The Effects of Electrical Stimulation Pulse Duration on Lingual Palatal Pressure Measures During Swallowing in Healthy Older Adults.
Ali Barikroo, Karen Hegland, Giselle Carnaby and 3 others
PMID 30820657WHAT IT FOUND
Short-pulse electrical stimulation in healthy older adults lowered peak tongue pressure and tongue pressure area during swallowing compared with no stimulation and long-pulse stimulation.
Pressure timing did not change. Participants tolerated higher current with short pulses without more discomfort.
Key findings
01Short-pulse duration TES lowered lingual-palatal peak pressure during swallowing compared with no stimulation and long-pulse duration.
02Short-pulse duration TES lowered lingual-palatal pressure integral during swallowing compared with no stimulation and long-pulse duration.
03Participants tolerated a higher maximum current with short-pulse duration than with long-pulse duration, and reported discomfort did not differ between the pulse durations.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
It tested only healthy older adults, so it does not show what happens in people with swallowing problems. It measured tongue pressure during swallowing, not clinical outcomes such as meal time, food consumption, or swallowing function. The effects were immediate, and the study did not show whether they improve swallowing or last after treatment. Baseline tongue strength was not measured. Palatal shape was not controlled and could affect pressure readings. Only a single bolus size and consistency were used, so the result may not apply to other foods or liquids. Pressure timing did not change, so the hypothesis that short-pulse stimulation lengthens pressure duration was not supported. The proposed deep-muscle or fatigue mechanisms were not directly measured.
Declared interests
The authors declared no conflict of interest. The article metadata lists NIH extramural support.
The easy way to misread this
Do not read lower tongue pressure as evidence that short-pulse stimulation improves swallowing or strengthens the tongue. The study measured immediate pressure in healthy older adults, not patients with dysphagia or clinical swallowing outcomes.