1. Effects of Submental Surface Electrical Stimulation on Swallowing Kinematics in Healthy Adults: An Error-Based Learning Paradigm
- Author
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Emily K. Plowman, Selen Serel Arslan, Lauren Tabor, Raele Robison, Ianessa A. Humbert, Kirstyn L. Sunday, Alba Azola, Alicia K. Vose, and Michele L. Singer
- Subjects
Adult ,Male ,Larynx ,Linguistics and Language ,Laryngeal vestibule ,Electric Stimulation Therapy ,Stimulation ,Kinematics ,Young Adult ,030507 speech-language pathology & audiology ,03 medical and health sciences ,Speech and Hearing ,0302 clinical medicine ,stomatognathic system ,Swallowing ,otorhinolaryngologic diseases ,Developmental and Educational Psychology ,medicine ,Humans ,Learning ,Research Articles ,Orthodontics ,business.industry ,digestive, oral, and skin physiology ,Hyoid bone ,Hyoid Bone ,Middle Aged ,Healthy Volunteers ,Biomechanical Phenomena ,Deglutition ,medicine.anatomical_structure ,Otorhinolaryngology ,Female ,Deglutition Disorders ,0305 other medical science ,Range of motion ,business ,Airway ,030217 neurology & neurosurgery - Abstract
Purpose Hyoid bone and laryngeal approximation aid airway protection (laryngeal vestibule closure) while moving toward their peak superior and anterior positions during swallowing. Submental surface electrical stimulation (SES) is a therapeutic technique that targets the muscles that move the hyoid bone during swallowing. It is unknown whether submental SES only increases peak hyoid bone swallowing positions but not peak laryngeal swallowing positions, which could require faster or greater laryngeal movement to achieve adequate laryngeal vestibule closure. Method We examined the effects of submental SES on hyo-laryngeal kinematics in 30 healthy adults who swallowed 50 times using an error-based learning paradigm. Results Submental SES did not alter any hyo-laryngeal swallowing kinematic. However, submental SES significantly changed the starting position of the hyoid bone just prior to the swallow onset (more anterior; p = .003). On average, submental SES immediately prior to swallow onset can position the hyoid approximately 20% closer to its peak swallowing point. Conclusions These findings indicate that electrical stimulation of the agonists for hyoid movement might not alter swallowing outcomes tested in this study. However, submental SES could have clinical utility by minimizing swallowing impairments related to reduced hyoid swallowing range of motion in individuals with dysphagia.
- Published
- 2018
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