Kent State University, 1325 Theater Drive, Kent, OH 44242, USA.
Dysphagia. 2012 Jun;27(2):228-39. doi: 10.1007/s00455-011-9358-9. Epub 2011 Aug 3.
Oral chemesthesis is the detection of chemicals that activate temperature and pain receptors in the oral mucosa. Presentation of orally chemesthetic input has been theorized to stimulate a faster, stronger swallow. We measured differences in peak linguapalatal swallowing pressures, pressure durations, and pressure adjustments in response to two volumes of water and carbonation (in Schweppes® Club Soda) and carbonation + gingerol (in Reed's Extra Ginger Brew) in 20 young adult women. There was a main effect of stimulus on linguapalatal swallowing pressure, F(6,74) = 6.247, p = 0.000, hp(2) = 0.536 (Reed's Extra Ginger Brew > Schweppes Club Soda > water). Rising and releasing linguapalatal pressure durations were greater for carbonation + gingerol and carbonation than for water. Our results add to the evidence that orally chemesthetic beverages influence greater neuromotor activity compared to water during the oral stage of swallowing. Our findings also suggest that there may be some benefit to the cumulative addition of chemosensory agents in a beverage. Clinically, this provides a theoretical basis for considering the use of these or chemically similar beverages as facilitating stimuli in patients who aspirate thin liquids.
口腔化学感觉是检测激活口腔黏膜温度和疼痛感受器的化学物质。据推测,口腔化学感觉输入的呈现会刺激更快、更强的吞咽。我们测量了 20 名年轻成年女性对两种水和碳酸(Schweppes® Club Soda)以及碳酸+姜辣素(Reed's Extra Ginger Brew)的峰值 linguapalatal 吞咽压力、压力持续时间和压力调整的差异。刺激对 linguapalatal 吞咽压力有主要影响,F(6,74) = 6.247,p = 0.000,hp(2) = 0.536(Reed's Extra Ginger Brew > Schweppes Club Soda > 水)。碳酸+姜辣素和碳酸的 linguapalatal 压力上升和释放持续时间大于水。我们的结果增加了证据表明,与水相比,口腔化学感觉饮料在吞咽的口腔阶段会引起更大的神经运动活动。我们的研究结果还表明,在饮料中累积添加化学感觉剂可能会有一些益处。临床上,这为考虑在吞咽稀薄液体时使用这些或化学上类似的饮料作为促进刺激提供了理论依据。