Gierbolini-Norat Estela M, Holman Shaina D, Ding Peng, Bakshi Shubham, German Rebecca Z
Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Dysphagia. 2014 Aug;29(4):475-82. doi: 10.1007/s00455-014-9532-y. Epub 2014 May 18.
Feeding is a rhythmic behavior that consists of several component cycle types. How the timing of these cycles changes over a complete feeding sequence is not well known. To test the hypothesis that cycle frequency/duration changes as a function of time spent feeding, we examined complete feeding sequences in six infant pigs, using EMG of mylohyoid and thyrohyoid as cycle markers. We measured the instantaneous frequency of sucking and of swallowing cycles in 19 sequences. Each sequence contained three qualitatively distinctive phases of sucking frequency. Phase 1 started with cycles at a very high frequency and quickly dropped to a more constant level with low variation, which characterized phase 2. Phase 3 had a steady level of frequency but was interspersed with a number of high- or low-frequency cycles. Each phase differed from the others in patterns of within-phase variation and among-phase variation. Phase 2 had the least variation, and phase 3 had the largest range of frequencies. The number of sucks per swallow also differed among phases. These patterns, which characterize normative feeding, could indicate a physiologic basis in satiation. In human infant clinical studies, where data collection is often limited, these results indicated the utility of collecting data in different phases. Finally, these results can be used as a template or pattern with which to assess clinically compromised infants.
进食是一种有节奏的行为,由几种不同类型的周期组成。这些周期的时间安排在整个进食过程中如何变化尚不清楚。为了验证周期频率/持续时间随进食时间变化的假设,我们使用下颌舌骨肌和甲状舌骨肌的肌电图作为周期标记,研究了六头幼猪的完整进食过程。我们在19个进食过程中测量了吸吮和吞咽周期的瞬时频率。每个进食过程包含三个在吸吮频率上具有质的差异的阶段。第一阶段开始时周期频率非常高,然后迅速下降到一个变化较小的更稳定水平,这是第二阶段的特征。第三阶段频率水平稳定,但穿插着一些高频或低频周期。每个阶段在阶段内变化模式和阶段间变化模式上都与其他阶段不同。第二阶段变化最小,第三阶段频率范围最大。每个阶段每吞咽一次的吸吮次数也不同。这些表征正常进食的模式可能表明饱腹感存在生理基础。在人类婴儿临床研究中,由于数据收集往往有限,这些结果表明了在不同阶段收集数据的实用性。最后,这些结果可以用作评估临床受损婴儿的模板或模式。