Table 4.
Mean swallowing pressures and timing events for 10 mL and self-selected swallows as measured by High-Resolution Manometry and linear mixed effects model results. Descriptive statistics do not account for varying swallow volumes and were calculated by averaging all trials for each subject and then computing sample statistics across all subjects. Expected change in outcome between self-selected swallow and 10 cc swallow, when adjusting for swallow volume, are shown in column “Fixed effects β*” along with corresponding p value. For all models, the reference condition is predetermined syringe-delivered boluses and swallow volume was adjusted for. Significant results (p < 0.05) in bold. SD = standard deviation; UES = upper esophageal sphincter; Pmax = maximal regional pressure; Integral = cumulative regional pressure; Pmax pre = maximum pre-opening pressure; Pmax post = maximum post-closure pressure; Nadir duration = duration of UES opening; CI = confidence interval.
10ml | Self | Linear mixed effects model | |||||
---|---|---|---|---|---|---|---|
Mean | SD | Mean | SD | Fixed effects β | 95% CI | p value | |
Velopharynx | |||||||
Duration (s) | 0.76 | 0.18 | 0.78 | 0.21 | − 0.02 | [− 0.03, 0.00] | 0.120 |
Pmax (mmHg) | 164.06 | 57.69 | 164.29 | 55.57 | − 5.87 | [− 8.43, − 3.32] | < 0.0001 |
Integral (mmHg*s) | 120.16 | 61.89 | 127.32 | 64.82 | − 10.19 | [− 14.00, − 6.38] | < 0.0001 |
Tongue Base | |||||||
Duration (s) | 0.49 | 0.13 | 0.46 | 0.13 | − 0.018 | [− 0.03, − 0.01] | 0.003 |
Pmax (mmHg) | 123.59 | 42.82 | 120.84 | 38.42 | − 3.21 | [− 5.39, − 1.02] | 0.005 |
Integral (mmHg*s) | 77.33 | 39.78 | 75.85 | 40.51 | 0.72 | [− 1.69, 3.14] | 0.553 |
Hypopharynx | |||||||
Duration (s) | 0.38 | 0.12 | 0.38 | 0.13 | − 0.00 | [− 0.01, 0.01] | 0.966 |
Pmax (mmHg) | 151.51 | 53.08 | 151.87 | 55.53 | − 1.91 | [− 5.02, 1.20] | 0.225 |
Integral (mmHg*s) | 47.22 | 28.62 | 48.56 | 30.85 | 0.56 | [− 1.05, 2.16] | 0.493 |
UES | |||||||
Pmax pre (mmHg) | 108.12 | 43.25 | 100.35 | 43.21 | − 13.48 | [− 17.40, − 9.56] | < 0.0001 |
Pmax post (mmHg) | 212.63 | 63.15 | 213.69 | 63.13 | − 4.55 | [− 7.98, − 1.13] | 0.010 |
Pmax post (mmHg) | 212.63 | 63.15 | 213.69 | 63.13 | − 4.55 | [− 7.98, − 1.13] | 0.010 |
Nadir durationg (s) | 0.49 | 0.14 | 0.50 | 0.14 | 0.00 | [− 0.02, 0.02] | 0.964 |
Pnadir (mmHg) | 4.47 | 6.92 | 5.14 | 7.99 | − 0.25 | [− 0.89, 0.38] | 0.428 |
Overall | |||||||
Duration (s) | 0.82 | 0.15 | 0.85 | 0.18 | − 0.02 | [− 0.03, 0.00] | 0.077 |
Integral (mmHg*s) | 244.72 | 100.76 | 251.69 | 109.53 | − 8.85 | [− 13.32, − 4.37] | 0.0002 |