Evidence map›Paper›PMID 29800050›Full record

ArticleJournal of speech, language, and hearing research : JSLHR2018

Swallowing Kinematic Differences Across Frozen, Mixed, and Ultrathin Liquid Boluses in Healthy Adults: Age, Sex, and Normal Variability.

Ianessa A Humbert, Kirstyn L Sunday, Eleni Karagiorgos, Alicia K Vose, Francois Gould, Lindsey Greene, Alba Azola, Ara Tolar, Alycia Rivet

Abstract read
In one paragraph

Article in Journal of speech, language, and hearing research : JSLHR, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Article
  2. Stressing the System: Biomechanics of Sequential Swallowing in Healthy Adults.Journal of speech, language, and hearing research : JSLHR · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. A Preliminary Study of Vallecular Bolus Aggregation in Healthy Swallowing of Solid Food Boluses.Journal of speech, language, and hearing research : JSLHR · 2024
    Article
  9. Article
  10. Journal of speech, language, and hearing research : JSLHR · 2023
    Article
  11. Reference Values for Videofluoroscopic Measures of Swallowing: An Update.Journal of speech, language, and hearing research : JSLHR · 2023
    Article
  12. Article
  13. Article
  14. Swallow Reaction Time in Healthy Adults.Perspectives of the ASHA special interest groups · 2023
    Article
  15. Review
  16. Article
  17. Phoniatricians and otorhinolaryngologists approaching oropharyngeal dysphagia: an update on FEES.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ianessa A HumbertSwallowing Systems Core, Department of Speech, Language, Hearing Sciences, University of Florida, Gainesville.
Kirstyn L SundaySwallowing Systems Core, Department of Speech, Language, Hearing Sciences, University of Florida, Gainesville.
Eleni KaragiorgosDepartment of Physical Medicine and Rehabilitation, Johns Hopkins School of Medicine, Baltimore, MD.
Alicia K VoseDepartment of Neurology, University of Florida, Gainesville.
Francois GouldDepartment of Anatomy and Neurobiology, North East Ohio Medical University, Akron.
Lindsey GreeneSwallowing Systems Core, Department of Speech, Language, Hearing Sciences, University of Florida, Gainesville.
Alba AzolaDepartment of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.
Ara TolarSwallowing Systems Core, Department of Speech, Language, Hearing Sciences, University of Florida, Gainesville.
Alycia RivetSwallowing Systems Core, Department of Speech, Language, Hearing Sciences, University of Florida, Gainesville.

Funding

Breathing Research and Therapeutics (BREATHE)T32HL134621 · NHLBI · UNIVERSITY OF FLORIDA · PI Gordon S. Mitchell · 2017 to 2026
$3.4M
Applying motor learning principles to dysphagia rehabilitationR01DC014285 · NIDCD · UNIVERSITY OF FLORIDA · PI HUMBERT, IANESSA A. · 2014 to 2017
$1.5M
NHLBI NIH HHS T32 HL134621NIDCD NIH HHS R01 DC014285
6 · The paper itself

Abstract

Purpose: The aim of this study was to examine the effects of frozen and mixed-consistency boluses on the swallowing physiology of younger and older adults. We also aimed to quantify factors that lead to increased variability in swallowing outcomes (i.e., age, sex, bolus type). Method: Forty-one healthy adults (18-85 years old) swallowed 5 blocks of 5 different boluses: 10-ml ultrathin liquid, a teaspoon of iced barium, a teaspoon of room-temperature pudding, a teaspoon of frozen pudding, and ultrathin barium with chocolate chips. All data were recorded with videofluoroscopy and underwent detailed timing kinematic measurements. Results: Neither barium ice nor frozen pudding sped up swallow responses. Many healthy adults initiated swallowing with the bolus as deep as the pyriform sinuses. Swallowing temporal kinematics for ultrathin liquid consistencies are most different from all others tested, requiring the best possible physiological swallowing performance in younger and older healthy individuals (i.e., faster reaction times, longer durations) compared with other bolus types tested. In each measure, older adults had significantly longer durations compared with the younger adults. More variability in swallowing kinematics were seen with age and laryngeal vestibule kinematics. Conclusion: This study provides important contributions to the literature by clarifying normal variability within a wide range of swallowing behaviors and by providing normative data from which to compare disordered populations.

Indexed as

AdolescentAdultAgedAged, 80 and overAgingBiomechanical PhenomenaCohort StudiesDeglutitionEsophagusFemaleFluoroscopyHumansLarynxMaleMiddle AgedPharynx

Identifiers

PMID29800050
PMCPMC6195055

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.