Assessing the Impact of Biofeedback on Task Performance With Swallowing Maneuvers in Healthy Young Adults Using High Resolution Pharyngeal Manometry (HRPM)
NYU Langone Health
Summary
The purpose of this study is to quantify the added benefit of visual biofeedback from High Resolution Pharyngeal Manometry (HRPM) for swallowing rehabilitation. Primary aims including assessing changes in swallowing biomechanics (pressure generation, timing) during swallow maneuvers with and without HRPM visual biofeedback. Secondary aim includes participant attitudes related to visual biofeedback and the experience of HRPM.
Eligibility
- Age range
- 18–40 years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: 1. Participants must be independent community dwelling adults. 2. Participants must be between the ages of 18-40 years old. 3. Willingness to consent and participate in the study procedures. 4. No reported dysphagia or difficulty swallowing evidenced by an EAT-10 Score \<3. Exclusion Criteria: 1. Known structural or neurological causes of dysphagia (e.g., stroke, brain injury, or head/neck cancer). 2. Recent or remote history of swallowing therapy; familiarity with swallowing maneuvers from relevant coursework as applicable (i.e., speech language pathology students).
Interventions
- OtherSwallowing Maneuvers
Swallows will include 5 regular-effort saliva swallows (+/- visual biofeedback), 5 effortful saliva swallows (+/- visual biofeedback), 5 mendelsohn maneuver swallows (+/- visual biofeedback), and 5 masako or tongue hold maneuver swallows (+/- visual biofeedback).
- Diagnostic TestHigh Resolution Pharyngeal Manometry (HRPM)
A diagnostic tool using a catheter with closely spaced sensors to measure pressures and timing within the pharynx and upper esophageal sphincter (UES) during swallowing
Location
- NYU Langone HealthNew York, New York