Evidence map›Paper›PMID 41838127›Full record

ArticleDysphagia2026

Effects of Cold and Sour Stimulation on Surface Electromyographic Signals of Swallowing Muscles in Healthy Young Adults.

Jiao Yang, Shuhan Li, Yingyuan Fang, Fang Pan, Xueyong Jiang, Dianhuai Meng

Abstract read
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In one paragraph

Article in Dysphagia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Jiao Yang *Rehabilitation Center, The First Affiliated Hospital With Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Shuhan Li *Rehabilitation Center, The First Affiliated Hospital With Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Yingyuan FangRehabilitation Center, The First Affiliated Hospital With Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Fang PanRehabilitation Center, The First Affiliated Hospital With Nanjing Medical University, Nanjing, Jiangsu, 210029, China.
Xueyong JiangRehabilitation Center, The First Affiliated Hospital With Nanjing Medical University, Nanjing, Jiangsu, 210029, China. jxyjiang@126.com.
Dianhuai MengRehabilitation Center, The First Affiliated Hospital With Nanjing Medical University, Nanjing, Jiangsu, 210029, China. dhdream@njmu.edu.cn.ORCID http://orcid.org/0000-0002-9499-9366

Funding

Jiangsu Provincial Key Research and Development Program Grant No. BE2021012-4
6 · The paper itself

Abstract

To analyze the effects of cold, sour, and combined cold-sour stimulation on swallowing muscle activity by recording surface electromyographic (sEMG) signals from the masseter, submental, and infrahyoid muscles in healthy individuals, thereby investigating the impact of these sensory stimuli on swallowing function. Thirty healthy participants (15 males, 15 females) were recruited. Participants maintained an upright seated position with the head neutrally aligned. They received 15 mL injections of room-temperature water, cold water, sour water, and cold-sour water via needle-free syringe in sequence. Each liquid was tested three times under two protocols: single-swallow stimulation (immediate swallowing) and 5-s sustained stimulation (holding liquid for 5 s before swallowing). To mitigate fatigue, a 30-s rest interval was enforced between trials. Bilateral sEMG signals from target muscles were recorded for root mean square (RMS) and mean power frequency (MPF) analysis. Single-swallow stimulation: Sour stimulation significantly increased RMS in bilateral submental muscles (P < 0.05), whereas cold-sour stimulation elevated RMS in the right submental muscle (P < 0.05). Both sour and cold-sour stimulation reduced MPF in bilateral masseter muscles (P < 0.0083). 5-s sustained stimulation: Sour stimulation activated RMS in bilateral masseter and left submental muscles (P < 0.05), while sour and cold-sour stimulation enhanced RMS in bilateral submental muscles (P < 0.0083) and decreased MPF in bilateral masseter (P < 0.05) and left submental muscles (P < 0.05). Compared to cold stimulation, sour stimulation more effectively activates the masseter and submental muscles, and prolonging stimulation duration enhances efficacy.

Indexed as

Cold-sour stimulationCold stimulationDysphagiaOral sensory trainingSour stimulation

Identifiers

What OpenQuestion holds

Textmetadata
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.