Annals of Rehabilitation Medicine

Korean Academy of Rehabilitation Medicine (대한재활의학회)
권호 표지

Comparison of the Hyoid Movement during the Pharyngolaryngeal Swallowing at the Healthy Young and Old Person

정상 성인과 노인에서 인후부 연하 시 설골의 움직임의 비교

Kim, Sang-Jun;Lee, Kun-Jai
김상준;이건재

  • Published : 20060000
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Abstract

Objective: To compare the movement pattern of the hyoid during the pharyngeal swallowing between healthy young and old person through the motion analysis using the videofluoroscopic study. Method: Eight young and eight old volunteers without dysphagia were included in this study. Movement patterns of the hyoid (degree of anterior and superior displacement, the speed, trajectory and temporal speed curve of the hyoid) were analyzed through the videofluoroscopy and the motion analysis system. Results: The maximal anterior displacement and the maximal speed of the hyoid were decreased in the old group compared with the young. The trajectories of the young and old group showed asymmetrical pathway (returning pathway was different from the departing one). All groups showed two speed peaks at the temporal curve but the peaks at the old group were blunted. Conclusion: Decrease of the maximal anterior movement and the peak speed of the hyoid during the pharyngeal swallowing was found in the old group. It may be due to decrease in the contraction speed of the muscles related to the hyoid movement and elasticity of the laryngeal wall according to the aging. (J Korean Acad Rehab Med 2006; 30: 485-490)

Keywords

References

  1. 한태륜, 방문석, 백남종, 전재용, 김상준, 이호준: 연하곤란 환자들에서의 인두부 움직임의 전산화 동적 분석. 대한재활의학회지 2002; 26: 693-698
  2. Aviv JE, Martin JH, Jones ME, Wee TA, Diamond B, Keen MS, Blitzer A: Age-related changes in pharyngeal and supraglottic sensation. Ann Otol Rhinol Laryngol 1994; 103: 749752
  3. Chi-Fishman G, Sonies BC: Effects of systematic bolus viscosity and volume changes on hyoid movement kinematics. Dysphagia 2002; 17: 278-287 https://doi.org/10.1007/s00455-002-0070-7
  4. Chi-Fishman G, Sonies BC: Kinematic strategies for hyoid movement in rapid sequential swallowing. J Speech Lang Hear Res 2002; 45: 457-468 https://doi.org/10.1044/1092-4388(2002/036)
  5. Dantas RO, Dodds WJ: Influence of the viscosity of the swallowed food bolus on the motility of the pharynx. Arq Gastroenterol 1990; 27: 164-168
  6. Dantas RO, Dodds WJ, Massey BT, Kern MK: The effect of high- vs low-density barium preparations on the quantitative features of swallowing. Am J Roentgenol 1989; 153: 1191-1195 https://doi.org/10.2214/ajr.153.6.1191
  7. Dodds WJ, Man KM, Cook IJ, Kahrilas PJ, Stewart ET, Kern MK: Influence of bolus volume on swallow-induced hyoid movement in normal subjects. Am J Roentgenol 1988; 150: 1307-1309 https://doi.org/10.2214/ajr.150.6.1307
  8. Feinberg MJ: A perspective on age-related changes of the swallowing mechanism and their clinical significance. Dysphagia 1996; 11: 185-186 https://doi.org/10.1007/BF00366382
  9. Felsenthal GFT, Young MA: Aging of organ system. In: Gonzalez EG, Myers SJ, Edelstein JE, Lieberman JS, Downey JA, editors. Downey and Darling's physiological basis of rehabilitation medicine, 3rd ed, Boston: Butterworth-Heinemann, 2001, pp561-578
  10. Hiiemae KM, Palmer JB, Medicis SW, Hegener J, Jackson BS, Lieberman DE: Hyoid and tongue surface movements in speaking and eating. Arch Oral Biol 2002; 47: 11-27 https://doi.org/10.1016/S0003-9969(01)00092-9
  11. Ishida R, Palmer JB, Hiiemae KM: Hyoid motion during swallowing: factors affecting forward and upward displacement. Dysphagia 2002; 17: 262-272 https://doi.org/10.1007/s00455-002-0064-5
  12. Kendall KA, Leonard RJ: Hyoid movement during swallowing in older patients with dysphagia. Arch Otolaryngol Head Neck Surg 2001; 127: 1224-1229 https://doi.org/10.1001/archotol.127.10.1224
  13. Kendall KA, Leonard RJ, McKenzie SW: Accommodation to changes in bolus viscosity in normal deglutition: a videofluoroscopic study. Ann Otol Rhinol Laryngol 2001; 110: 1059-1065 https://doi.org/10.1177/000348940111001113
  14. Leonard RJ, Kendall KA, Johnson R, McKenzie S: Swallowing in myotonic muscular dystrophy: a videofluoroscopic study. Arch Phys Med Rehabil 2001; 82: 979-985 https://doi.org/10.1053/apmr.2001.23962
  15. Logemann JA: Evaluation and treatment of swallowing disorders, 2nd ed, Texas: Pro-ed, 1998, pp58-61
  16. Logemann JA, Pauloski BR, Rademaker AW, Colangelo LA, Kahrilas PJ, Smith CH: Temporal and biomechanical characteristics of oropharyngeal swallow in younger and older men. J Speech Lang Hear Res 2000; 43: 1264-1274 https://doi.org/10.1044/jslhr.4305.1264
  17. Logemann JA, Pauloski BR, Rademaker AW, Kahrilas PJ: Oropharyngeal swallow in younger and older women: videofluoroscopic analysis. J Speech Lang Hear Res 2002; 45: 434-445 https://doi.org/10.1044/1092-4388(2002/034)
  18. Palmer JB, Tanaka E, Ensrud E: Motions of the posterior pharyngeal wall in human swallowing: a quantitative videofluorographic study. Arch Phys Med Rehabil 2000; 81: 1520-1526 https://doi.org/10.1053/apmr.2000.17829
  19. Shaker R, Li Q, Ren J, Townsend WF, Dodds WJ, Martin BJ, Kern MK, Rynders A: Coordination of deglutition and phases of respiration: effect of aging, tachypnea, bolus volume, and chronic obstructive pulmonary disease. Am J Physiol 1992; 263: 750-755 https://doi.org/10.1152/ajpcell.1992.263.4.C750
  20. Shaker R, Ren J, Zamir Z, Sarna A, Liu J, Sui Z: Effect of aging, position, and temperature on the threshold volume triggering pharyngeal swallows. Gastroenterology 1994; 107: 396-402
  21. Sonies BC, Wang C, Sapper DJ: Evaluation of normal and abnormal hyoid bone movement during swallowing by use of ultrasound duplex-Doppler imaging. Ultrasound Med Biol 1996; 22: 1169-1175 https://doi.org/10.1016/S0301-5629(96)00158-5
  22. Yoshikawa M, Yoshida M, Nagasaki T, Tanimoto K, Tsuga K, Akagawa Y, Komatsu T: Aspects of swallowing in healthy dentate elderly persons older than 80 years. J Gerontol A Biol Sci Med Sci 2005; 60: 506-509 https://doi.org/10.1093/gerona/60.4.506