Table 1.
Summary data for subjects with Parkinson’s disease (PD) and control subjects at each bolus volume. Values are presented as mean ± standard deviation (range). PES = pharyngo-esophageal segment; TB = tongue base; PAS = penetration-aspiration scale (minimum score is 1); 2D = two-dimensional; 3D = three-dimensional; UES = upper esophageal sphincter; maxP = maximum pressure; CV = coefficient of variation (unitless). Group differences at individual bolus volumes for each parameter were not calculated to avoid Type I error inherent in performing multiple statistical comparisons.
Parameter |
|
|||||
---|---|---|---|---|---|---|
2 cc | 10 cc | Sip | ||||
| ||||||
PD | Control | PD | Control | PD | Control | |
Videofluoroscopic | ||||||
Swallow initiation | 0.1±1.2 (0 – 3) | 1.1±1.1 (0 – 3) | 1.0±1.1 (0 – 3) | 0.9±1.1 (0 – 3) | 1.2±1.2 (0 – 3) | 1.5±1.2 (0 – 3) |
Laryngeal movement | 0.0±0.0 (0) | 0.1±0.3 (0 – 1) | 0.1±0.3 (0 – 1) | 0.2±0.4 (0 – 1) | 0.0±0.2 (0 – 1) | 0.2±0.4 (0 – 1) |
Hyoid movement | 0.2±0.4 (0 – 1) | 0.2±0.4 (0 – 1) | 0.3±0.5 (0 – 1) | 0.2±0.4 (0 – 1) | 0.3±0.5 (0 – 1) | 0.2±0.4 (0 – 1) |
Epiglottic movement | 0.3±0.5 (0 – 2) | 0.2±0.4 (0 – 1) | 0.2±0.5 (0 – 2) | 0.1±0.3 (0 – 1) | 0.3±0.5 (0 – 2) | 0.1±0.3 (0 – 1) |
Pharyngeal stripping wave | 0.3±0.4 (0 – 1) | 0.2±0.4 (0 – 1) | 0.2±0.4 (0 – 1) | 0.2±0.4 (0 – 1) | 0.3±0.5 (0 – 1) | 0.1±0.4 (0 – 1) |
PES opening | 0.1±0.3 (0 – 1) | 0.1±0.3 (0 – 1) | 0.3±0.4 (0 – 1) | 0.2±0.4 (0 – 1) | 0.1±0.3 (0 – 1) | 0.2±0.4 (0 – 1) |
TB retraction | 0.9±0.5 (0 – 2) | 0.9±0.4 (0 – 2) | 1.1±0.7 (0 – 2) | 0.8±0.6 (0 – 2) | 1.3±0.6 (0 – 2) | 1.2±0.7 (0 – 3) |
Residue score | 1.3±0.6 (0 – 2) | 1.1±0.4 (0 – 2) | 1.5±0.6 (0 – 3) | 1.3±0.5 (0 – 2) | 1.6±0.6 (0 – 3) | 1.7±0.5 (1 – 2) |
Locations with residue | 2.2±1.3 (0 – 4) | 2.4±1.2 (0 – 4) | 2.2±1.2 (0 – 4) | 2.5±1.1 (0 – 4) | 2.9±1.3 (0 – 4) | 3.2±1.1 (1 – 4) |
PAS | 1.3±0.6 (1 – 3) | 1.2±0.4 (1 – 2) | 1.7±1.4 (1 – 8) | 1.3±0.5 (1 – 3) | 1.6±0.7 (1 – 4) | 1.7±1.1 (1 – 6) |
Manometric | ||||||
Velopharynx | ||||||
Duration (s) | 0.87±0.24 | 0.84±0.16 | 0.89±0.27 | 0.88±0.23 | 0.89±0.26 | 0.94±0.22 |
Rise time (s) | 0.32±0.22 | 0.31±0.13 | 0.34±0.22 | 0.36±0.22 | 0.33±0.22 | 0.42±0.20 |
Rise rate (mmHg/s) | 734±346 | 732±277 | 685±331 | 737±388 | 708±495 | 616±343 |
Fall time (s) | 0.55±0.12 | 0.53±0.14 | 0.55±0.14 | 0.52±0.17 | 0.56±0.18 | 0.52±0.17 |
Max pressure (mmHg) | 158±60 | 176±53 | 161±57 | 184±47 | 163±57 | 181±42 |
2D integral (mmHg*s) | 66±44 | 74±34 | 75±42 | 81±34 | 81±46 | 87±33 |
3D integral (mmHg*s) | 129±101 | 134±77 | 151±93 | 152±74 | 160±101 | 171±83 |
Mesopharynx | ||||||
Duration (s) | 0.85±0.26 | 0.73±0.19 | 0.82±0.29 | 0.76±0.22 | 0.78±0.21 | 0.76±0.19 |
Rise time (s) | 0.48±0.19 | 0.45±0.12 | 0.48±0.20 | 0.47±0.16 | 0.46±0.14 | 0.48±0.15 |
Rise rate (mmHg/s) | 379±149 | 462±162 | 447±344 | 420±139 | 404±273 | 459±265 |
Fall time (s) | 0.37±0.15 | 0.29±0.14 | 0.34±0.20 | 0.29±0.13 | 0.32±0.18 | 0.28±0.13 |
Max pressure (mmHg) | 162±67 | 184±45 | 157±67 | 174±50 | 147±46 | 178±47 |
2D integral (mmHg*s) | 43±25 | 42±16 | 40±26 | 41±18 | 40±27 | 41±18 |
3D integral (mmHg*s) | 155±93 | 160±70 | 153±116 | 145±63 | 156±108 | 146±58 |
UES | ||||||
Pre-UES maxP (mmHg) | 118±41 | 114±43 | 97±33 | 102±40 | 91±37 | 95±42 |
Post-UES maxP (mmHg) | 188±44 | 218±65 | 205±42 | 223±64 | 209±52 | 229±64 |
Min pressure (mmHg) | −6±10 | −8±6 | −3±5 | −6±5 | −3±10 | −5±4 |
Nadir duration (s) | 0.52±0.14 | 0.51±0.18 | 0.55±0.15 | 0.52±0.19 | 0.51±0.14 | 0.53±0.19 |
2D integral (mmHg*s) | 36±19 | 43±27 | 50±26 | 50±27 | 54±32 | 57±33 |
3D integral (mmHg*s) | 97±60 | 111±87 | 145±91 | 122±88 | 147±83 | 136±85 |
Swallow duration (s) | 1.05±0.22 | 0.98±0.20 | 1.11±0.23 | 1.06±0.19 | 1.14±0.24 | 1.13±0.20 |
Variability | ||||||
CV velopharynx | 0.78±0.77 | 0.53±0.28 | 1.01±1.02 | 0.62±0.51 | 1.10±1.33 | 0.57±0.28 |
CV tongue base | 0.87±0.54 | 0.79±0.62 | 1.55±1.39 | 0.91±0.68 | 0.97±0.49 | 0.86±0.48 |
CV hypopharynx | 1.08±0.78 | 0.88±0.62 | 1.90±2.28 | 1.18±1.00 | 1.28±1.13 | 0.83±0.45 |
CV mesopharynx | 4.03±2.16 | 6.17±3.73 | 1.73±1.42 | 1.03±0.68 | 1.11±0.58 | 0.86±0.37 |
CV UES | 0.82±0.60 | 0.80±0.48 | 0.98±1.03 | 0.95±1.58 | 2.15±5.43 | 1.06±0.92 |
CV total | 3.55±1.70 | 3.00±1.25 | 5.43±3.89 | 3.66±1.93 | 5.50±6.76 | 3.31±1.39 |