SLPPilotDysphagia2019

Laryngeal Vibration Increases Spontaneous Swallowing Rates in Chronic Oropharyngeal Dysphagia: A Proof-of-Principle Pilot Study.

Erin Kamarunas, Seng Mun Wong, Christy L Ludlow

PMID 30488335

WHAT IT FOUND

Neck vibration at 70 Hz and 110 Hz raised spontaneous swallowing rates versus sham in 13 participants with chronic dysphagia.

It did not speed voluntary swallow initiation, and the increase did not persist when vibration stopped.

Key findings

01Vibration at 70 Hz and 110 Hz increased spontaneous swallowing rates compared with sham, while other tested frequencies did not differ.

02Vibration did not alter voluntary swallow initiation time compared with sham.

03The increase in swallowing rate during vibration did not persist during vibration-free intervals.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

This was a small pilot study with 13 analysed participants, so the results are preliminary and may not generalise. All participants had chronic moderate to severe dysphagia and relied on PEG tube feeding, so it says little about acute, subacute, or less severe swallowing problems. Not all participants completed every condition, and testing was spread over separate days, so the evidence is incomplete for some comparisons. The study measured spontaneous saliva swallows, not bolus swallows or oral intake, so it does not show that patients can swallow food or liquids more safely. Salivary flow was not controlled, so vibration could have increased swallowing by changing saliva production rather than swallowing function. The effect stopped when vibration stopped, and the study did not test long-term treatment, so it does not show lasting benefit. Swallow completion could not be confirmed for all recorded events, and no imaging was used during the multi-hour testing days, so the physiological effect is uncertain.

Declared interests

The device was developed and provided by Passy Muir Inc. No full author conflict-of-interest or funding declaration is included in the supplied text; the publication metadata lists NIH extramural research support.

The easy way to misread this

Do not conclude that vibration improves swallowing function or oral feeding. It measured spontaneous saliva swallows in a small pilot, did not change voluntary swallow initiation time, and the effect did not persist after vibration stopped.

Read it on PubMed →