Skip to main content

Advertisement

SpringerLink
Log in

Fluoroscopic Evaluation of Tongue and Jaw Movements During Mastication in Healthy Humans

  • Original Article
  • Published:
Dysphagia Aims and scope Submit manuscript

Abstract

When chewing solid food, part of the bolus is propelled into the oropharynx before swallowing; this is named stage II transport (St2Tr). However, the tongue movement patterns that comprise St2Tr remain unclear. We investigated coronal jaw and tongue movements using videofluorography. Fourteen healthy young adults ate 6 g each of banana, cookie, and meat (four trials per foodstuff). Small lead markers were glued to the teeth and tongue surface to track movements by videofluorography in the anteroposterior projection. Recordings were divided into jaw motion cycles of four types: stage I transport (St1Tr), chewing, St2Tr, and swallowing. The range of horizontal tongue motion was significantly larger during St1Tr and chewing than during St2Tr and swallowing, whereas vertical tongue movements were significantly larger during chewing and St2Tr than during swallowing. Tongue movements varied significantly with food consistency. We conclude that the small horizontal tongue marker movements during St2Tr and swallowing were consistent with a “squeeze-back” mechanism of bolus propulsion. The vertical dimension was large in chewing and St2Tr, perhaps because of food particle reduction and transport in chewing and St2Tr.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Abd-El-Malek S. The part played by the tongue in mastication and deglutition. J Anat. 1955;89:250–4.

    PubMed  CAS  Google Scholar 

  2. Palmer JB, Hiiemae KM, Liu J. Tongue-jaw linkages in human feeding: a preliminary videofluorographic study. Arch Oral Biol. 1997;42:429–41.

    Article  PubMed  CAS  Google Scholar 

  3. Palmer JB, Rudin NJ, Lara G, Crompton AW. Coordination of mastication and swallowing. Dysphagia. 1992;7:187–200.

    Article  PubMed  CAS  Google Scholar 

  4. Thexton AJ. Mastication and swallowing: an overview. Br Dent J. 1992;173:197–206.

    Article  PubMed  CAS  Google Scholar 

  5. Hori K, Ono T, Nokubi T. Coordination of tongue pressure and jaw movement in mastication. J Dent Res. 2006;85:187–91.

    Article  PubMed  CAS  Google Scholar 

  6. Kieser J, Singh B, Swain M, Ichim I, Waddell JN, Kennedy D, Foster K, Livingstone V. Measuring intraoral pressure: adaptation of a dental appliance allows measurement during function. Dysphagia. 2008;23(3):237–43.

    Article  PubMed  Google Scholar 

  7. Ono T, Hori K, Nokubi T. Pattern of tongue pressure on hard palate during swallowing. Dysphagia. 2004;19:259–64.

    PubMed  Google Scholar 

  8. Steele CM, Bailey GL, Molfenter SM. Tongue pressure modulation during swallowing: water versus nectar-thick liquids. J Speech Lang Hear Res. 2010;53:273–83.

    Article  PubMed  Google Scholar 

  9. Steele CM, Van Lieshout PH. Influence of bolus consistency on lingual behaviors in sequential swallowing. Dysphagia. 2004;19:192–206.

    Article  PubMed  Google Scholar 

  10. Hiiemae K, Heath MR, Heath G, Kazazoglu E, Murray J, Sapper D, Hamblett K. Natural bites, food consistency and feeding behaviour in man. Arch Oral Biol. 1996;41:175–89.

    Article  PubMed  CAS  Google Scholar 

  11. Hiiemae KM, Palmer JB, Medicis SW, Hegener J, Jackson BS, Lieberman DE. Hyoid and tongue surface movements in speaking and eating. Arch Oral Biol. 2002;47:11–27.

    Article  PubMed  Google Scholar 

  12. Jean A. Brain stem control of swallowing: neuronal network and cellular mechanisms. Physiol Rev. 2001;81:929–69.

    PubMed  CAS  Google Scholar 

  13. Martin RE, Murray GM, Kemppainen P, Masuda Y, Sessle BJ. Functional properties of neurons in the primate tongue primary motor cortex during swallowing. J Neurophysiol. 1997;78:1516–30.

    PubMed  CAS  Google Scholar 

  14. Mioche L, Hiiemae KM, Palmer JB. A postero-anterior videofluorographic study of the intra-oral management of food in man. Arch Oral Biol. 2002;47:267–80.

    Article  PubMed  Google Scholar 

  15. Dantas RO, Kern MK, Massey BT, Dodds WJ, Kahrilas PJ, Brasseur JG, Cook IJ, Lang IM. Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. Am J Physiol. 1990;258:G675–81.

    PubMed  CAS  Google Scholar 

  16. Sugita K, Inoue M, Taniguchi H, Ootaki S, Igarashi A, Yamada Y. Effects of food consistency on tongue pressure during swallowing. J Oral Biosci. 2006;48:278–85.

    Google Scholar 

  17. Taniguchi H, Tsukada T, Ootaki S, Yamada Y, Inoue M. Correspondence between food consistency and suprahyoid muscle activity, tongue pressure, and bolus transit times during the oropharyngeal phase of swallowing. J Appl Physiol. 2008;105:791–9.

    Article  PubMed  Google Scholar 

  18. Hiiemae KM, Palmer JB. Food transport and bolus formation during complete feeding sequences on foods of different initial consistency. Dysphagia. 1999;14:31–42.

    Article  PubMed  CAS  Google Scholar 

  19. Matsuo K, Palmer JB. Kinematic linkage of the tongue, jaw, and hyoid during eating and speech. Arch Oral Biol. 2010;55:325–31.

    Article  PubMed  Google Scholar 

  20. Hiiemae KM, Hayenga SM, Reese A. Patterns of tongue and jaw movement in a cinefluorographic study of feeding in the macaque. Arch Oral Biol. 1995;40:229–46.

    Article  PubMed  CAS  Google Scholar 

  21. Proschel P, Hofmann M. Frontal chewing patterns of the incisor point and their dependence on resistance of food and type of occlusion. J Prosthet Dent. 1988;59:617–24.

    Article  PubMed  CAS  Google Scholar 

  22. Woda A, Mishellany A, Peyron MA. The regulation of masticatory function and food bolus formation. J Oral Rehabil. 2006;33:840–9.

    Article  PubMed  CAS  Google Scholar 

  23. Schwartz G, Enomoto S, Valiquette C, Lund JP. Mastication in the rabbit: a description of movement and muscle activity. J Neurophysiol. 1989;62:273–87.

    PubMed  CAS  Google Scholar 

  24. Naganuma K, Inoue M, Yamamura K, Hanada K, Yamada Y. Tongue and jaw muscle activities during chewing and swallowing in freely behaving rabbits. Brain Res. 2001;915:185–94.

    Article  PubMed  CAS  Google Scholar 

  25. Atkinson M, Kramer P, Wyman SM, Ingelfinger FJ. The dynamics of swallowing. I. Normal pharyngeal mechanisms. J Clin Investig. 1957;36:581–8.

    Article  PubMed  CAS  Google Scholar 

  26. German RZ, Saxe SA, Crompton AW, Hiiemae KM. Food transport through the anterior oral cavity in macaques. Am J Phys Anthropol. 1989;80:369–77.

    Article  PubMed  CAS  Google Scholar 

  27. Hiiemae KM, Palmer JB. Tongue movements in feeding and speech. Crit Rev Oral Biol Med. 2003;14:413–29.

    Article  PubMed  Google Scholar 

  28. Stone M, Shawker TH. An ultrasound examination of tongue movement during swallowing. Dysphagia. 1986;1:78–83.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This research was supported in part by award No. R01-DC02123 from the NIH/National Institute on Deafness and Other Communication Disorders and a Grant-in-Aid for Scientific Research (#23792505 to H.T.) from the Ministry of Health, Labour, and Welfare, Japan.

Conflict of interest

The authors have no conflict of interest to disclose.

Author information

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, USA

    Hiroshige Taniguchi, Hideto Okazaki, Mitsumasa Yoda, Haruhi Inokuchi, Marlis Gonzalez-Fernandez & Jeffrey B. Palmer

  2. Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, 951-8514, Japan

    Hiroshige Taniguchi & Makoto Inoue

  3. Department of Special Care Dentistry, Matsumoto Dental University, Nagano, Japan

    Koichiro Matsuo

  4. Department of Otolaryngology, Head and Neck Surgery, and Center for Functional Anatomy and Evolution, Johns Hopkins University, Baltimore, MD, USA

    Jeffrey B. Palmer

Authors
  1. Hiroshige Taniguchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Koichiro Matsuo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hideto Okazaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mitsumasa Yoda
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Haruhi Inokuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marlis Gonzalez-Fernandez
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Makoto Inoue
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Jeffrey B. Palmer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hiroshige Taniguchi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Taniguchi, H., Matsuo, K., Okazaki, H. et al. Fluoroscopic Evaluation of Tongue and Jaw Movements During Mastication in Healthy Humans. Dysphagia 28, 419–427 (2013). https://doi.org/10.1007/s00455-013-9453-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00455-013-9453-1

Keywords

Search

Navigation