Surface Electromyographic Activities of Submental and Infrahyoid Muscles: Comparisons Based on Residue, Penetration and Aspiration

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2025-01-24 DOI:10.1111/joor.13934

Hakan Gölaç, Güzide Atalık, Adnan Gülaçtı, Süleyman Cebeci, Ebru Şansal, Banu Tijen Ceylan, Bülent Gündüz, Metin Yılmaz

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Abstract

Background

Surface electromyography (sEMG) has been used in a wide range of studies conducted in the field of dysphagia.

Objectives

The main aim of this case–control study is to obtain how submental and infrahyoid sEMG signals differ based on residue, penetration and aspiration.

Methods

A total of 100 participants (50 patients with suspected dysphagia and 50 healthy controls) were enrolled in the present study. Participants with suspected dysphagia underwent a detailed fibreoptic endoscopic evaluation of swallowing (FEES) to observe the efficiency and safety of swallowing using the Yale Pharyngeal Residue Severity Rating Scale (YPRSRS) and the Penetration–Aspiration Scale (PAS), respectively. Afterward, sEMG parameters, including submental muscle activity duration (SMM-AD), infrahyoid muscle activity duration (IM-AD), amplitude of submental muscles (A-SMM) and amplitude of infrahyoid muscles (A-IM) were obtained during three consecutive dry swallows from all study cohorts.

Results

There were significantly higher SMM-AD values in patients with a YPRSRS score of 1–2 and a YPRSRS score of 3–5 for residue in vallecula compared to the controls (p < 0.001 and p = 0.001, respectively). Both subgroups of patients with a YPRSRS score of 1–2 and a YPRSRS score of 3–5 for residue in piriforms showed significantly higher SMM-AD values compared to the controls (p < 0.001 and p = 0.048, respectively). The same prolongation of SMM-AD was also evident for the patients with airway invasion (penetration or aspiration) compared to the controls (p = 0.042 and p < 0.001, respectively). The other measured sEMG parameters (IM-AD, A-SMM and A-IM) did not differ significantly based on FEES outcomes (p > 0.05).

Conclusion

Since the availability of instrumental swallowing assessment methods in clinical practice is quite challenging, specific sEMG parameters may be useful to predict possible residue, penetration, or aspiration events in patients with dysphagia. SMM-AD can be considered as a first-line assessment parameter for possible residue, penetration, and aspiration events before referring patients for further instrumental methods.

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颏下肌和舌骨下肌的表面肌电活动：基于残留、穿透和吸吸的比较。

背景：表面肌电图（sEMG）已广泛应用于吞咽困难领域的研究。目的：本病例对照研究的主要目的是获得脑下和舌骨下肌电信号在残余、穿透和吸入的基础上的差异。方法：本研究共纳入100名参与者（50名疑似吞咽困难患者和50名健康对照）。疑似吞咽困难的参与者分别使用耶鲁咽部残留严重程度评定量表（YPRSRS）和渗透-吸入量表（PAS）对吞咽进行了详细的纤维内镜评估（FEES），以观察吞咽的效率和安全性。随后，在所有研究队列中连续三个干吞期间，获得包括颏下肌活动持续时间（SMM-AD）、舌骨下肌活动持续时间（IM-AD）、颏下肌振幅（A-SMM）和舌骨下肌振幅（A-IM）在内的肌电参数。结果：与对照组相比，YPRSRS评分为1-2分、YPRSRS评分为3-5分的小静脉残留患者的SMM-AD值显著升高（p < 0.05）。结论：由于仪器吞咽评估方法在临床实践中的可用性相当具有挑战性，因此特定的肌电参数可能有助于预测吞咽困难患者可能出现的残留、渗透或误吸事件。SMM-AD可被视为可能残留，渗透和误吸事件的一线评估参数，然后再转诊患者进行进一步的仪器方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.