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Influence of Chin-down Posture on Tongue Pressure during Dry Swallow and Bolus Swallows in Healthy Subjects

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Abstract

The purpose of this study was to investigate the influence of chin-down posture and bolus size on tongue pressure during swallowing. Eleven healthy volunteers (7 men, 4 women; age range = 26–59 years) participated in the experiments. Tongue pressure during dry and 5- and 15-ml water swallows in neutral and chin-down postures was measured using a sensor sheet system with five measuring points on the hard palate. Sequential order, maximal magnitude, duration, and integrated value of tongue pressure at each measuring point were compared between postures and bolus sizes. Onset of tongue pressure at posterior-circumferential parts occurred earlier in dry swallow than in 5- and 15-ml water swallows in each posture. Chin-down posture was most effective for increasing tongue pressure in the 5-ml water swallow compared with dry swallow and the 15-ml water swallow, but it had almost no influence on tongue pressure with the 15-ml water swallow. These results suggest that chin-down posture increases the tongue driving force for small boluses in healthy subjects, which can be interpreted to mean that oropharyngeal swallowing in a chin-down posture requires more effort.

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Acknowledgments

This study was supported by Grants-in-Aid from the Ministry of Education, Science and Culture of Japan (Grants 17390514, 17791387, 18791432, and 22659349), the Program for Promotion of Fundamental Studies in Health Sciences of the National Institute of Biomedical Innovation (NIBIO), and the Global COE Program for “In Silico Medicine” at Osaka University.

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Authors and Affiliations

  1. Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan

    Kazuhiro Hori

  2. Division of Oromaxillofacial Regeneration, Osaka University Graduate School of Dentistry, 1-8 Yamada-oka, Suita, 565-0871, Japan

    Kenichi Tamine, Yoshinobu Maeda & Takahiro Ono

  3. Division of Gerodontology and Removable Prosthodontics, University of Geneva, 19 rue Barthélemy-Menn, 1205, Geneva, Switzerland

    Cindy Barbezat & Frauke Müller

  4. Department of Rehabilitation, Osaka Kawasaki Rehabilitation University, 158 Mizuma, Kaizuka, 597-0104, Japan

    Mana Yamori

Authors
  1. Kazuhiro Hori
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  2. Kenichi Tamine
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  3. Cindy Barbezat
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  4. Yoshinobu Maeda
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  5. Mana Yamori
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  6. Frauke Müller
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  7. Takahiro Ono
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Correspondence to Takahiro Ono.

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Hori, K., Tamine, K., Barbezat, C. et al. Influence of Chin-down Posture on Tongue Pressure during Dry Swallow and Bolus Swallows in Healthy Subjects. Dysphagia 26, 238–245 (2011). https://doi.org/10.1007/s00455-010-9292-2

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  • DOI: https://doi.org/10.1007/s00455-010-9292-2

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