OBJECTIVES The aim of this study was to establish the rate variation of sonotubometric measurements using a specific broadband class of signals, the so-called perfect sequences (PSEQ) among healthy adults and to identify an optimal and technically simple test to provoke Eustachian tube (ET) openings. METHODS Sonotubometry was performed on 105 healthy adult subjects. Three different consecutiv...

Objective—To determine the incidence of dysphagia and associated pulmonary compromise in stroke patients through a systematic review of the published literature. Methods—Databases were searched (1966 through May 2005) using terms “cerebrovascular disorders,” “deglutition disorders,” and limited to “humans” for original articles addressing the frequency of dysphagia or pneumonia. Data sources in...

oral feeding difficulties are common in children with cerebral palsy (cp). the effect of oral-motor dysfunction on feeding problems has been proved in several studies. the purpose of the present study was to evaluate the effect of oral sensorimotor stimulations on feeding performance in children with spastic cerebral palsy. a total of 12 children with spastic cerebral palsy underwent 24 session...

A model experiment to understand the oral phase of swallowing is presented and used to explain some of the mechanisms controlling the swallowing of Newtonian liquids. The extent to which the flow is slowed down by increasing the viscosity of the liquid or the volume is quantitatively studied. The effect of the force used to swallow and of the gap between the palate and the roller used to repres...

A case of an 84 year old woman addressed for dysphagia is discussed. The endoscopic and histologic examination revealed a gastric linitis with cardial invasion. Classically, there is no characteristic macroscopic description associated with gastric linitis. An endoscopic aspect considered highly suggestive for gastric linitis is presented.

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 ...

This critical review examines the effects of free-fluid protocols on individuals with thinliquid dysphagia. A literature search was completed resulting in two studies, four abstracts, and one book chapter that met the inclusion criteria. Study designs included randomized control trials, nonrandomized between groups, and single group. Overall, the research suggests that free-fluid protocols do n...

Current evidence suggests that a systematic program of diagnosis and treatment of dysphagia in an acute stroke management plan may yield dramatic reductions in pneumonia rates. Because these data are derived from historically controlled studies rather than randomized controlled trials, the exact magnitude of this reduction in pneumonia is difficult to determine. However, because the effects obs...