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ERIC Number: EJ867768
Record Type: Journal
Publication Date: 2009-Feb
Pages: 9
Abstractor: As Provided
Reference Count: 17
ISSN: ISSN-1058-0360
Evaluation of Manometric Measures during Tongue-Hold Swallows
Doeltgen, Sebastian H.; Witte, Ulrike; Gumbley, Freya; Huckabee, Maggie-Lee
American Journal of Speech-Language Pathology, v18 n1 p65-73 Feb 2009
Purpose: Based on visual inspection, prior research documented increased movement of the posterior pharyngeal wall in healthy volunteers during tongue-hold swallows. This manometric study investigated the immediate effects of the tongue-hold maneuver on pharyngeal peak pressure generation, duration of pressure generation, and pressure slope measurements in healthy volunteers. Method: Pharyngeal pressures from 40 young, healthy individuals (mean age = 25.8 years, gender equally distributed) were recorded at 3 locations: oropharynx, hypopharynx, and upper esophageal sphincter (UES), during normal control and tongue-hold swallows. Measures of peak amplitude, duration, and slope of pressure generation were subjected to statistical analysis. Results: Tongue-hold swallows produced lower pharyngeal peak pressure and shorter pharyngeal pressure durations compared to control swallows. Further, tongue-hold swallows produced lower UES relaxation pressures. Between sensors, peak pressure was lower and pressure slopes were steeper in the hypopharynx compared to the oropharynx. Several gender-specific differences were found for pharyngeal peak pressure, pressure duration, and pressure slopes. Conclusions: Reduced amplitude and duration of pharyngeal peak pressure is likely a result of decreased base of tongue retraction during tongue-hold swallows. Central clinical considerations and future research directions are discussed in this article. (Contains 3 tables and 1 figure.)
American Speech-Language-Hearing Association (ASHA). 10801 Rockville Pike, Rockville, MD 20852. Tel: 800-638-8255; Fax: 301-571-0457; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Evaluative
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A