Physiologic model of oropharyngeal swallowing revisited
Physiologic model of oropharyngeal swallowing revisited
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DOI：
10.1016/j.otohns.2005.03.059
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发表时间：
2005-08-01
影响因子：
3.4
通讯作者：
Castell, DO
中科院分区：
文献类型：
--
作者：
Martin-Harris, B;Michel, Y;Castell, DO
目的：本研究的目的是确定吞咽事件的时间起点是否分为口腔和咽部阶段，检验吞咽事件的时间起点的相互依赖性，并确定年龄对总吞咽持续时间的影响。研究设计和背景：对76名健康正常人的吞咽和呼吸测量的起点进行了研究。结果：验证性因素分析揭示了两因素的解决方案，但不支持假设的两相结构(即口腔和咽部)。其中两个起始点，呼吸暂停发作和呼吸暂停偏移，形成了一个单一因素，解释了11个发作时间中12.6%的变化。其他9个起始点形成了第二个因素，解释了66.4%的变异。年龄对总吞咽持续时间的影响不大。结论：口咽和呼吸两个因素解释了11个发病时间中79%的差异。意义：这一发现说明成人吞咽的口腔和咽部部分的起始重叠，并强调了将吞咽连续体分成几个独立的阶段的人为因素。(C)2005年美国耳鼻喉科学会-头颈外科基金会，Inc.保留所有权利。
Objective: The purposes of this investigation were to determine whether the temporal onsets of swallow events segment into oral and pharyngeal phases, to test the interdependence of temporal onsets of swallow events, and to determine the influence of age on total swallow duration.Study Design and Setting: The onsets of swallowing and respiratory measures were studied in 76 healthy normal individuals.Results: Confirmatory factor analysis revealed a 2-factor solution but did not support the hypothesized 2-phase structure (ie, oral and pharyngeal). Two of the onsets, apnea onset and apnea offset, formed a single factor that explained 12.6% of the variation among the 11 onset times. The other 9 onsets formed a second factor that explained 66.4% of the variation. Age accounted for modest variation in total swallow duration.Conclusions: The two factors, oropharyngeal and respiratory, explained 79% of the variation among the 11 onset times.Significance: This finding speaks to the overlap between the initiation of oral and pharyngeal components of swallowing in adults and highlights the artificiality of separating the swallowing continuum into isolated phases. (C) 2005 American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. All rights reserved.