To confirm a relationship between the pharyngeal response and bolus volume, and examine whether increasing the fluid bolus volume can improve penetration and aspiration for stroke dysphagic patients.
Methods
Ten stroke patients with a delayed pharyngeal response problem confirmed by a videofluoroscopic swallowing study (VFSS) were enrolled. Each subject completed two swallows each of 2 mL, 5 mL, and 10 mL of barium liquid thinned with water. The pharyngeal delay time (PDT) and penetration-aspiration scale (PAS) were measured and the changes among the different volumes were analyzed.
Results
PDTs were shortened significantly when 5 mL and 10 mL of thin barium were swallowed compared to 2 mL. However, there was no significant difference in PAS as the bolus volume increased.
Conclusion
The increased fluid bolus volume reduced the pharyngeal delay time, but did not affect the penetration and aspiration status.
Citations
Citations to this article as recorded by
Swallow Reaction Time in Healthy Adults Kevin Renz Ambrocio, Jonathan Beall, Kendrea L. (Focht) Garand Perspectives of the ASHA Special Interest Groups.2023; 8(3): 542. CrossRef
Risk factors independently associated with the maintenance of severe restriction of oral intake and alternative feeding method indication at hospital outcome in patients after acute ischemic stroke Karoline Kussik de Almeida Leite, Fernanda Chiarion Sassi, Iago Navas Perissinotti, Luiz Roberto Comerlatti, Claudia Regina Furquim de Andrade Clinics.2023; 78: 100275. CrossRef
Swallow Safety is Determined by Bolus Volume During Infant Feeding in an Animal Model Christopher J. Mayerl, Alexis M. Myrla, Francois D. H. Gould, Laura E. Bond, Bethany M. Stricklen, Rebecca Z. German Dysphagia.2021; 36(1): 120. CrossRef
Visuoperceptual Analysis of the Videofluoroscopic Study of Swallowing: An International Delphi Study Katina Swan, Reinie Cordier, Ted Brown, Renée Speyer Dysphagia.2021; 36(4): 595. CrossRef
Utilizing Pulmonary Function Parameters to Predict Dysphagia in Individuals With Cervical Spinal Cord Injuries So Jung Lee, Sungchul Huh, Sung-Hwa Ko, Ji Hong Min, Hyun-Yoon Ko Annals of Rehabilitation Medicine.2021; 45(6): 450. CrossRef
Use of the Penetration-Aspiration Scale in Dysphagia Research: A Systematic Review James C. Borders, Danielle Brates Dysphagia.2020; 35(4): 583. CrossRef
A comprehensive review of the diagnosis and treatment of Parkinson’s disease dysphagia and aspiration Bhavana Patel, Joseph Legacy, Karen W. Hegland, Michael S. Okun, Nicole E. Herndon Expert Review of Gastroenterology & Hepatology.2020; 14(6): 411. CrossRef
Reduced tongue force and functional swallowing changes in a rat model of post stroke dysphagia Miranda J. Cullins, Nadine P. Connor Brain Research.2019; 1717: 160. CrossRef
The Effects of Bolus Viscosity and Volume on Temporal Measurements and Aspiration of Oropharyngeal Swallowing in Supratentorial Stroke Patients Ikjae IM Journal of speech-language & hearing disorders.2017; 26(3): 133. CrossRef