Department of Clinical Sciences, Cornell University, NY, USA.
Equine Vet J. 2010 Nov;42(8):732-7. doi: 10.1111/j.2042-3306.2010.00116.x.
The relationship between dorsal displacement of the soft palate (DDSP) and swallowing is unclear.
To quantify the relationship between DDSP and swallowing in horses at exercise.
The frequency of swallowing increases immediately prior to DDSP in horses at exercise.
Videoendoscopic and upper airway pressure data were collated from horses with a definitive diagnosis of DDSP at exercise. Horses with no upper airway abnormalities were matched by age, breed and sex and used as controls. Sixty-nine horses were identified with a definitive diagnosis of DDSP during the study interval. Airway pressure data were available for 42 horses.
The majority of horses displaced at high exercising speeds while accelerating; a smaller number displaced during deceleration after peak speed had been reached. Horses swallowed significantly more frequently in the 1 min immediately preceding DDSP than in the control horses at equivalent speeds. DDSP at exercise results in a significant increase in tracheal expiratory pressure, a significant decrease in pharyngeal expiratory pressure and a significantly less negative pharyngeal inspiratory pressure compared to matched controls and compared to the pressures during the 1 min interval prior to DDSP. There was no significant difference between any measure of airway pressure before or after a swallow when examined at each time interval in the DDSP population.
The frequency of swallowing decreases with increasing speed in normal horses. In contrast, the frequency of swallowing increases immediately prior to onset of DDSP. This is not a result of pharyngeal and tracheal pressure changes.
The increased frequency of swallowing observed prior to DDSP may be related to the aetiology of the disease.
腭后移位(DDSP)与吞咽之间的关系尚不清楚。
定量研究运动中的马 DDSP 与吞咽之间的关系。
运动中的马在 DDSP 之前,吞咽的频率会立即增加。
从运动中明确诊断为 DDSP 的马中收集视频内窥镜和上气道压力数据。根据年龄、品种和性别与无上气道异常的马相匹配,并将其作为对照组。在研究期间,确定 69 匹马患有明确的 DDSP。有 42 匹马的气道压力数据可用。
大多数马在加速时以高运动速度移位;少数马在达到最高速度后减速时移位。与具有相同速度的对照马相比,在 DDSP 之前的 1 分钟内,马的吞咽频率明显更高。与匹配的对照组和 DDSP 前 1 分钟的压力相比,运动中的 DDSP 导致气管呼气压力显著增加,咽呼气压力显著降低,咽吸气压力显著为负。在 DDSP 人群中,在每个时间间隔检查时,在吞咽前后的任何气道压力测量值之间均无显着差异。
在正常马中,吞咽频率随速度的增加而降低。相比之下,在 DDSP 发作之前,吞咽的频率会立即增加。这不是咽和气管压力变化的结果。
在 DDSP 之前观察到的吞咽频率增加可能与疾病的病因有关。