TABLE III.
Threshold Volume to Elicit PGCR, PUCR, and RPS in Young and Elderly Subjects Using Slow and Rapid Pharyngeal Water Injections.
Injection | Young, mL (mean ±SD) | Elderly, mL (mean ±SD) | P Value | |
---|---|---|---|---|
PGCR | Slow | 0.13 ±0.06 | 0.18 ±0.13 | NS |
Rapid | 0.07 ±0.03 | 0.08 ±0.03 | NS | |
PUCR | Slow | 0.20 ±0.08 | 0.20 ±0.13 | NS |
Rapid | 0.19 ±0.15 | 0.22 ±0.14 | NS | |
RPS | Slow* | 0.59 ±0.27 | 0.63 ±0.47 | NS |
Rapid | 0.38 ±0.19 | 0.40 ±0.23 | NS | |
HPSV | 0.82 ±0.41 | 0.80 ±0.46 | NS |
By abolishing RPS with topical pharyngeal anesthesia, HPSV was measured.
During slow water perfusion, RPS was absent in five of 30 injections in the elderly subjects (excluded from analysis of threshold volume).
HPSV =hypopharyngeal safe volume; NS =not significant; PGCR = pharyngoglottal closure reflex; PUCR =pharyngo-UES contractile reflex; RPS =reflexive pharyngeal swallow; SD =standard deviation.