Correlation between cervical auscultation and electromyography in the pharyngeal phase of swallowing
DOI:
https://doi.org/10.23925/2176-2724.2022v34i2e52916Keywords:
Deglutition, Deglutition Disorders, Auscultation, Electromyography, ElectrophysiologyAbstract
Objective: Correlate the acoustic data of cervical auscultation to the electrical activity of the muscles involved in the pharyngeal phase of swallowing. Methods: This is an observational, cross-sectional study involving a quantitative approach and was approved on January by CEP/UFSCPA (number 1.389.050). All participants of the study signed an informed consent form. The pharyngeal phase of swallowing was assessed by employing auscultation and surface electromyography. Individuals ingested 90 ml of water. The auscultation data were transferred to DeglutiSom® software, the duration and amplitude of electromyographic activity was measured during swallowing using a Miotec® surface electromyography device. The level of significance adopted was 5%. Results: Fifty-seven women participated in this study. The average age was 23.4 years on average. It must be highlighted that the greater the average peak frequency of auscultation, lower was the average peak of the suprahyoid muscle and the greater the intensity, the greater was the peak, as well as the average of the suprahyoid peaks. It was possible to demonstrate that the peak of suprahyoid muscle activity was significantly higher than the peak of infra hyoid muscle activity for swallowing 90 ml of water. Conclusion: The acoustic swallowing parameters in healthy individuals are correlated with the electrical activity of muscles involved in the pharyngeal phase of swallowing.
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Marchesan IQ. Deglutição - normalidade. In: Furkim AM. Disfagias Orofaríngeas. Carapicuíba:Pró Fono; 2004;.3-18.
Silva RG, Gatto NA, Cola PC. Disfagia orofaríngea neurogênica em adultos – avaliação fonoaudiológica em leito hospitalar. In: Jacobi JS, Levy DS, Corrêa Da Silva LM (org). Disfagia Avaliação e Tratamento. Rio de Janeiro: Revinter; 2003.181-96.
Ertekin C, Aydogdu I. Neurophysiology of swallowing. Clin Neurophysiol. 2003; 114: 2226-44.
Patatas OHG, Gonçalves MIR, Chiari BM, Gielow I. Parâmetros de duração dos sinais acústicos da deglutição de indivíduos sem queixa. Rev Soc Bras Fonoaudiol. 2011; 16: 282-90.
Frakking TT, Chang AB, O’Grady KAF, Yang J, David M, Weir KA. Acoustic and Perceptual Profiles of Swallowing Sounds in Children: Normative Data for 4-36 Months From a Cross-Sectional Study Cohort. Dysphagia. 2017; 32: 261-70.
Ferrucci JL, Mangilli LD, Sassi FC, Limongi SCO, Andrade CRF. Sons da deglutição na prática fonoaudiológica: análise crítica da literatura. Einstein. 2013; 535-39.
Morinière S, Boiron M, Beutter P. Sound component duration of healthy human pharyngoesophageal swallowing: a gender comparison study. Dysphagia. 2006; 21: 175-82.
Morinière S, Boiron M, Alison D, Makris P, Beutter P. Origin of the sound components during pharyngeal swallowing in normal subjects. Dysphagia. 2008; 23(3): 267-273.
Takahashi K, Groher ME, Michi K. Methodology for detecting swallowing sounds. Dysphagia. 1994,9: 54-62.
Vaiman M, Eviatar E, Segal S. Surface electromyographic studies of swallowing in normal subjects: a review of 400 adults. Report 2. Quantitative data: Amplitude measures. Otolaryngol Head Neck Surg. 2004; 131: 773-80.
Constantinescu G, Hodgetts W, Scott D, Kuffel K, King B, Brodt C, Rieger, J. Electromyography and Mechanomyography Signals During Swallowing in Healthy Adults and Head and Neck Cancer Survivors. Dysphagia. 2017; 32: 90-103.
Zaretsky E, Pluschinski P, Sader R, Birkholz P, Neuschaefer-Rube C, Hey, C. Identification of the most significant electrode positions in electromyographic evaluation of swallowing-related movements in humans. Eur Arch Otorhinolaryngol. 2017; 274: 989-5.
Suiter DM, Leder SB. Clinical utility of the 3-ounce water swallow test. Dysphagia. 2008; 23: 244-50.
Watts CR, Kelly B. The Effect of Bolus Consistency and Sex on Electrophysiological Measures of Hyolaryngeal Muscle Activity During Swallowing. Dysphagia. 2015; 30: 551-7.
Monteiro D, Coriolano MDGWD, Belo LR, Lins OG. Verificação dos efeitos da Levodopa na deglutição de pacientes com doença de Parkinson. Audiol Commun Res. 2014; 19: 88-94.
Nagae MH, Alves MC. Estudo eletromiográfico da deglutição na musculatura supra-hióidea em sujeitos classe I e III de Angle. Rev CEFAC. 2009;11: 355-62.
Monaco A, Cattaneo R, Spadaro A, Giannoni M. Surface electromyography pattern of human swallowing. BMC Oral Health. 2008; 26: 8-6.
Bianchini EMG, Kayamori, F . Caracterização eletromiográfica da deglutição em indivíduos com e sem alterações clínicas. Rev CEFAC. 2012; 14: 872-82.
Watts CR. Measurement of two of Hyolaryngeal Muscle Activation Using Surface Electromyography for Comparison of Two Rehabilitative Dysphagia Exercises. Arch Phys Med Rehabil. 2013; 94: 2542-8.
Gürgör N, Arıcı Ş, Incesu TK, Seçil Y, Tokuçoğlu F, Ertekin C. An electrophysiological study of the sequential water swallowing. J Electromyogr Kinesiol. 2013; 23: 619-26.
Nakamura A, Imaizumi S. Auditory verbal cues alter the perceived flavor of beverages and ease of swallowing a psychometric and electrophysiological analysis. Biomed Res Int. 2013;1-10.
Dantas RO, Alves LMT, Santos CMD, Cassiani RDA. Possible interaction of gender and age on human swallowing behavior. Arq Gastroenterol. 2011; 48:195-8.
Yagi N, Nagami S, Lin MK., Yabe T, Itoda M, Imai T et al. A noninvasive swallowing measurement system using a combination of respiratory fow, swallowing sound, and laryngeal motion. Dysphagia. 2017; 55: 1001-17.
Barroqueiro PC, Lopes MKD, Moraes AMS. Speech therapy criteria to indicate an alternative feeding route at an intensive care unit in a university hospital. Rev CEFAC. 2017; 19: 190-7.
Alfonsi E, Cosentino G, Mainardi L, Schindler A, Fresia M, Brighina F et al. Electrophysiological investigations of shape and reproducibility of oropharyngeal swallowing: interaction with bolus volume and age. Dysphagia. 2015; 30: 540-50.
Soria FS, Silva RG, Furkim AM .Acoustic analysis of oropharyngeal swallowing using Sonar Doppler. Braz J Otorhinolaryngol. 2016; 82: 39-46.
Dudik JM, Kurosu A, Coyle JL, Sejdić E. A comparative analysis of DBSCAN, K-means, and quadratic variation algorithms for automatic identification of swallows from swallowing accelerometry signals. Comput Biol Med. 2015; 59: 10-8.
Madalozzo B, de Siqueira Aoki MC, Soria F, Santos RS, Furkim AM. Análise acústica do tempo de deglutição através do Sonar Doppler. Rev CEFAC. 2017; 19: 350-9.
Taniguchi H, Tsukada T, Ootaki S, Yamada Y, Inoue M. Correspondence between food consistency and suprahyoid muscle activity, tongue pressure, and bolus transit times during the oropharyngeal phase of swallowing. J Appl Physiol. 2008; 105: 791-9.
Santos VA, Vieira ACC, & Silva, HJ. Atividade elétrica dos músculos masseter e supra-hióideo durante a deglutição do paciente com esclerose múltipla. CoDAS. 2019; 31.
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