Evidence map›Paper›PMID 33068056›Full record

ArticleHuman brain mapping2021

Targeting the sensory feedback within the swallowing network-Reversing artificially induced pharyngolaryngeal hypesthesia by central and peripheral stimulation strategies.

Paul Muhle, Bendix Labeit, Andreas Wollbrink, Inga Claus, Tobias Warnecke, Carsten H Wolters, Joachim Gross, Rainer Dziewas, Sonja Suntrup-Krueger

Open access · goldAbstract read
In one paragraph

Article in Human brain mapping, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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

20 citing papers in PubMed, 26 citations in OpenAlex.

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  4. Metaplasticity in swallowing system via cross-modal neurostimulation: A randomized crossover trial with magnetoencephalography.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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  6. Treating postextubation dysphagia after stroke with pharyngeal electrical stimulation -insights from a randomized controlled pilot trial.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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 at 1 institution in 1 country.

Paul MuhleDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.ORCID 0000-0003-0865-0297
Bendix LabeitDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.
Andreas WollbrinkInstitute for Biomagnetism and Biosignalanalysis, University Hospital Muenster, Muenster, Germany.
Inga ClausDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.
Tobias WarneckeDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.
Carsten H WoltersInstitute for Biomagnetism and Biosignalanalysis, University Hospital Muenster, Muenster, Germany.
Joachim GrossInstitute for Biomagnetism and Biosignalanalysis, University Hospital Muenster, Muenster, Germany.
Rainer DziewasDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.
Sonja Suntrup-KruegerDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, Muenster, Germany.
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pharyngolaryngeal hypesthesia is a major reason for dysphagia in various neurological diseases. Emerging neuromodulation devices have shown potential to foster dysphagia rehabilitation, but the optimal treatment strategy is unknown. Because functional imaging studies are difficult to conduct in severely ill patients, we induced a virtual sensory lesion in healthy volunteers and evaluated the effects of central and peripheral neurostimulation techniques. In a sham-controlled intervention study with crossover design on 10 participants, we tested the potential of (peripheral) pharyngeal electrical stimulation (PES) and (central) transcranial direct current stimulation (tDCS) to revert the effects of lidocaine-induced pharyngolaryngeal hypesthesia on central sensorimotor processing. Changes were observed during pharyngeal air-pulse stimulation and voluntary swallowing applying magnetoencephalography before and after the interventions. PES induced a significant (p < .05) increase of activation during swallowing in the bihemispheric sensorimotor network in alpha and low gamma frequency ranges, peaking in the right premotor and left primary sensory area, respectively. With pneumatic stimulation, significant activation increase was found after PES in high gamma peaking in the left premotor area. Significant changes of brain activation after tDCS could neither be detected for pneumatic stimulation nor for swallowing. Due to the peripheral cause of dysphagia in this model, PES was able to revert the detrimental effects of reduced sensory input on central processing, whereas tDCS was not. Results may have implications for therapeutic decisions in the clinical context.

Indexed as

AdultBrainCross-Over StudiesDeglutitionElectric StimulationFeedback, SensoryFemaleHumansHypesthesiaLarynxMagnetoencephalographyMaleNerve NetPharynxTranscranial Direct Current StimulationYoung Adultdysphagianeuromodulationpharyngeal electrical stimulationpharyngeal pneumatic stimulationswallowingtranscranial direct current stimulation

Identifiers

PMID33068056
PMCPMC7776007
OpenAlexW3092865212

What OpenQuestion holds

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LicenceCC BY
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.