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  • 1
    Online Resource
    Online Resource
    Effects of Lingual Effort on Swallow Pressures Following Radiation Treatment
    American Speech Language Hearing Association ; 2015
    In:  Journal of Speech, Language, and Hearing Research Vol. 58, No. 3 ( 2015-06), p. 687-697
    Details
    In: Journal of Speech, Language, and Hearing Research, American Speech Language Hearing Association, Vol. 58, No. 3 ( 2015-06), p. 687-697
    Abstract: This article investigated the effects of increased oral lingual pressure on pharyngeal pressures during swallowing in patients who have undergone radiotherapy for head and neck cancer. It was hypothesized that increased oral lingual pressure would result in increased pharyngeal pressures. Method A within-subject experimental design was used with 20 participants who were status post external beam radiotherapy for head and neck cancer. Participants completed typical swallows and swallows with increased lingual force during manofluoroscopic swallow studies. The swallow condition order was randomized across participants. Results Manometric data revealed significant differences in swallow pressure by condition at the base of tongue and upper esophageal sphincter sensor locations without significant pressure differences in the lower pharynx. The effortful lingual swallows resulted in higher mean pressures at all locations. Conclusions The results of this study suggest that use of a maneuver designed to increase oral tongue effort can also increase pharyngeal tongue base pressure. Therefore, therapeutic activities used to generate greater pressure of the oral tongue may also alter pharyngeal response. Further research is needed to determine the direct clinical effect on swallow function for individuals with head and neck cancer.
    Type of Medium: Online Resource
    ISSN: 1092-4388 , 1558-9102
    URL: Article
    DOI: 10.1044/2015_JSLHR-S-14-0210
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2015
    detail.hit.zdb_id: 2070420-3
    SSG: 5,2
    SSG: 7,11
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  • 2
    Online Resource
    Online Resource
    Lingual Pressure as a Clinical Indicator of Swallowing Function in Parkinson's Disease
    American Speech Language Hearing Association ; 2018
    In:  Journal of Speech, Language, and Hearing Research Vol. 61, No. 2 ( 2018-02-15), p. 257-265
    Details
    In: Journal of Speech, Language, and Hearing Research, American Speech Language Hearing Association, Vol. 61, No. 2 ( 2018-02-15), p. 257-265
    Abstract: Swallowing impairment, or dysphagia, is a known contributor to reduced quality of life, pneumonia, and mortality in Parkinson's disease (PD). However, the contribution of tongue dysfunction, specifically inadequate pressure generation, to dysphagia in PD remains unclear. Our purpose was to determine whether lingual pressures in PD are (a) reduced, (b) reflect medication state, or are (c) consistent with self-reported diet and swallowing function. Method Twenty-eight persons with idiopathic PD (PwPD) and 28 age- and sex-matched controls completed lingual pressure tasks with the Iowa Oral Performance Instrument. PwPD were tested during practically defined ON and OFF dopaminergic medication states. Participants were also stratified into three sex- and age-matched cohorts (7 men, 5 women): (a) controls, (b) PwPD without self-reported dysphagia symptoms or diet restrictions, and (c) PwPD with self-reported dysphagia symptoms with or without diet restrictions. Results PwPD exhibited reduced tongue strength and used elevated proportions of tongue strength during swallowing compared with controls ( p 〈 .05) without an effect of medication state ( p 〉 .05). Reduced tongue strength distinguished PwPD with self-reported dysphagia symptoms from PwPD without reported symptoms or diet restrictions ( p = .045) and controls ( p = .002). Conclusion Tongue strength was significantly reduced in PwPD and did not differ by medication state. Tongue strength differentiated between PwPD with and without self-reported swallowing symptoms. Therefore, measures of tongue strength and swallowing pressures may serve as clinical indicators for further dysphagia evaluation and may promote early diagnosis and management of dysphagia in PD.
    Type of Medium: Online Resource
    ISSN: 1092-4388 , 1558-9102
    URL: Article
    DOI: 10.1044/2017_JSLHR-S-17-0259
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2018
    detail.hit.zdb_id: 2070420-3
    SSG: 5,2
    SSG: 7,11
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  • 3
    Online Resource
    Online Resource
    Lingual Propulsive Pressures Across Consistencies Generated by the Anteromedian and Posteromedian Tongue by Healthy Young Adults
    American Speech Language Hearing Association ; 2012
    In:  Journal of Speech, Language, and Hearing Research Vol. 55, No. 3 ( 2012-06), p. 960-972
    Details
    In: Journal of Speech, Language, and Hearing Research, American Speech Language Hearing Association, Vol. 55, No. 3 ( 2012-06), p. 960-972
    Abstract: In the present study, the authors investigated lingual propulsive pressures generated in the normal swallow by the anterior and posterior lingual segments for various consistencies and maximum isometric tasks. Method Lingual pressures for saliva, thin, and honey-thick liquid boluses were measured via the Iowa Oral Performance Instrument (IOPI Medical, Carnation, WA) at both anteromedian and posteromedian lingual segments of 62 healthy participants, ages 18–34 years (30 men, 32 women). Results A repeated-measures analysis of variance revealed that all lingual swallowing pressures were significantly greater at the anteromedian segment than at the posteromedian segment. Gender was not a significant factor; however, women exhibited greater swallowing pressures across all conditions. Lingual pressures increased as bolus viscosity increased. No significant interactions existed. Analysis of a subset of 30 participants revealed that men exhibited greater maximal isometric pressure at the anteromedian segment than women, with no significant gender difference at the posteromedian segment. A significantly higher percentage of maximum isometric tongue pressure was exerted by the posteromedian tongue than by the anteromedian tongue. Conclusion Findings suggest that greater amplitudes of lingual pressures are generated during normal swallowing at the anteromedian lingual segment; however, a greater percentage of maximum isometric tongue pressure was exerted by the posteromedian lingual segment, suggesting increased effort by the posterior tongue during bolus propulsion.
    Type of Medium: Online Resource
    ISSN: 1092-4388 , 1558-9102
    URL: Article
    DOI: 10.1044/1092-4388(2011/10-0357)
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2012
    detail.hit.zdb_id: 2070420-3
    SSG: 5,2
    SSG: 7,11
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  • 4
    Online Resource
    Online Resource
    The World Wide Web: Friend or Foe?
    American Speech Language Hearing Association ; 2001
    In:  Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders Vol. 11, No. 3 ( 2001-10), p. 38-39
    Details
    In: Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, American Speech Language Hearing Association, Vol. 11, No. 3 ( 2001-10), p. 38-39
    Type of Medium: Online Resource
    ISSN: 1940-7769 , 1940-7777
    URL: Article
    DOI: 10.1044/nnsld11.3.38
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2001
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  • 5
    Online Resource
    Online Resource
    The Development of a Collaborative Distance Education Program in CSD: Can Long Distance Relationships Work?
    American Speech Language Hearing Association ; 2000
    In:  Perspectives on Administration and Supervision Vol. 10, No. 3 ( 2000-10), p. 13-17
    Details
    In: Perspectives on Administration and Supervision, American Speech Language Hearing Association, Vol. 10, No. 3 ( 2000-10), p. 13-17
    Type of Medium: Online Resource
    ISSN: 1940-7238 , 1940-7246
    URL: Article
    DOI: 10.1044/aas10.3.13
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2000
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  • 6
    Online Resource
    Online Resource
    Relationships Among Subjective and Objective Measures of Tongue Strength and Oral Phase Swallowing Impairments
    American Speech Language Hearing Association ; 2003
    In:  American Journal of Speech-Language Pathology Vol. 12, No. 1 ( 2003-02), p. 40-50
    Details
    In: American Journal of Speech-Language Pathology, American Speech Language Hearing Association, Vol. 12, No. 1 ( 2003-02), p. 40-50
    Abstract: A growing literature documents the relationship between tongue strength and oral phase swallowing function. Objective measures of strength have been recommended as more valid and reliable than subjective measures for the assessment of tongue function, yet subjective measures remain the more commonly used clinical method for assessing tongue strength. This study assessed the relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments. Both subjective and objective measures of tongue strength were observed to be good predictors of the presence of oral phase swallowing impairments. The specific oral phase swallowing functions of bolus manipulation, mastication, and clearance were moderately correlated with subjective ratings of tongue strength. Experienced and inexperienced raters appeared to judge tongue strength differently, with the ratings of experienced raters being more predictive of swallowing function.
    Type of Medium: Online Resource
    ISSN: 1058-0360 , 1558-9110
    URL: Article
    DOI: 10.1044/1058-0360(2003/051)
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2003
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  • 7
    Online Resource
    Online Resource
    Facilitating End-of-Life Interaction Between Patients With Severe Communication Impairment and Their Families
    American Speech Language Hearing Association ; 2021
    In:  Perspectives of the ASHA Special Interest Groups Vol. 6, No. 3 ( 2021-06-25), p. 649-653
    Details
    In: Perspectives of the ASHA Special Interest Groups, American Speech Language Hearing Association, Vol. 6, No. 3 ( 2021-06-25), p. 649-653
    Abstract: The purpose of this report is to promote conversation among medical speech-language pathologists (SLPs) about their role in facilitating family–patient interaction involving patients who acutely encounter the end-of-life (EOL) phase and have severe communication impairment. Case Report We provide self-reflections from our own clinical practice, pertinent literature review, and medical chart review of a relevant patient to serve as a catalyst for such discussion. Reflections We share a preliminary handout containing strategies that SLPs could provide family members of patients who have encountered an EOL phase and have severe communication impairment (e.g., global aphasia) and reduced alertness level. Clinical Implications SLPs can play an important role in facilitating EOL patient–family interaction and alleviate suffering even when patients have severe communication impairment.
    Type of Medium: Online Resource
    ISSN: 2381-4764 , 2381-473X
    URL: Article
    DOI: 10.1044/2021_PERSP-20-00282
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2021
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  • 8
    Online Resource
    Online Resource
    Tongue Measures in Individuals With Normal and Impaired Swallowing
    American Speech Language Hearing Association ; 2007
    In:  American Journal of Speech-Language Pathology Vol. 16, No. 2 ( 2007-05), p. 148-156
    Details
    In: American Journal of Speech-Language Pathology, American Speech Language Hearing Association, Vol. 16, No. 2 ( 2007-05), p. 148-156
    Abstract: This investigation sought to add to the extant literature on measures of normal tongue function, to provide information on measures of tongue function in a group of individuals with oral phase dysphagia, and to provide a comparison of these 2 groups matched for age and gender. Method The Iowa Oral Performance Instrument was utilized to measure tongue function (strength and endurance) in a group of individuals with normal ( N = 200) and impaired ( N = 50) swallowing. The peak measure of 3 encouraged trials was recorded as participants’ strength, and 50% of their peak was sustained as long as possible for endurance. Results Results for the control group supported previous investigations wherein greater tongue strength was found in males than in females and in the youngest versus oldest groups. The experimental group demonstrated a similar trend in strength for gender. When matched for age and gender, the experimental group demonstrated significantly lower strength. Significant differences were not revealed on measures of tongue endurance. Conclusions We were able to extend the normative database on tongue function and document reduced tongue strength in a group of individuals with dysphagia. The findings provide evidence that in this group, tongue weakness coincided with signs of dysphagia, adding justification for tongue-strengthening protocols.
    Type of Medium: Online Resource
    ISSN: 1058-0360 , 1558-9110
    URL: Article
    DOI: 10.1044/1058-0360(2007/019)
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2007
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  • 9
    Online Resource
    Online Resource
    Committee Corner: Evaluating the Quality of Information on the Internet
    American Speech Language Hearing Association ; 2002
    In:  Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders Vol. 12, No. 4 ( 2002-12), p. 39-40
    Details
    In: Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, American Speech Language Hearing Association, Vol. 12, No. 4 ( 2002-12), p. 39-40
    Type of Medium: Online Resource
    ISSN: 1940-7769 , 1940-7777
    URL: Article
    DOI: 10.1044/nnsld12.4.39
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2002
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  • 10
    Online Resource
    Online Resource
    Technology : Technological Supplements to the Clinical Dysphagia Examination
    American Speech Language Hearing Association ; 2006
    In:  Perspectives on Administration and Supervision Vol. 16, No. 2 ( 2006-06), p. 18-22
    Details
    In: Perspectives on Administration and Supervision, American Speech Language Hearing Association, Vol. 16, No. 2 ( 2006-06), p. 18-22
    Type of Medium: Online Resource
    ISSN: 1940-7238 , 1940-7246
    URL: Article
    DOI: 10.1044/aas16.2.18
    Language: English
    Publisher: American Speech Language Hearing Association
    Publication Date: 2006
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