Factors Influencing Laryngeal Vestibular Closure in Healthy Adults.

Purpose: Our study aims were (a) to examine laryngeal vestibular closure (LVC) temporal measures in healthy adults across tasks used in the Modified Barium Swallow Impairment Profile (MBSImP) protocol to establish normative reference values and (b) to examine influences of age, gender, and swallow t...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 66; no. 10; pp. 3844 - 3856
Autores principales: Abrams, Sophia Werden, Petersen, Courtney, Beall, Jonathan, Namasivayam-MacDonald, Ashwini, Choi, Dahye, Garand, Kendrea L. (Focht)
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Oct2023
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
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      pub: American Speech-Language-Hearing Association
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        10.1044/2023_JSLHR-22-00741
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        atl: Factors Influencing Laryngeal Vestibular Closure in Healthy Adults.
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        au:
          Abrams, Sophia Werden
          Petersen, Courtney
          Beall, Jonathan
          Namasivayam-MacDonald, Ashwini
          Choi, Dahye
          Garand, Kendrea L. (Focht)
        affil:
          School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
          Department of Speech Pathology and Audiology, University of South Alabama, Mobile
          Department of Public Health Sciences, Medical University of South Carolina, Charleston
          Department of Communication Science and Disorders, University of Pittsburgh, PA
      su:
        Age distribution
        Cross-sectional method
        Retrospective studies
        Sex distribution
        Laryngeal physiology
        Reference values
        Deglutition
        Confidence intervals
        Research evaluation
        Regression analysis
        Medical protocols
        Fluoroscopy
        Inter-observer reliability
        Descriptive statistics
        Intraclass correlation
        Research funding
        Statistical models
        Viscosity
        Data analysis software
        Statistical sampling
      sug:
        subj:
          Age distribution
          Cross-sectional method
          Retrospective studies
          Sex distribution
          Marketing Research and Public Opinion Polling
          Laryngeal physiology
          Reference values
          Deglutition
          Confidence intervals
          Research evaluation
          Regression analysis
          Medical protocols
          Fluoroscopy
          Inter-observer reliability
          Descriptive statistics
          Intraclass correlation
          Research funding
          Statistical models
          Viscosity
          Data analysis software
          Statistical sampling
      ab: Purpose: Our study aims were (a) to examine laryngeal vestibular closure (LVC) temporal measures in healthy adults across tasks used in the Modified Barium Swallow Impairment Profile (MBSImP) protocol to establish normative reference values and (b) to examine influences of age, gender, and swallow task on LVC temporal measures. Method: A retrospective analysis of 195 healthy adults (85 men, 110 women; age range: 21--89 years) who participated in a videofluoroscopic swallowing study was completed. Seven swallow tasks of standardized viscosities and volumes, as per the MBSImP protocol, were analyzed to measure time-to-LVC and LVC duration (LVCd). Descriptive statistics were employed for all measures of interest. Regression modeling was used to explore relationships between LVC temporal measures (time-to-LVC, LVCd) with age, gender, and swallow task. The relationship between time-to-LVC and LVCd was also explored. Results: Significant findings included an increasing trend in LVCd across age (older individuals had a longer LVCd), with women demonstrating a greater increase. Related to viscosity, LVCd was significantly shorter for pudding compared to thin liquid. Furthermore, when compared to 5-ml tasks, LVCd was significantly longer in cup tasks, while time-to-LVC was significantly shorter. An association was also observed between time-to-LVC and LVCd: As time-to-LVC decreased, LVCd increased. Conclusions: LVCd was influenced by age, gender, and swallow task. Longer time-to-LVC was observed in older individuals, particularly older women, and with thin liquids. Study findings contribute to adult normative reference values for LVC temporal measures (time-to-LVC and LVCd) across MBSImP swallowing tasks.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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