Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Oct 4;66(10):3844-3855.
doi: 10.1044/2023_JSLHR-22-00741. Epub 2023 Sep 26.

Factors Influencing Laryngeal Vestibular Closure in Healthy Adults

Sophia Werden Abrams  1 , Courtney Petersen  2 , Jonathan Beall  3 , Ashwini Namasivayam-MacDonald  1 , Dahye Choi  2 , Kendrea L Focht Garand  4
Affiliations

Factors Influencing Laryngeal Vestibular Closure in Healthy Adults

Sophia Werden Abrams et al. J Speech Lang Hear Res. .

Abstract

Purpose: Our study aims were (a) to examine laryngeal vestibular closure (LVC) temporal measures in healthy adults across tasks used in the Modified Barium Swallow Impairment Profile (MBSImP) protocol to establish normative reference values and (b) to examine influences of age, gender, and swallow task on LVC temporal measures.

Method: A retrospective analysis of 195 healthy adults (85 men, 110 women; age range: 21-89 years) who participated in a videofluoroscopic swallowing study was completed. Seven swallow tasks of standardized viscosities and volumes, as per the MBSImP protocol, were analyzed to measure time-to-LVC and LVC duration (LVCd). Descriptive statistics were employed for all measures of interest. Regression modeling was used to explore relationships between LVC temporal measures (time-to-LVC, LVCd) with age, gender, and swallow task. The relationship between time-to-LVC and LVCd was also explored.

Results: Significant findings included an increasing trend in LVCd across age (older individuals had a longer LVCd), with women demonstrating a greater increase. Related to viscosity, LVCd was significantly shorter for pudding compared to thin liquid. Furthermore, when compared to 5-ml tasks, LVCd was significantly longer in cup tasks, while time-to-LVC was significantly shorter. An association was also observed between time-to-LVC and LVCd: As time-to-LVC decreased, LVCd increased.

Conclusions: LVCd was influenced by age, gender, and swallow task. Longer time-to-LVC was observed in older individuals, particularly older women, and with thin liquids. Study findings contribute to adult normative reference values for LVC temporal measures (time-to-LVC and LVCd) across MBSImP swallowing tasks.

Supplemental material: https://doi.org/10.23641/asha.24126432.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Images illustrating before hyoid burst occurs and the first frame of hyoid burst.
Figure 2.
Figure 2.
Images illustrating laryngeal vestibule open and partially closed as well as the first frame of laryngeal vestibular closure.
Figure 3.
Figure 3.
Images illustrating one frame before and the first frame of laryngeal vestibular opening.
Figure 4.
Figure 4.
Expected laryngeal vestibular closure duration times across age by task and gender.
See this image and copyright information in PMC

References

    1. Barbon, C. E., Chepeha, D. B., Hope, A. J., Peladeau-Pigeon, M., Waito, A. A., & Steele, C. M. (2020). Mechanisms of impaired swallowing on thin liquids following radiation treatment for oropharyngeal cancer. Journal of Speech, Language, and Hearing Research, 63(9), 2870–2879. 10.1044/2020_JSLHR-19-00220 - DOI - PMC - PubMed
    1. Cohen, J. (1988). Set correlation and contingency tables. Applied Psychological Measurement, 12(4), 425–434. 10.1177/014662168801200410 - DOI
    1. Curtis, J. A., Molfenter, S., & Troche, M. S. (2020). Predictors of residue and airway invasion in Parkinson's disease. Dysphagia, 35(2), 220–230. 10.1007/s00455-019-10014-z - DOI - PMC - PubMed
    1. Daniels, S. K., Schroeder, M. F., DeGeorge, P. C., Corey, D. M., & Rosenbek, J. C. (2007). Effects of verbal cue on bolus flow during swallowing. American Journal of Speech-Language Pathology, 16(2), 140–147. 10.1044/1058-0360(2007/018) - DOI - PubMed
    1. Donohue, C., Khalifa, Y., Perera, S., Sejdić, E., & Coyle, J. L. (2021). How closely do machine ratings of duration of UES opening during videofluoroscopy approximate clinician ratings using temporal kinematic analyses and the MBSImP? Dysphagia, 36(4), 707–718. 10.1007/s00455-020-10191-2 - DOI - PMC - PubMed

Publication types