Deglutitive tongue action: Volume accommodation and bolus propulsion
Open accessAbstract
Background Swallow function is best analyzed in components because discrete component failure may be compensated for with devised maneuvers, postures, or biofeedback techniques. The present investigation examined normal deglutitive tongue function.Methods Biplane videofluoroscopy synchronized with intraluminal manometry was performed in eight volunteers. Tongue surface motion was characterized as centripetal or centrifugal along seven equiangular rays emanating from the tongue center during 1-, 5-, 10-, and 20-mL swallows.Results The tongue perimeter remained in contact with the alveolar ridge while the central groove exhibited centripetal and subsequent centrifugal motion that, in conjunction with the pharyngeal walls, created an oropharyngeal propulsive chamber and then expelled that chamber's contents into the hypopharynx. Intrabolus propulsive pressure was generated when the initially expansive propulsive chamber volume contracted to the test bolus volume. Because pharyngeal chamber action cycle timing was relatively constant among bolus volumes, vigorous expulsion occurred with large volumes but relatively delayed, sluggish expulsion occurred with smaller volumes.Conclusions Deglutitive tongue functions include bolus containment, volume accommodation, and the major contributor to bolus propulsion.
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Early work by Logemann and colleagues demonstrated contributions of oral tongue movement to onset of pharyngeal swallowing dynamics.
“This finding fits with the early work of Logemann and colleagues who demonstrated the contributions of oral tongue movement to the onset of pharyngeal swallowing dynamics [66–69].”
From MBS Measurement Tool for Swallow Impairment—MBSImp: Establishing a Standard (2008) · cites this paper as [68]
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MBS Measurement Tool for Swallow Impairment—MBSImp: Establishing a Standard
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Self-citation
- Authors
- Kahrilas, P. J., Lin, S., Logemann, J. A., Ergun, G. A., & Facchini, F.
- Affiliations
- Northwestern University (US)
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 1993-01
- Volume
- 104
- Issue
- 1
- Pages
- 152-162
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W1534698217
- Cited by
- 254
- References
- 24
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 5 · 2023: 5 · 2022: 7 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 8 · 2017: 5 · 2016: 2 · 2015: 10 · 2014: 16 · 2013: 15 · 2012: 11
- FWCI
- 35.66
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ns028525-05)
- National Cancer Institute (P01-CA-40007, P01CA040007)
- National Institute on Deafness and Other Communication Disorders (R01DC000646, 1 R01 DC00646-01A1)
- National Institute of Neurological Disorders and Stroke (1R01 NS-28525-01)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › Dysphagia Assessment and Management
- Health Sciences › Medicine › Physiology › Voice and Speech Disorders
- Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
- Keywords
- swallowing, tongue movement, bolus propulsion, intrabolus pressure, bolus volume, pharyngeal motility
- MeSH terms
- Adult, Deglutition, Fluoroscopy, Humans, Image Processing, Computer-Assisted, Male, Manometry, Movement, Palate, Television, Time Factors, Tongue
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