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Tongue Movements During Water Swallowing in Healthy Young and Older Adults

Pascal Van Lieshout
University of Toronto; Toronto Rehabilitation Institute; and University of Toronto at Mississauga, Ontario, Canada

Contact author: Catriona M. Steele, Toronto Rehabilitation Institute, 550 University Avenue, # 12030, Toronto, Ontario M5G 2A2, Canada. E-mail: steele.catriona{at}torontorehab.on.ca.

Purpose: The purpose of this study was to explore the nature and extent of variability in tongue movement during healthy swallowing as a function of aging and gender. In addition, changes were quantified in healthy tongue movements in response to specific differences in the nature of the swallowing task (discrete vs. sequential swallows).

Method: Electromagnetic midsagittal articulography (EMMA) was used to study the swallowing-related movements of markers located in midline on the anterior (blade), middle (body), and posterior (dorsum) tongue in a sample of 34 healthy adults in 2 age groups (under vs. over 50 years of age). Participants performed a series of reiterated water swallows, in either a discrete or a sequential manner.

Results: This study shows that age-related changes in tongue movements during swallowing are restricted to the domain of movement duration. The authors confirm that different tongue regions can be selectively modulated during swallowing tasks and that both functional and anatomical constraints influence the manner in which tongue movement modulation occurs. Sequential swallowing, in comparison to discrete swallowing, elicits simplification or down-scaling of several kinematic parameters.

Conclusion: The data illustrate task-specific stereotyped patterns of tongue movement in swallowing, which are robust to the effects of healthy aging in all aspects other than movement duration.

KEY WORDS: tongue, swallowing, kinematics, electromagnetic articulography, aging, dysphagia

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