Revista CEFAC
https://www.revistacefac.org.br/article/doi/10.1590/S1516-18462008000200009
Revista CEFAC
Motricidade Orofacial

Reabilitação em disfagia orofaríngea neurogênica: sabor azedo e temperatura fria

Rehabilitation in neurogenic oropharyngeal dysphagia: sour taste and cold temperature

Paula Cristina Cola; Ana Rita Gatto; Roberta Gonçalves da Silva; Arthur Oscar Schelp; Maria Aparecida Coelho de Arruda Henry

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Resumo

Tema: reabilitação em disfagia orofaríngea neurogênica

Objetivo: apresentar revisão de literatura sobre os controles neurofisiológicos da deglutição orofaríngea e a influência do sabor azedo e da temperatura fria no mecanismo da deglutição.

Conclusão: quanto à questão do controle central da deglutição, ainda existem controvérsias em relação ao sabor azedo e a temperatura fria. Esses dois parâmetros provocam mudanças na dinâmica da deglutição, podendo trazer benefícios aos indivíduos acometidos por disfagia orofaríngea neurogênica. Porém, tais achados sugerem a necessidade de investigações futuras com populações randomizadas.

Palavras-chave

Transtornos de Deglutição; Reabilitação; Acidente Cerebral Vascular

Abstract

Background: rehabilitation in neurogenic oropharyngeal dysphagia

Purpose: to submit an overview of the related literature about neurophysiological control of oropharyngeal dysphagia and the role of temperature and sour taste on swallowing mechanisms.

Conclusions: as for the neurophysiologic swallowing control, there are still controversies when it comes to sour taste and cold temperature. These two standards can change the swallowing dynamics, and they may bring out benefits to the individuals with neurogenic oropharyngeal dysphagia. Therefore, the findings suggest the need for further investigations with randomized studies.

Keywords

Deglutition Disorders; Rehabilitation; Stroke

References

1. Chen MYM, Ott DJ, Peele VN, Gelfand DW. Oropharynx in patients with cerebrovascular disease: evaluation with videofluoroscopy. Radiol. 1990; 176:641-3.

2. Schelp AO, Cola PC, Gatto AR, Silva RG, Carvalho LR. Incidencia de disfagia orofaringea apos accidente vascular encefalico em hospital publico de referencia. Arq Neuro-Psiquiatr. 2004; 62(2-B):503-6.

3. Furkim AM, Silva RG. Programas de reabilitacao em disfagia neurogenica. Sao Paulo: Frontis; 1999.

4. Dodds WJ, Stewart ED, Logemann JA. Physiology and radiology of the normal oral and pharyngeal phases of swallowing. Am J Roentgenol. 1990; 154:953-63.

5. Capra NF. Mechanisms of oral sensation. Dysphagia. 1995; 10(4):235-47.

6. Ertekin C, Aydogdu I. Neurophysiology of swallowing. Clin Neurophysiol. 2003; 114:2226-44.

7. Silverthorn DV. Fisiologia humana: uma abordagem integrada. 2. ed. Sao Paulo: Manole; 2003. p.283-99.

8. Hamdy S, Mikulis DJ, Crawley A, Xue S, Lau H, Henry S, et al. Cortical activation during human volitional swallowing: an event-related fMRI study. Am J Physiol. 1999; 277(1):G219-25.

9. Kern MK, Jaradeh S, Arndorfer RC, Shaker R. Cerebral cortical representation of reflexive and volitional swallowing in humans. Am J Physiol. 2001; 280(3):G354-60.

10. Dziewas R, Soros P, Ishii R, Chau W, Henningsen H, Ringelstein EB, et al. Neuroimaging evidence for cortical involvement in the preparation and in the act of swallowing. Neuroimage. 2003; 20:135-44.

11. Miller AJ. Oral and pharyngeal reflexes in the mammalian nervous system: their diverse range in complexity and the pivotal role of the tongue. Crit Rev Oral Biol Med. 2002; 13(5):409-25.

12. Kadohisa M, Rolls ET, Verhagen JV. Orbitofrontal cortex: neuronal representation of oral temperature and capsaicin in addition to taste and texture. Neuroscience. 2004; 127(1):207-21.

13. Schoenfeld MA, Neuer G, Tempelmann C, Schubler K, Noesselt T, Hopf JM, et al. Functional magnetic resonance tomography correlates of taste perception in the human primary taste cortex. Neuroscience. 2004; 127(2):347-53.

14. Pommerenke WT. A study of the sensory areas eliciting the swallowing reflex. Am J Physiol. 1928; 84:36-41.

15. Lazzara GI, Lazarus C, Logemann JA. Impact of thermal stimulation on the triggering of the swallowing reflex. Dysphagia. 1986; 1:73-7.

16. Pelletier CA, Lawless HT. Effect of citric acid and citric acid-sucrose mixtures on swallowing in neurogenic oropharyngeal dysphagia. Dysphagia. 2003; 18(4):231-41.

17. Logemann JA, Pauloski BR, Colangelo L, Lazarus C, Fujiu M, Kahrilas PJ. Effects of sour bolus on oropharyngeal swallowing measures in patients with neurogenic dysphagia. J Speech Hear Res. 1995; 38:556-63.

18. Hamdy S, Jilani S, Price V, Parker C, Hall N, Power M. Modulation of human swallowing behavior by thermal and chemical stimulation in health and after brain injury. Neurogastroenterol Motil. 2003; 15(1):69-77.

19. Cola PC, Gatto AR, Spadotto AA, Silva RG, Schelp AO, Henry MACA. Medicao do tempo farinego da degluticao em individuos apos acidente vascular encefalico. GED. 2006; 25: 111.

20. Kajii Y, Shingai T, Kitagawa J, Takahashi Y, Taguchi Y, Noda T, et al. Sour taste stimulation facilitates reflex swallowing from the pharynx and larynx in the rat. Physiol Behav. 2002; 77:321-5.

21. Kitagawa JI, Shingai T, Takahashi Y, Yamada Y. Pharyngeal branch of the glossopharyngeal nerve plays a major role in reflex swallowing from the pharynx. Am J Physiol. 2002; 282(5):R1580-5.

22. Chi-Fishman G, Capra NF, McCall GN. Thermomechanical facilitation of swallowing evoked by electrical nerve stimulation in cats. Dysphagia. 1994; 9(3):149-55.

23. Rosenbek JC, Roecker EB, Wood JL, Robbins J. Thermal application reduces the duration of stage transition in dysphagia after stroke. Dysphagia. 1996; 11:225-33.

24. Kaatzke-McDonald MN, Post E, Davis PJ. The effects of cold, touch and chemical stimulation of the anterior faucial pillar on human swallowing. Dysphagia. 1996; 11(3):198-206.

25. Miyaoka Y, Haishima K, Takagi M, Haishima H, Asari J, Yamada Y. Influences of thermal and gustatory characteristics on sensory and motor aspects of swallowing. Dysphagia. 2006; 21(1):38-48.

26. Sciortino KF, Liss JM, Case JL, Gerritsen KGM, Katz RC. Effects of mechanical, cold, gustatory, and combined stimulation to human anterior faucial pillars. Dysphagia. 2003; 18:16-26.

27. Ding R, Logemann JA, Larson CR, Rademaker AW. The effects of taste and consistency on swallow physiology in younger and older healthy individuals: a surface electromyographic study. J Speech Lang Hear Res. 2003; 46(4):977-89

28. Palmer PM, McCulloch TM, Jaffe D, Neel AT. Effects of sour bolus on the intramuscular electromyographic (EMG) activity of muscles in the submental region. Dysphagia. 2005; 20(3):210-7.

29. Pelletier CA, Dhanaraj GE. The effect of taste and palatability on lingual swallowing pressure. Dysphagia. 2006; 21(2):121-8.

30. Cook IJ, Dodds WJ, Dantas RO, Kern MK, Massey BT, Shaker R, et al. Timing of videofluoroscopic, manometric events, and bolus transit during the oral and pharyngeal phases of swallowing. Dysphagia. 1989; 4:8-15.

31. Dantas RO, Kern MK, Massey BT, Dodds WJ, Kahlilas PJ, Brasseur JG, et al. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol. 1990; 258(5):G675-81.

32. Bisch EM, Logemann JA, Rademaker AW, Kahlilas PJ, Lazarus CL. Pharyngeal effects of bolus volume, viscosity and temperature in patients with dysphagia resulting from neurologic impairment and in normal subjects. J Speech Hearing Res. 1994; 37(5):1041-59.

33. Tachimura T, Ojima M, Nohara K, Wada T. Change in palatoglossus muscle activity in relation to swallowing volume during the transition from the oral phase to the pharyngeal phase. Dysphagia. 2005; 20(1):32-9.

34. Kendall KA, Mckenzie S, Leonard RJ, Goncalves MI, Walker A. Timing of events in normal swallowing: a videofluoroscopic study. Dysphagia. 2000; 15(2):74-83.

35. Kendall KA. Oropharyngeal swallowing variability. Laryngoscope. 2002; 112:547-51.


Submitted date:
07/07/2007

Accepted date:
04/24/2008

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