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Self-triggered functional electrical stimulation during swallowing.

Theresa A Burnett1, Eric A Mann, Joseph B Stoklosa

  • 1Laryngeal and Speech Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, 20892-1416, USA.

Journal of Neurophysiology
|August 19, 2005
PubMed
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Functional electrical stimulation (FES) can aid swallowing by elevating the larynx. Healthy adults synchronized FES with swallowing reflexes, showing no adaptation, suggesting FES can improve airway protection.

Area of Science:

  • Neuroscience
  • Biomechanics
  • Speech-Language Pathology

Background:

  • Hyolaryngeal elevation is crucial for airway protection during swallowing.
  • This elevation is primarily a reflexive response to sensory input.
  • Functional electrical stimulation (FES) offers a potential method to enhance laryngeal elevation.

Purpose of the Study:

  • To assess healthy adults' ability to synchronize FES with their natural swallowing reflex.
  • To investigate if individuals adapt their muscle activity in response to FES during swallowing.
  • To determine the potential of FES for improving airway protection in dysphagia.

Main Methods:

  • Nine healthy adults participated in the study.
  • Electromyography recorded activity from the mylohyoid and thyrohyoid muscles.

Related Experiment Videos

  • Monopolar FES was delivered to one side of the neck for hyolaryngeal elevation.
  • Participants synchronized FES with swallows; a foil trial tested for adaptation.
  • Main Results:

    • Participants successfully synchronized FES onset with thyrohyoid muscle activity.
    • The normal sequence of hyolaryngeal muscle activation was preserved.
    • No significant adaptive changes in muscle activity amplitude, duration, or timing were observed.

    Conclusions:

    • The central pattern generator for hyolaryngeal elevation appears immutable to short-term FES.
    • FES can augment laryngeal elevation during the pharyngeal phase of swallowing.
    • FES shows promise for improving airway protection in patients with swallowing difficulties.