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Variations in Lingual Pressure during Saliva Swallows between a Healthy Adult Female and an Adult Female with Head and Neck Cancer

Hauxwell, Cynthia M.
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243364890

Abstract Details

2009, MA, University of Cincinnati, Allied Health Sciences : Speech-Language Pathology.
Dysphagia is among the most serious and common disorders experienced by elderly adults and adults who have undergone treatment for oral-pharyngeal cancer. Research has demonstrated that adequate lingual pressure is one of the most significant factors in one's ability to swallow safely, assisting in the avoidance of penetration and aspiration of food and liquid. Lingual pressures decrease, however, with age and with disease-related processes. This study examined the lingual pressure measurements during saliva swallows of a healthy adult female (participant one) and an adult female who underwent a partial glossectomy with free flap reconstruction and radiation treatment (participant two). The KayPENTAX Swallowing Signals Lab (Kay Elemetrics, Lincoln Park, NJ) was used to measure peak lingual pressure during saliva swallows, using three-bulb tongue arrays, so that comparisons between the two participants could be made. The results revealed that the mean lingual pressure measurements during saliva swallows between the two participants varied greatly. For participant one, mean anterior lingual pressures were 106.4 and 108.4 (time period 1 and 2), while the mean posterior lingual pressures were 323 and 373.6 (time period 1 and 2). Participant two's mean anterior lingual pressures were 30.4 and 11.6 (time period 1 and 2), and her mean posterior lingual pressures were 58.6 and 66.2 (time period 1 and 2). The peak lingual pressures for participant one and participant two are similar to the peak lingual pressures of healthy adults and adults who have undergone head and neck cancer treatment. The posterior tongue pressures were greater than the anterior tongue positions in both participants, as the posterior tongue's role is to propel the bolus posteriorly into the esophagus with significant force against the posterior pharyngeal wall. Despite participant two's reduction in lingual pressure measurements in comparison to participant one, the trend for the posterior lingual pressure to be greater than the anterior tongue pressure still remained in this participant's physiology of swallow. Future study could examine a larger population of healthy adults and head and neck cancer adults to determine true significance between lingual measurements, as well as take into consideration type of head and neck cancer and degree of surgical resection and chemoradiation treatment.
Lisa Kelchner (Committee Chair)
Aimee Dietz (Committee Member)
Speech Therapy
Lingual Pressure; Swallowing; tongue; Saliva

Recommended Citations

Citations

  • Hauxwell, C. M. (2009). Variations in Lingual Pressure during Saliva Swallows between a Healthy Adult Female and an Adult Female with Head and Neck Cancer [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243364890

    APA Style (7th edition)

  • Hauxwell, Cynthia. Variations in Lingual Pressure during Saliva Swallows between a Healthy Adult Female and an Adult Female with Head and Neck Cancer. 2009. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243364890.

    MLA Style (8th edition)

  • Hauxwell, Cynthia. "Variations in Lingual Pressure during Saliva Swallows between a Healthy Adult Female and an Adult Female with Head and Neck Cancer." Master's thesis, University of Cincinnati, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1243364890

    Chicago Manual of Style (17th edition)

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© 2009, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.