ArticleJournal of speech, language, and hearing research : JSLHR2022
Determining the Relationship Between Hyoid Bone Kinematics and Airway Protection in Swallowing.
Article in Journal of speech, language, and hearing research : JSLHR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Ultrasonography as Biofeedback to Increase Muscle Activation During the Mendelsohn Maneuver in Healthy Adults.Dysphagia · 2023Trial
- Management of Absent Upper Esophageal Sphincter Opening After Neurological Injury.The Laryngoscope · 2026Article
- Article
- Palpation as a Method To Predict Spatial Instrumental Hyolaryngeal Excursion Measures.Dysphagia · 2026Article
- Influence of Bolus Location and Age on Timing Measures of Swallowing in Healthy Older Adults.Perspectives of the ASHA special interest groups · 2026Article
- Temporal and Kinematic Measurements of Hyoid Bone Excursion in Patients With Head and Neck Cancer.Annals of rehabilitation medicine · 2025Article
- Electromyography- and Bioimpedance-Based Detection of Swallow Onset for the Control of Dysphagia Treatment.Sensors (Basel, Switzerland) · 2024Article
- Dysphagia Pattern in Early to Moderate Parkinson's Disease Caused by Abnormal Pharyngeal Kinematic Function.Dysphagia · 2024Article
- Chemoradiation to the submental muscles alters hyoid movement during swallowing in a rat model.Journal of applied physiology (Bethesda, Md. : 1985) · 2024Article
- The Hyoid Bone Kinematics in Dysphagic Stroke Patients: Instantaneous Velocity, Acceleration and Temporal Sequence Matters.Dysphagia · 2023Article
- Reference Values for Videofluoroscopic Measures of Swallowing: An Update.Journal of speech, language, and hearing research : JSLHR · 2023Article
- Maximum lingual pressure impacts both swallowing safety and efficiency in individuals with amyotrophic lateral sclerosis.Neurogastroenterology and motility · 2023Article
- Automated pharyngeal phase detection and bolus localization in videofluoroscopic swallowing study: Killing two birds with one stone?Computer methods and programs in biomedicine · 2022Article
- Swallow Safety and Laryngeal Kinematics: A Comparison of Dysphagia Between Parkinson's Disease and Cerebrovascular Accident.Journal of Parkinson's disease · 2022Article
- Diagnostic value of a deep learning-based hyoid bone tracking model for aspiration in patients with post-stroke dysphagia.Digital healthArticle
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3 authors.
Funding
Abstract
purposeResearch remains equivocal regarding the links between hyoid movement and penetration-aspiration. The aims of this study were (a) to explore associations between hyoid parameters, laryngeal vestibule closure (LVC) parameters, and penetration-aspiration on thin liquids; and (b) to determine which of these parameters are the strongest predictors of penetration-aspiration.
methodThis study involved retrospective analysis of an existing videofluoroscopy data set, collected in 305 participants (152 males) with noncongenital/nonsurgical/non-oncological risk for dysphagia. We extracted data for six thin liquid swallows per participant, and obtained measures of hyoid movement (peak position, speed) and LVC (complete/incomplete, timing, duration). Resulting values were coded as typical/atypical relative to healthy reference data. Relationships were explored using chi-square tests and odds ratios (a) for the entire data set and (b) for the subset of data with complete LVC. Hierarchical logistic regression models determined the strongest predictors of penetration-aspiration.
resultsSignificant associations were found between penetration-aspiration and incomplete LVC, prolonged time-to-most-complete-LVC, short LVC duration, reduced anterior hyoid peak position, and reduced hyoid speed. Hyoid measures were also significantly associated with LVC parameters. In the first regression model, incomplete LVC and prolonged time-to-most-complete-LVC were the only significant predictors of penetration-aspiration. For cases with complete LVC, the only significant predictor was prolonged time-to-most-complete-LVC.
conclusionsAlthough reduced anterior hyoid peak position and speed are associated with penetration-aspiration on thin liquids, these measures do not independently account for penetration-aspiration when considered in conjunction with measures of LVC. When identifying mechanisms explaining penetration-aspiration, clinicians should focus on LVC (complete/incomplete) and timeliness of LVC.
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