CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20232022002en
CoDAS
Revisão Sistemática

Quantitative approach to analyze hyoid bone movement during swallowing by ultrasound: an integrative review

Abordagem quantitativa por ultrassonografia para análise do movimento do osso hioide durante a deglutição: revisão integrativa

Desiré Dominique Diniz de Magalhães; Jayne de Freitas Bandeira; Leandro Pernambuco

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Abstract

Purpose

To synthesize the scientific knowledge on which measurements of hyoid bone movement during swallowing are obtained by ultrasonography and how to extract these measures.

Research strategies

The PECO question and combinations of descriptors and keywords were formulated in the electronic databases Medline/PubMed, EMBASE, Web of Science, Scopus and Lilacs.

Selection criteria

Articles that used ultrasonography to analyze measurements of hyoid bone movement during swallowing were included, regardless of language, year of publication, or presence of deglutition disorders.

Data analysis

The included articles were analyzed for: year, study site, study design, population, sample size, equipment used, transducer positioning, measurements obtained, method of extraction, and reliability of measurements.

Results

Twenty-six articles met the eligibility criteria. The most frequent measurement was hyoid movement maximum amplitude, followed by time and velocity. There was great variability in the study population, equipment used, positioning of the transducer and method of extraction of the measurements. Thus, it was not possible to find a standard model to extract the measures. The level of reliability was investigated in only eight articles.

Conclusion

Amplitude, time and velocity are the measures of hyoid bone movement during swallowing that can be obtained by ultrasonography. There is no standardization on how to extract these measurements.

Keywords

Deglutition; Deglutition Disorders; Ultrasonography; Hyoid Bone; Movement

Resumo

Objetivo

Sintetizar o estado do conhecimento científico sobre quais medidas do movimento do osso hioide durante a deglutição são obtidas pela ultrassonografia e como extraí-las.

Estratégia de pesquisa

A pergunta PECO e as combinações de descritores e palavras-chave foram formuladas nas bases de dados eletrônicas Medline/PubMed, EMBASE, Web of Science, Scopus and Lilacs.

Critérios de seleção

Foram incluídos os artigos que utilizaram a ultrassonografia para analisar as medidas de movimento do osso hioide durante a deglutição, independentemente do idioma, ano de publicação ou presença de alteração na deglutição.

Análise dos dados

Os artigos incluídos foram analisados quanto: ano, local do estudo, desenho do estudo, população, tamanho da amostra, equipamento utilizado, posicionamento do transdutor, medidas obtidas, método de extração e confiabilidade das medidas.

Resultados

Vinte e seis artigos cumpriram os critérios de elegibilidade. A medida mais frequente foi a de amplitude máxima do movimento, seguida de tempo e velocidade. Houve grande variabilidade quanto à população de estudo, equipamentos utilizados, posicionamento do transdutor e método de extração das medidas, não sendo possível estabelecer padronização. O nível de confiabilidade foi investigado em apenas oito artigos.

Conclusão

Amplitude, tempo e velocidade são as medidas do movimento do osso hioide durante a deglutição que podem ser obtidas por ultrassonografia. Não há padronização dos métodos de extração dessas medidas.

Palavras-chave

Deglutição; Transtornos de Deglutição; Ultrassonografia; Osso Hioide; Movimento

Referências

  1. Real CS, Balbinot J, Signorini AV, Hübner LS, de Castro Machado G, Dornelles S. Characterization of posterior leakage in swallowing. CoDAS. 2020;32(4):e20190072. PMid:32049105.
  2. Crary MA, Groher ME. Reinstituting oral feeding in tube-fed adult patients with dysphagia. Nutr Clin Pract. 2006;21(6):576-86. http://dx.doi.org/10.1177/0115426506021006576 PMid:17119164.
  3. Pearson WG Jr, Langmore SE, Zumwalt AC. Evaluating the structural properties of suprahyoid muscles and their potential for moving the hyoid. Dysphagia. 2011;26(4):345-51. http://dx.doi.org/10.1007/s00455-010-9315-z PMid:21069388.
  4. Steele CM, Bailey GL, Chau T, Molfenter SM, Oshalla M, Waito AA, et al. The relationship between hyoid and laryngeal displacement and swallowing impairment. Clin Otolaryngol. 2011;36(1):30-6. http://dx.doi.org/10.1111/j.1749-4486.2010.02219.x PMid:21414151.
  5. Kwak HJ, Kim L, Ryu BJ, Kim YH, Park SW, Cho DG, et al. Influence of nasogastric tubes on swallowing in stroke patients: measuring hyoid bone movement with ultrasonography. Ann Rehabil Med. 2018;42(4):551-9. http://dx.doi.org/10.5535/arm.2018.42.4.551 PMid:30180524.
  6. Perlman AL, Booth BM, Grayhack JP. Videofluoroscopic predictors of aspiration in patients with oropharyngeal dysphagia. Dysphagia. 1994;9(2):90-5. http://dx.doi.org/10.1007/BF00714593 PMid:8005013.
  7. Ishida R, Palmer J, Hiiemae K. Hyoid motion during swallowing: factors affecting forward and upward displacement. Dysphagia. 2002;17(4):262-7. http://dx.doi.org/10.1007/s00455-002-0064-5 PMid:12355141.
  8. Kim Y, McCullough GH. Maximum hyoid displacement in normal swallowing. Dysphagia. 2008;23(3):274-9. http://dx.doi.org/10.1007/s00455-007-9135-y PMid:17962998.
  9. Zhang Z, Coyle JL, Sejdić E. Automatic hyoid bone detection in fluoroscopic images using deep learning. Sci Rep. 2018;8(1):12310. http://dx.doi.org/10.1038/s41598-018-30182-6 PMid:30120314.
  10. Nagy A, Molfenter SM, Péladeau-Pigeon M, Stokely S, Steele CM. The effect of bolus consistency on hyoid velocity in healthy swallowing. Dysphagia. 2015;30(4):445-51. http://dx.doi.org/10.1007/s00455-015-9621-6 PMid:26048615.
  11. Garmendia Merino G, Bascuñana Ambrós H. The importance of the quantification of hyoid displacement in the evaluation of the score and evolution of oropharyngeal dysphagia. Acta Otorrinolaringol Esp (Engl Ed). 2019;70(6):327-35. http://dx.doi.org/10.1016/j.otoeng.2018.08.002 PMid:30686483.
  12. Chen YC, Hsiao MY, Wang YC, Fu CP, Wang TG. Reliability of ultrasonography in evaluating hyoid bone movement. J Med Ultrasound. 2017;25(2):90-5. http://dx.doi.org/10.1016/j.jmu.2017.01.002 PMid:30065466.
  13. Matsuo T, Matsuyama M, Nakatani K, Mori N. Evaluation of swallowing movement using ultrasonography. Radiological Phys Technol. 2020;13(1):62-8. http://dx.doi.org/10.1007/s12194-019-00547-1 PMid:31786806.
  14. Costa BOI, Rodrigues DSB, de Magalhães DDD, Santos AS, Santos RV, Azevedo EHM, et al. Quantitative ultrasound assessment of hyoid bone displacement during swallowing following thyroidectomy. Dysphagia. 2020;36:659-69. http://dx.doi.org/10.1007/s00455-020-10180-5 PMid:32889628.
  15. Molfenter SM, Steele CM. Kinematic and temporal factors associated with penetration-aspiration in swallowing liquids. Dysphagia. 2014;29(2):269-76. http://dx.doi.org/10.1007/s00455-013-9506-5 PMid:24445381.
  16. Ahn SY, Cho KH, Beom J, Park DJ, Jee S, Nam JH. Reliability of ultrasound evaluation of hyoid-larynx approximation with positional change. Ultrasound Med Biol. 2015;41(5):1221-5. http://dx.doi.org/10.1016/j.ultrasmedbio.2014.12.010 PMid:25616584.
  17. Huang YL, Hsieh SF, Chang YC, Chen HC, Wang TG. Ultrasonographic evaluation of hyoid-larynx approximation in dysphagic stroke patients. Ultrasound Med Biol. 2009;35(7):1103-8. http://dx.doi.org/10.1016/j.ultrasmedbio.2009.02.006 PMid:19427098.
  18. Feng X, Cartwright MS, Walker FO, Bargoil JH, Hu Y, Butler SG. Ultrasonographic evaluation of geniohyoid muscle and hyoid bone during swallowing in young adults. Laryngoscope. 2015;125(8):1886-91. http://dx.doi.org/10.1002/lary.25224 PMid:25739655.
  19. Cordaro MA, Sonies BC. An image processing scheme to quantitatively extract and validate hyoid bone motion based on real-time ultrasound recordings of swallowing. IEEE Trans Biomed Eng. 1993;40(8):841-4. http://dx.doi.org/10.1109/10.238473 PMid:8258453.
  20. Hsiao MY, Chang YC, Chen WS, Chang HY, Wang TG. Application of Ultrasonography in Assessing Oropharyngeal Dysphagia in Stroke Patients. Ultrasound Med Biol. 2012;38(9):1522-8. http://dx.doi.org/10.1016/j.ultrasmedbio.2012.04.017 PMid:22698507.
  21. Kuhl V, Eicke BM, Dieterich M, Urban PP. Sonographic analysis of laryngeal elevation during swallowing. J Neurol. 2003;250(3):333-7. http://dx.doi.org/10.1007/s00415-003-1007-2 PMid:12638025.
  22. Lynch CS, Chammas MC, Mansur LL, Cerri GG. Biomecânica ultra-sonográfica da deglutição: estudo preliminar. Radiol Bras. 2008;41(4):241-4. http://dx.doi.org/10.1590/S0100-39842008000400008
  23. Macrae PR, Doeltgen SH, Jones RD, Huckabee ML. Intra- and inter-rater reliability for analysis of hyoid displacement measured with sonography. J Clin Ultrasound. 2012;40(2):74-8. http://dx.doi.org/10.1002/jcu.20874 PMid:21953135.
  24. Allen JE, Clunie G, Ma JK, Coffey M, Winiker K, Richmond S, et al. Translating ultrasound into clinical practice for the assessment of swallowing and laryngeal function: a speech and language pathology-led consensus study. Dysphagia. 2022;37(6):1586. http://dx.doi.org/10.1007/s00455-022-10413-9 PMid:35201387.
  25. Dejaeger E, Pelemans W. Swallowing and the duration of the hyoid movement in normal adults of different ages. Aging (Milano). 1996;8(2):130-4. http://dx.doi.org/10.1007/BF03339567 PMid:8737612.
  26. Chen YC, Chen PY, Wang YC, Wang TG, Han DS. Decreased swallowing function in the sarcopenic elderly without clinical dysphagia: a cross-sectional study. BMC Geriatr. 2020;20(1):419. http://dx.doi.org/10.1186/s12877-020-01832-0 PMid:33087067.
  27. Chen YC, Hsiao MY, Chen PY, Wang TG. Effects of age on the speed of hyoid bone movement during swallowing. Int J Gerontol. 2019;13:344-8.
  28. Chi-Fishman G, Sonies BC. Effects of systematic bolus viscosity and volume changes on Hyoid Movement Kinematics Gloria. Dysphagia. 2002;17(4):278-87. http://dx.doi.org/10.1007/s00455-002-0070-7 PMid:12355143.
  29. Chi-fishman G, Sonies BC. Kinematic strategies for hyoid movement in rapid sequential swallowing. J Speech Lang Hear Res. 2002 Jun;45(3):457-68. http://dx.doi.org/10.1044/1092-4388(2002/036) PMID: 12068999.
  30. Feng X, Cartwright MS, Walker FO, Bargoil JH, Hu Y, Butler SG. Ultrasonographic evaluation of geniohyoid muscle and hyoid bone during swallowing in young adults. Laryngoscope. 2015;125(8):1886-91. http://dx.doi.org/10.1002/lary.25224 PMid:25739655.
  31. Lee YS, Lee KE, Kang Y, Yi TI, Kim JS. Usefulness of submental ultrasonographic evaluation for dysphagia patients. Ann Rehabil Med. 2016;40(2):197-205. http://dx.doi.org/10.5535/arm.2016.40.2.197 PMid:27152268.
  32. Matsuo T, Matsuyama M. Detection of poststroke oropharyngeal dysphagia with swallowing screening by ultrasonography. PLoS One. 2021;16(3):e0248770. http://dx.doi.org/10.1371/journal.pone.0248770 PMid:33730038.
  33. Perry SE, Winkelman CJ, Huckabee ML. Variability in ultrasound measurement of hyoid bone displacement and submental muscle size using 2 methods of data acquisition. Folia Phoniatr Logop. 2016;68(5):205-10. http://dx.doi.org/10.1159/000473876 PMid:28456801.
  34. Rocha SG, Silva RG, Berti LC. Qualitative and quantitative ultrasound analysis of oropharyngeal swallowing. CoDAS. 2015;27(5):437-45. http://dx.doi.org/10.1590/2317-1782/20152015015 PMid:26648214.
  35. Shawker TH, Sonies B, Hall TE, Baum BF. Ultrasound analysis of tongue hyoid and larynx activity during swallowing. Invest Radiol. 1984;19(2):82-6. http://dx.doi.org/10.1097/00004424-198403000-00003 PMid:6398320.
  36. Sonies BC, Ph D, Parent LJ, Morrish K, Ph D, Baum BJ, et al. Durational aspects of the oral-pharyngeal phase of swallow in normal adults. Dysphagia. 1988;3(1):1-10. http://dx.doi.org/10.1007/BF02406274 PMid:3073915.
  37. Sonies BC, Wang C, Sapper DJ. Evaluation of normal and abnormal hyoid bone movement during swallowing by use of ultrasound duplex-Doppler imaging. Ultrasound Med Biol. 1996;22(9):1169-75. http://dx.doi.org/10.1016/S0301-5629(96)00158-5 PMid:9123641.
  38. Steele C, Sasse C, Bressmann T. Tongue-pressure and hyoid movement timing in healthy liquid swallowing. Int J Lang Commun Disord. 2012;47(1):77-83. http://dx.doi.org/10.1111/j.1460-6984.2011.00082.x PMid:22268903.
  39. Stone M, Shawker TH. An ultrasound examination of tongue movement during swallowing. Dysphagia. 1986;1(2):78-83. http://dx.doi.org/10.1007/BF02407118 PMid:3527582.
  40. Winiker K, Burnip E, Gozdzikowska K, Guiu Hernandez E, Hammond R, Macrae P, et al. Ultrasound: validity of a pocket-sized system in the assessment of swallowing. Dysphagia. 2021;36(6):1010-8. http://dx.doi.org/10.1007/s00455-020-10232-w PMid:33389177.
  41. Yabunaka K, Ohue M, Hashimoto T, Katsuda T, Yamamoto K, Sanada S. Sonographic analysis of hyoid bone movement during swallowing. IFMBE Proc. 2009;22:840-2. http://dx.doi.org/10.1007/978-3-540-89208-3_201
  42. Yabunaka K, Sanada H, Sanada S, Konishi H, Hashimoto T, Yatake H, et al. Sonographic assessment of hyoid bone movement during swallowing: A study of normal adults with advancing age. Radiological Phys Technol. 2011;4(1):73-7. http://dx.doi.org/10.1007/s12194-010-0107-9 PMid:20945118.
  43. Li CM, Wang TG, Lee HY, Wang HP, Hsieh SH, Chou M, et al. Swallowing training combined with game-based biofeedback in poststroke dysphagia. PM R. 2016;8(8):773-9. http://dx.doi.org/10.1016/j.pmrj.2016.01.003
  44. Logemann JA. Evaluation and treatment of swallowing disorders. Nerang: Pro-Ed Australia; 1983.
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