Shared and Separate Neuromuscular Underpinnings of Swallowing and Motor Speech Development in the School-Age Years.

Purpose: Despite co-occurrence of swallowing and speech disorders in childhood, there is limited research on shared and separate neuromuscular underpinnings of these functions. The purpose of this study was to (a) compare neuromuscular control of swallowing and speech between younger and older child...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; no. 9; pp. 3260 - 3276
Autores principales: Hahn Arkenberg, Rachel E., Brown, Barbara, Mitchell, Samantha, Craig, Bruce A., Goffman, Lisa, Malandraki, Georgia A.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Sep2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2023
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-23-00059
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        atl: Shared and Separate Neuromuscular Underpinnings of Swallowing and Motor Speech Development in the School-Age Years.
      aug:
        au:
          Hahn Arkenberg, Rachel E.
          Brown, Barbara
          Mitchell, Samantha
          Craig, Bruce A.
          Goffman, Lisa
          Malandraki, Georgia A.
        affil:
          Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN
          Department of Statistics, Purdue University, West Lafayette, IN
          School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson
          Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN
      su:
        Reliability (Personality trait)
        Speech disorders
        Cross-sectional method
        Language acquisition
        Children
        Statistical power analysis
        Statistics
        Neurophysiology
        Deglutition
        Deglutition disorders
        Neuromuscular system
        Comparative studies
        T-test (Statistics)
        Descriptive statistics
        Research funding
        Electromyography
        Neck muscles
        Data analysis
        Facial muscles
      sug:
        subj:
          Reliability (Personality trait)
          Speech disorders
          Cross-sectional method
          Language acquisition
          Children
          Statistical power analysis
          Statistics
          Neurophysiology
          Deglutition
          Deglutition disorders
          Neuromuscular system
          Comparative studies
          T-test (Statistics)
          Descriptive statistics
          Research funding
          Electromyography
          Neck muscles
          Data analysis
          Facial muscles
      ab: Purpose: Despite co-occurrence of swallowing and speech disorders in childhood, there is limited research on shared and separate neuromuscular underpinnings of these functions. The purpose of this study was to (a) compare neuromuscular control of swallowing and speech between younger and older children and (b) determine similarities and differences in neuromuscular control of swallowing and speech. Method: Twenty-six typically developing children (thirteen 7- to 8-year-olds and thirteen 11- to 12-year-olds) completed this cross-sectional study.Neuromuscular control was evaluated using surface electromyography of submental muscles and superior and inferior orbicularis oris muscles during parallel tasks of swallowing and speech. Outcomemeasures included normalized mean amplitude, burst duration, time to peak amplitude, and bilateral synchrony, whichwere examined using mixed-effectsmodels. Results: For normalized mean amplitude, burst duration, and time to peak amplitude, there were significant two- and three-way interactions between muscle group, task, and age group, indicating that older and younger children demonstrated different muscle activation patterns, and these patterns varied by muscle and task. No differences were noted between groups for bilateral synchrony. For parallel tasks, children demonstrated different magnitudes of normalized mean amplitude and time to peak amplitude of speech and swallowing. However, they demonstrated a similar pattern: increases in magnitude as task complexity increased. Conclusions: Children continue to demonstrate refinement of their neuromuscular control of swallowing and speech between 7-8 and 11-12 years of age, and there are both shared and separate elements of neuromuscular control between these two vital functions. To improve generalizability of findings, future research should include longitudinal analysis of swallowing and speech development, as well as measures of central neurophysiology. Supplemental Material: https://doi.org/10.23641/asha.23796258
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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