Respiratory-Swallow Coordination in Healthy Adults During Drinking of Thin to Extremely Thick Liquids: A Research Note.
Teresa J Valenzano, Brittany T Guida, Melanie Peladeau-Pigeon and 1 others
PMID 32109178WHAT IT FOUND
Across thin to extremely thick liquids, respiratory pause duration did not differ by consistency or sex, and breathing-swallow phase pattern was stable; barium liquids had shorter pauses, and one exploratory sex difference appeared.
Key findings
01Respiratory pause duration showed no significant effects of consistency, sex, or a Consistency × Sex interaction.
02Barium stimuli had significantly shorter respiratory pause durations than nonbarium stimuli, with F (1, 1384.14) = 12.243, p < .001, and a small Cohen's d of 0.2.
03The expiration-expiration respiratory phase pattern was the most common pattern, occurring in 1301 of 1404 boluses (92.7%).
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
The participants were healthy adults under 60 years, so the data do not describe older adults or people with swallowing, respiratory, neurological, or medication-related conditions. The analysed sample was a convenience subset: 33 of 40 enrolled participants agreed to respiratory signal collection, and three had technical problems. Liquid consistencies were presented in a fixed order from thin to extremely thick, which may limit interpretation of consistency effects. A wide age range was included, and the study was preliminary with a small analysed sample. Participants wore a three-sensor tongue bulb array, and the study cannot rule out that this changed swallowing function or respiratory coordination. Swallowing events were confirmed visually, not concurrently with gold standard instrumentation, and some signals were excluded, which may bias the data set toward healthier swallows. Reliability in signal identification was not completed for this study, and not all included signals were rated in duplication. Taste status was not measured genetically, and the lemon flavouring may have influenced results.
Declared interests
The study was funded by an RO1 grant from the National Institute on Deafness and Other Communication Disorders, DC011020, to the final author. That author was responsible for project design, statistical analysis, and manuscript writing. No commercial conflicts are reported in the supplied text.
The easy way to misread this
Do not treat these values as normal ranges for patients with swallowing or respiratory problems, because the study included only healthy adults under 60 years and used a convenience sample.