Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary disease

Background: Respiratory swallowing coordination is regarded as one of the several mechanisms by which the airway is protected from aspiration during swallowing. A lack of reciprocity between respiration and swallowing has been indicated as one of the mechanisms that can lead to aspiration and pneumo...

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Main Authors: Calida Frieda Pinto, Radish Kumar Balasubramanium, Vishak Acharya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Lung India
Subjects:
Online Access:http://www.lungindia.com/article.asp?issn=0970-2113;year=2017;volume=34;issue=3;spage=247;epage=250;aulast=Pinto
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author Calida Frieda Pinto
Radish Kumar Balasubramanium
Vishak Acharya
author_facet Calida Frieda Pinto
Radish Kumar Balasubramanium
Vishak Acharya
author_sort Calida Frieda Pinto
collection DOAJ
description Background: Respiratory swallowing coordination is regarded as one of the several mechanisms by which the airway is protected from aspiration during swallowing. A lack of reciprocity between respiration and swallowing has been indicated as one of the mechanisms that can lead to aspiration and pneumonia. Since chronic obstructive pulmonary disease (COPD) is a pulmonary condition, we have hypothesized that there would be deficits observed in respiratory-swallow coordination in individuals with COPD. Hence, the present study was planned to investigate the respiratory-swallow coordination in individuals with COPD. Methods: Thirty-two individuals with the diagnosis of COPD and 32 normal controls were recruited for the study. Respiratory coordination for swallowing was measured using Kay Digital Swallowing Workstation. The specific swallowing tasks were recorded for each individual which was dry swallow, thin liquid swallow, and thick liquid swallow. Results: The results revealed that there was a significant difference between individuals with COPD and normal controls indicating that swallow apnea duration is prolonged in individuals with COPD. It was also observed that expiration-inspiration is the predominant pattern, followed by expiration-expiration, inspiration-expiration, and inspiration-inspiration in individuals with COPD when compared to predominant expiration-expiration swallow in normal controls followed by expiration-inspiration, inspiration-expiration, and inspiration-inspiration. Conclusion: The results of the present study gave an insight into the pattern of respiratory-swallowing coordination in individuals with COPD.
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spelling doaj.art-661fccc726134c38b02d9ab881d56ee92022-12-22T00:41:32ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2017-01-0134324725010.4103/lungindia.lungindia_117_16Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary diseaseCalida Frieda PintoRadish Kumar BalasubramaniumVishak AcharyaBackground: Respiratory swallowing coordination is regarded as one of the several mechanisms by which the airway is protected from aspiration during swallowing. A lack of reciprocity between respiration and swallowing has been indicated as one of the mechanisms that can lead to aspiration and pneumonia. Since chronic obstructive pulmonary disease (COPD) is a pulmonary condition, we have hypothesized that there would be deficits observed in respiratory-swallow coordination in individuals with COPD. Hence, the present study was planned to investigate the respiratory-swallow coordination in individuals with COPD. Methods: Thirty-two individuals with the diagnosis of COPD and 32 normal controls were recruited for the study. Respiratory coordination for swallowing was measured using Kay Digital Swallowing Workstation. The specific swallowing tasks were recorded for each individual which was dry swallow, thin liquid swallow, and thick liquid swallow. Results: The results revealed that there was a significant difference between individuals with COPD and normal controls indicating that swallow apnea duration is prolonged in individuals with COPD. It was also observed that expiration-inspiration is the predominant pattern, followed by expiration-expiration, inspiration-expiration, and inspiration-inspiration in individuals with COPD when compared to predominant expiration-expiration swallow in normal controls followed by expiration-inspiration, inspiration-expiration, and inspiration-inspiration. Conclusion: The results of the present study gave an insight into the pattern of respiratory-swallowing coordination in individuals with COPD.http://www.lungindia.com/article.asp?issn=0970-2113;year=2017;volume=34;issue=3;spage=247;epage=250;aulast=PintoChronic obstructive pulmonary diseaserespiratory-swallow coordinationswallow apnea
spellingShingle Calida Frieda Pinto
Radish Kumar Balasubramanium
Vishak Acharya
Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary disease
Lung India
Chronic obstructive pulmonary disease
respiratory-swallow coordination
swallow apnea
title Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary disease
title_full Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary disease
title_fullStr Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary disease
title_full_unstemmed Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary disease
title_short Nasal airflow monitoring during swallowing: Evidences for respiratory-swallowing incoordination in individuals with chronic obstructive pulmonary disease
title_sort nasal airflow monitoring during swallowing evidences for respiratory swallowing incoordination in individuals with chronic obstructive pulmonary disease
topic Chronic obstructive pulmonary disease
respiratory-swallow coordination
swallow apnea
url http://www.lungindia.com/article.asp?issn=0970-2113;year=2017;volume=34;issue=3;spage=247;epage=250;aulast=Pinto
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AT radishkumarbalasubramanium nasalairflowmonitoringduringswallowingevidencesforrespiratoryswallowingincoordinationinindividualswithchronicobstructivepulmonarydisease
AT vishakacharya nasalairflowmonitoringduringswallowingevidencesforrespiratoryswallowingincoordinationinindividualswithchronicobstructivepulmonarydisease