Effect of Tongue-Hold Swallow on Pharyngeal Contractile Properties in Healthy Individuals.

Effect of Tongue-Hold Swallow on Pharyngeal Contractile Properties in Healthy Individuals.
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DOI:
10.1007/s00455-020-10217-9
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发表时间:
2021-10
期刊:
影响因子:
2.6
通讯作者:
Saitoh E
Saitoh E
中科院分区:
医学3区
文献类型:
--
作者:
Aoyagi Y;Ohashi M;Ando S;Inamoto Y;Aihara K;Matsuura Y;Imaeda S;Saitoh E

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持舌吞咽(THS)是一种吞咽练习,一个人吞下唾液,同时保持舌头的前部在门牙之间。三手烟对咽部收缩力的影响尚不清楚。本研究的目的是使用高分辨率的压力测量和收缩积分分析来量化三手性。22名健康的参与者进行了三种不同的唾液吞咽任务:正常吞咽,弱三手烟(舌头在上门牙外突出1厘米)和强三手烟(舌头在上门牙外突出2厘米)。参与者随机重复每项任务两次。分析咽部和食管上括约肌指标,包括咽部收缩积分。与正常吞咽相比,强、弱三手通气均增强了腭咽收缩积分和峰压(P < 0.01)。三手烟还延长了中咽收缩(P < 0.01)。在吞咽过程中,将舌头向前保持需要显著的生物力学变化,在咽上和咽中收缩水平的咽收缩特性;因此,它可以作为一种肌肉阻力练习,参与丸推进。
Tongue-hold swallow (THS) is a swallow exercise in which an individual swallows saliva while holding the anterior portion of the tongue between the front teeth. The effect of THS on pharyngeal contractile vigor is still unclear. The purpose of this study was to quantify THS using high-resolution manometry with a contractile integral analysis. Twenty-two healthy participants performed three different saliva swallow tasks: normal swallow, weak THS (in which the tongue was protruded 1 cm outside the upper incisors), and strong THS (in which the tongue was protruded 2 cm outside the upper incisors). The participants repeated each task twice randomly. Pharyngeal and upper esophageal sphincter metrics, including the pharyngeal contractile integral, were analyzed. Both weak and strong THS enhanced the velopharyngeal contractile integral and peak pressure compared with normal swallow (P < 0.01). THS also prolonged mesopharyngeal contraction (P < 0.01). Holding the tongue anteriorly during swallow requires significant biomechanical changes to pharyngeal contractile properties at the superior and middle pharyngeal constrictor levels; thus, it may serve as a resistance exercise for the muscles that are involved in bolus propulsion.
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