An analysis of lingual contribution to submental surface electromyographic measures and pharyngeal pressure during effortful swallow.

Abstract

To evaluate the influence of tongue-to-palate pressures on submental muscle contraction and oral and pharyngeal pressure dynamics during effortful swallowing maneuver. Comparative analysis of 2 task strategies on biomechanic measures of swallowing. Research laboratory in a free-standing research facility. Consecutive volunteer sample of 20 healthy participants (age range, 20-35 y). Not applicable. Peak amplitude of submental surface electromyography and orolingual and pharyngeal manometric pressure at 4 locations. General linear model analysis of variance revealed statistically significant greater amplitudes for the tongue emphasis condition of effortful swallow at all measured sensors (P<.004). Tongue-to-palate emphasis during execution of effortful swallowing increases amplitudes of submental surface electromyography, orolingual pressure, and upper pharyngeal pressure to a greater degree than a strategy of inhibiting tongue-to-palate emphasis.