Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing
Introduction: Over the past few years, attention has been paid to the coexistence of dysphonia with dysphagia, in the context of functional disorders. The aim of this work was to objectify logopaedic examination of dysphonic patients with coexisting swallowing difficulties by surface electromyograph...
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MDPI AG
2021-04-01
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| Series: | Audiology Research |
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| author | Paulina Krasnodębska Agnieszka Jarzyńska-Bućko Agata Szkiełkowska Jędrzej Bartosik |
| author_facet | Paulina Krasnodębska Agnieszka Jarzyńska-Bućko Agata Szkiełkowska Jędrzej Bartosik |
| author_sort | Paulina Krasnodębska |
| collection | DOAJ |
| description | Introduction: Over the past few years, attention has been paid to the coexistence of dysphonia with dysphagia, in the context of functional disorders. The aim of this work was to objectify logopaedic examination of dysphonic patients with coexisting swallowing difficulties by surface electromyography. Methods: The material of the work included 58 patients with muscle tension dysphonia (MTD). Each patient underwent otolaryngologic, phoniatric and logopaedic examination. We collected information about medical history and asked patients to fill out Reflux Symptom Index (RSI), Eating Assessment Tool (EAT-10), Dysphagia Handicap Index (DHI) and Swallowing Disorder Scale (SDS). The algorithm of dysphagia diagnostics in our clinic assumes parallel surface electromyography (SEMG) during Functional Endoscopic Evaluation of Swallowing. Results: In comparison to patients suffering from atypical swallowing, patients with muscle tension dysphagia (MTDg) obtained higher values from almost all questionnaires. Logopaedic evaluation revealed abnormalities in the structure and efficiency of the articulatory organs and in the assessment of primary functions. Patients with more abnormalities in logopaedic examination had significantly higher infrahyoid muscle activity during swallowing observed in EMG. Patients with non-normative swallowing pattern had significantly greater asymmetry of the average and maximum amplitude of masseters, as well as submental muscles. Patients with higher percent of muscles asymmetry gained higher scores in questionnaires. Conclusions: Surface electromyography objectifies logopaedic examination of patients with swallowing difficulties. The results of this work showed that, apart from longer swallows, patients with MTDg differ from patients with non-normative swallowing patterns in the muscle activity measured by SEMG, abnormalities in logopaedic evaluation and the severity of complaints reported by patients. |
| first_indexed | 2024-03-10T12:21:07Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2039-4349 |
| language | English |
| last_indexed | 2024-03-10T12:21:07Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Audiology Research |
| spelling | doaj.art-514eea5a099c46bb83a1b7cafdd1a8832023-11-21T15:25:21ZengMDPI AGAudiology Research2039-43492021-04-0111216717810.3390/audiolres11020015Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical SwallowingPaulina Krasnodębska0Agnieszka Jarzyńska-Bućko1Agata Szkiełkowska2Jędrzej Bartosik3Audiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, 02-042 Warsaw, PolandAudiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, 02-042 Warsaw, PolandAudiology and Phoniatrics Clinic, Institute of Physiology and Pathology of Hearing, 02-042 Warsaw, PolandOtorhinolaryngology Clinic, Institute of Physiology and Pathology of Hearing, 02-042 Warsaw, PolandIntroduction: Over the past few years, attention has been paid to the coexistence of dysphonia with dysphagia, in the context of functional disorders. The aim of this work was to objectify logopaedic examination of dysphonic patients with coexisting swallowing difficulties by surface electromyography. Methods: The material of the work included 58 patients with muscle tension dysphonia (MTD). Each patient underwent otolaryngologic, phoniatric and logopaedic examination. We collected information about medical history and asked patients to fill out Reflux Symptom Index (RSI), Eating Assessment Tool (EAT-10), Dysphagia Handicap Index (DHI) and Swallowing Disorder Scale (SDS). The algorithm of dysphagia diagnostics in our clinic assumes parallel surface electromyography (SEMG) during Functional Endoscopic Evaluation of Swallowing. Results: In comparison to patients suffering from atypical swallowing, patients with muscle tension dysphagia (MTDg) obtained higher values from almost all questionnaires. Logopaedic evaluation revealed abnormalities in the structure and efficiency of the articulatory organs and in the assessment of primary functions. Patients with more abnormalities in logopaedic examination had significantly higher infrahyoid muscle activity during swallowing observed in EMG. Patients with non-normative swallowing pattern had significantly greater asymmetry of the average and maximum amplitude of masseters, as well as submental muscles. Patients with higher percent of muscles asymmetry gained higher scores in questionnaires. Conclusions: Surface electromyography objectifies logopaedic examination of patients with swallowing difficulties. The results of this work showed that, apart from longer swallows, patients with MTDg differ from patients with non-normative swallowing patterns in the muscle activity measured by SEMG, abnormalities in logopaedic evaluation and the severity of complaints reported by patients.https://www.mdpi.com/2039-4349/11/2/15dysphagiadysphoniamuscle tension dysphagiaswallowingmuscle tension dysphoniaelectromyography |
| spellingShingle | Paulina Krasnodębska Agnieszka Jarzyńska-Bućko Agata Szkiełkowska Jędrzej Bartosik Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing Audiology Research dysphagia dysphonia muscle tension dysphagia swallowing muscle tension dysphonia electromyography |
| title | Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing |
| title_full | Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing |
| title_fullStr | Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing |
| title_full_unstemmed | Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing |
| title_short | Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing |
| title_sort | clinical and electromyographic assessment of swallowing in individuals with functional dysphonia associated with dysphagia due to muscle tension or atypical swallowing |
| topic | dysphagia dysphonia muscle tension dysphagia swallowing muscle tension dysphonia electromyography |
| url | https://www.mdpi.com/2039-4349/11/2/15 |
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