Evidence map›Paper›PMID 33116453›Full record

ArticleClinical interventions in aging2020

Submental Muscle Activity and Its Role in Diagnosing Sarcopenic Dysphagia.

Kotomi Sakai, Enri Nakayama, Nicole Rogus-Pulia, Takahiro Takehisa, Yozo Takehisa, Kevin Y Urayama, Osamu Takahashi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07198568 (Relationship Between Swallowing Dynamics and Suprahyoid Muscle Activity in Sarcopenic Dysphagia), which is not on this map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
6.0field-weighted citation impact, top 4% 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.

NCT07198568 recruitingnot on this mapstarted 2024, after this paper: background citation

Relationship Between Swallowing Dynamics and Suprahyoid Muscle Activity in Sarcopenic Dysphagia

TypeobservationalSponsorInha University HospitalRan2024 to 2026Enrolled50ConditionsSarcopenia in Elderly, DysphagiaArmsSurface electromyography, Videofluoroscopic swallowing study (VFSS)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effect of respiratory training on swallowing function in swallowing disorders: a systematic review and meta-analysis.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 · 2024
    Pooled it
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  7. Impact of rTMS and iTBS on Cerebral Hemodynamics and Swallowing in Unilateral Stroke: Insights from fNIRS.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
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  9. Comparison of Submental Surface Electromyography during Dry Swallow between Irradiated Head and Neck Cancer Survivors and Normal Individuals.Folia phoniatrica et logopaedica : official organ of the International Association of Logopedics and Phoniatrics (IALP) · 2024
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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

7 authors at 3 institutions in 2 countries.

Kotomi SakaiDepartment of Rehabilitation Medicine, Setagaya Memorial Hospital, Tokyo, Japan.ORCID 0000-0002-8700-9029
Enri NakayamaDepartment of Dysphagia Rehabilitation, Nihon University School of Dentistry, Tokyo, Japan.
Nicole Rogus-PuliaDepartment of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Takahiro TakehisaHeisei Medical Welfare Group, Tokyo, Japan.
Yozo TakehisaHeisei Medical Welfare Group, Tokyo, Japan.
Kevin Y UrayamaGraduate School of Public Health, St. Luke's International University, Tokyo, Japan.ORCID 0000-0002-1360-9531
Osamu TakahashiGraduate School of Public Health, St. Luke's International University, Tokyo, Japan.
St. Luke's International University · JPNihon University · JPUniversity of Wisconsin–Madison · US

Funding

Novel Therapeutic Interventions for Patients with Alzheimer's Disease and Comorbid DysphagiaK23AG057805 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI ROGUS-PULIA, NICOLE M · 2018 to 2020
$504k
NIA NIH HHS K23 AG057805
6 · The paper itself

Abstract

purposeThe objectives of this study were two-fold: 1) to investigate differences in activity duration and amplitude of the submental muscles during swallowing measured with surface electromyography (sEMG) in older patients with sarcopenic dysphagia compared to those without dysphagia and 2) to examine the diagnostic accuracy of submental sEMG signals for sarcopenic dysphagia. PATIENTS AND

methodsPatients (n = 60) aged ≥65 years participated in this cross-sectional study. The submental muscle activity duration parameters were the duration from the onset of swallowing to the maximum amplitude (duration A), duration from the maximum amplitude to the end of the swallowing activity (duration B), and total duration. The amplitude parameters were mean and maximum amplitude. Maximum lingual pressures were also measured for comparison with sEMG parameters.

resultsDuration A was not significantly different between the groups (p = 0.15), but duration B (p < 0.001) and total duration (p < 0.001) were significantly different between the non-dysphagic and sarcopenic dysphagic groups. The mean (p = 0.014) and maximum (p < 0.001) amplitudes were significantly different between the groups. The area under the receiver operating characteristic curve (AUC) was 0.94 (95% confidence interval (CI) 0.87-0.98) for duration B, 0.95 (95% CI 0.89-0.99) for total duration, 0.76 (95% CI 0.63-0.87) for maximum amplitude, and 0.61 (95% CI 0.47-0.75) for mean amplitude. The AUC of the total duration was significantly greater than that of lingual pressure (p = 0.02).

conclusionPatients with sarcopenic dysphagia had longer submental muscle activity duration and higher amplitude during swallowing as assessed using sEMG. The findings of this study can be useful in elucidating the underlying pathophysiology of sarcopenic dysphagia and in diagnosing sarcopenic dysphagia.

Indexed as

ElectromyographyAgedCross-Sectional StudiesDeglutitionDeglutition DisordersFacial MusclesFemaleHumansMaleSarcopeniaTime FactorsTonguedeglutition disorderselectromyographypharyngeal musclessarcopenia

Identifiers

PMID33116453
PMCPMC7585864
OpenAlexW3093794286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.