Effect of Olfactory Stimulation Mixed Carbonated Water Swallow on Suprahyoid Muscle Activity in Healthy Subjects

다국어 초록 (Multilingual Abstract)

The aim of this study was to examine the effect of olfactory stimulation mixed carbonated water swallow on activation of the suprahyoid muscle in healthy adults. Twenty healthy adults measured the activation of the suprahyoid muscle using surface electromyography (sEMG) when swallowing. There are the four swallowing tasks for the subjects: (1) odorless olfactory stimulation with distilled water, (2) odorless olfactory stimulation with carbonated water, (3) Black Pepper Oil (BPO) olfactory stimulation with distilled water, (4) BPO olfactory stimulation with carbonated water swallowing. Counterbalancing was done to exclude order effect. Six times for each task, total 24 times swallowing was done. 5 minute break time was given between each task, one researcher proceeded the experiment for consistency. Fix the reference voluntary contraction as 5 ml water swallowing to standardize the size of sEMG signal. Standardized data were used in statistical analysis, and statistical analyst was blind to the experiment. Among the four tasks, tasks 2 and 4 showed significantly stronger the suprahyoid muscle activity than tasks 1 and 3 in the maximum value (p<.05). In conclusion, Carbonated water, as immediate effect, could promote the maximum activation of the suprahyoid muscle, the immediate effect could not be found with BPO olfactory stimulation.

참고문헌 (Reference)

1 박무경, "후각자극이 뇌졸중 환자의 연하기능 회복에 미치는 영향" 대한작업치료학회 18 (18): 43-53, 2010

2 문종훈, "혀 근력 및 정확도 훈련이 삼킴장애가 있는 만성 뇌졸중 환자의 혀 근력, 삼킴기능, 삶의 질에 미치는 효과" 한국콘텐츠학회 16 (16): 605-613, 2016

3 김본이, "턱 열림 운동과 저항성 턱 당기기운동의 목뿔위, 목빗근 활성 비교" 한국엔터테인먼트산업학회 10 (10): 175-182, 2016

4 문종훈, "스마트폰을 사용한 구강안면 운동 프로그램이 삼킴장애가 있는 급성 뇌졸중 환자의 삼킴기능과 혀 근력에 미치는 효과" 한국전자통신학회 11 (11): 995-1002, 2016

5 문종훈, "삼킴장애가 있는 뇌졸중 환자의 특성에 따른 삼킴기능, 식이수준, 인지기능, 일상생활의 비교 및 상관관계" 한국장애인재활협회 부설 재활연구소 20 (20): 265-281, 2016

6 문종훈, "비디오 투시조영 검사를 통한 높은 점도의 음식 삼킴훈련이 삼킴장애가 있는 뇌졸중 환자의 삼킴기능에 미치는 효과" 한국전자통신학회 11 (11): 909-916, 2016

7 M. Bülow, "Videoradiographic analysis of how carbonated thin liquids and thickened liquids affect the physiology of swallowing in subjects with aspiration on thin liquids" 44 (44): 366-372, 2003

8 M. L. Huckabee, "Submental surface electromyographic measurement and pharyngeal pressures during normal and effortful swallowing" 86 (86): 2144-2149, 2005

9 L. M. Burkhead, "Strength-training exercise in dysphagia rehabilitation: principles, procedures, and directions for future research" 22 (22): 251-265, 2007

10 L. Perry, "Screening for dysphagia and aspiration in acute stroke : a systematic review" 16 (16): 7-18, 2001

11 R. Shaker, "Rehabilitation of swallowing by exercise in tube-fed patients with pharyngeal dysphagia secondary to abnormal UES opening" 122 (122): 1314-1321, 2002

12 P. C. Langdon, "Pharyngeal dysphagia in inflammatory muscle diseases resulting from impaired suprahyoid musculature" 27 (27): 408-417, 2012

13 W. G. Pearson, "Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid" 26 (26): 345-351, 2011

14 Y. Miura, "Effects of taste solutions, carbonation, and cold stimulus on the power frequency content of swallowing submental surface electromyography" 34 (34): 325-331, 2009

15 K. V. Kuhlemeier, "Effect of liquid bolus consistency and delivery method on aspiration and pharyngeal retention in dysphagia patients" 16 : 119-122, 2001

16 R. Martino, "Dysphagia after stroke incidence, diagnosis, and pulmonary complications" 36 (36): 2756-2763, 2005

17 J. A. Logemann, "Dysphagia : evaluation and treatment" 47 (47): 140-164, 1995

18 J. A. Logemann, "Behavioral management for oropharyngeal dysphagia" 51 (51): 199-212, 1995

19 J. P. Lundine, "Analysis of carbonated thin liquids in pediatric neurogenic dysphagia" 45 (45): 1323-1332, 2015

20 T. Ebihara, "A randomized trial of olfactory stimulation using black pepper oil in older people with swallowing dysfunction" 54 (54): 1401-1406, 2006