Shared and Separate Neuromuscular Underpinnings of Swallowing and Motor Speech Development in the School-Age Years.

Autor: Hahn Arkenberg RE; Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN., Brown B; Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN., Mitchell S; Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN., Craig BΑ; Department of Statistics, Purdue University, West Lafayette, IN., Goffman L; School of Behavioral and Brain Sciences, The University of Texas at Dallas, Richardson., Malandraki GA; Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN.; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN.
Jazyk: angličtina
Zdroj: Journal of speech, language, and hearing research : JSLHR [J Speech Lang Hear Res] 2023 Sep 13; Vol. 66 (9), pp. 3260-3275. Date of Electronic Publication: 2023 Aug 07.
DOI: 10.1044/2023_JSLHR-23-00059
Abstrakt: Purpose: Despite co-occurrence of swallowing and speech disorders in childhood, there is limited research on shared and separate neuromuscular underpinnings of these functions. The purpose of this study was to (a) compare neuromuscular control of swallowing and speech between younger and older children and (b) determine similarities and differences in neuromuscular control of swallowing and speech.
Method: Twenty-six typically developing children (thirteen 7- to 8-year-olds and thirteen 11- to 12-year-olds) completed this cross-sectional study. Neuromuscular control was evaluated using surface electromyography of submental muscles and superior and inferior orbicularis oris muscles during parallel tasks of swallowing and speech. Outcome measures included normalized mean amplitude, burst duration, time to peak amplitude, and bilateral synchrony, which were examined using mixed-effects models.
Results: For normalized mean amplitude, burst duration, and time to peak amplitude, there were significant two- and three-way interactions between muscle group, task, and age group, indicating that older and younger children demonstrated different muscle activation patterns, and these patterns varied by muscle and task. No differences were noted between groups for bilateral synchrony. For parallel tasks, children demonstrated different magnitudes of normalized mean amplitude and time to peak amplitude of speech and swallowing. However, they demonstrated a similar pattern: increases in magnitude as task complexity increased.
Conclusions: Children continue to demonstrate refinement of their neuromuscular control of swallowing and speech between 7-8 and 11-12 years of age, and there are both shared and separate elements of neuromuscular control between these two vital functions. To improve generalizability of findings, future research should include longitudinal analysis of swallowing and speech development, as well as measures of central neurophysiology.
Supplemental Material: https://doi.org/10.23641/asha.23796258.
Databáze: MEDLINE
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