Yılmaz Aysegül, Çiyiltepe Müge Müzeyyen
Department of Speech and Language Therapy, School of Health Sciences Faculty, Tarsus University, Takbas Mahallesi, Kartaltepe Sokak, 33400, Tarsus-Mersin, Turkey.
Dysphagia. 2025 Jul 22. doi: 10.1007/s00455-025-10863-x.
Ultrasound (US), a technology extensively utilized and deemed safe for medical purposes, represents an innovative approach that has recently been applied in the evaluation of swallowing functions as well as in the rehabilitation processes. Therapeutic interventions often prioritize swallowing maneuvers as preferred options. Nevertheless, the current body of literature indicates that the application of ultrasound in the assessment and treatment of swallowing disorders remains limited, with a scarcity of studies investigating muscle activation and laryngeal elevation during these swallowing maneuvers. This research seeks to compare the movements and timing of the floor of the mouth muscles across various age and gender demographics, while also aiming to procure quantitative data on hyoid-laryngeal convergence during the maneuvers, thereby substantiating the implementation of US in conjunction with three commonly employed swallowing maneuvers for the intervention of disorders affiliated with the oropharyngeal phase of swallowing. The results indicate that the duration of swallowing maneuvers tends to increase with advancing age, with the Mendelsohn maneuver emerging as the most efficacious technique for hyoid-larynx convergence. Conversely, it was also observed that the Mendelsohn maneuver posed the greatest challenge for subjects in terms of cooperation. Consequently, this study demonstrates that ultrasound can be effectively utilized during the execution of swallowing maneuvers, while also providing valuable insights into muscle activation associated with these interventions.
超声（US）是一种广泛应用且被认为对医学用途安全的技术，它代表了一种创新方法，最近已应用于吞咽功能评估以及康复过程中。治疗干预通常优先选择吞咽动作作为首选方案。然而，目前的文献表明，超声在吞咽障碍评估和治疗中的应用仍然有限，缺乏研究调查这些吞咽动作期间的肌肉激活和喉部抬高情况。本研究旨在比较不同年龄和性别人口中口底肌肉的运动和时间，同时旨在获取这些动作期间舌骨-喉部会合的定量数据，从而证实超声与三种常用吞咽动作联合用于干预与吞咽口咽期相关疾病的实施效果。结果表明，吞咽动作的持续时间往往随着年龄的增长而增加，门德尔松动作是舌骨-喉部会合最有效的技术。相反，还观察到门德尔松动作在合作方面对受试者构成了最大挑战。因此，本研究表明，超声可在吞咽动作执行过程中有效利用，同时还能为与这些干预相关的肌肉激活提供有价值的见解。
