The effect of bolus volume on hyoid kinematics in healthy swallowing.
Hyoid movement in swallowing is biomechanically linked to closure of the laryngeal vestibule for airway protection and to opening of the upper esophageal sphincter. Studies suggest that the range of hyoid movement is highly variable in the healthy population. However, other aspects of hyoid movement such as velocity remain relatively unexplored. In this study, we analyze data from a sample of 20 healthy young participants (10 male) to determine whether hyoid movement distance, duration, velocity, and peak velocity vary systematically with increases in thin liquid bolus volume from 5 to 20 mL. The temporal correspondence between peak hyoid velocity and laryngeal vestibule closure was also examined. The results show that maximum hyoid position and peak velocity increase significantly for 20 mL bolus volumes compared to smaller volumes, and that the timing of peak velocity is closely linked to achieving laryngeal vestibule closure. This suggests that generating hyoid movements with increased power is a strategy for handling larger volumes.
Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M5G 2A2 ; University of Fayoum, Fayoum 63514, Egypt.
Ahmed
A
Nagy
Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M5G 2A2 ; New York University, New York, NY 10012, USA.
Sonja M
SM
Molfenter
Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M5G 2A2.
Melanie
M
Péladeau-Pigeon
Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M5G 2A2.
Shauna
S
Stokely
Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada M5G 2A2 ; University of Toronto, Toronto, ON, Canada M5V 1G7 ; Bloorview Research Institute, Toronto, ON, Canada M4G 1R8.
Catriona M
CM
Steele
D000328:Adult; D001696:Biomechanical Phenomena; D003679:Deglutition / Q000502:physiology*; D005260:Female; D006801:Humans; D006928:Hyoid Bone / Q000502:physiology*; D007830:Larynx / Q000502:physiology; D008297:Male; D009068:Movement / Q000502:physiology*