 7-month old girl with a history of permanent dry irritable cough lasting several months, which was...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics