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Semin Speech Lang 2022; 43(05): 361-377
DOI: 10.1055/s-0042-1743486
Data-Based Articles

An Investigation of Pulse Oximetry Levels During Swallowing in Healthy Adults and in Individuals with Severe and Very Severe Chronic Obstructive Pulmonary Disease

Salim S. Alani 
1   Department of Speech-Language Pathology, College of Health and Human Services, California State University, Long Beach, Long Beach, California
,
Julie A.G. Stierwalt
2   Division of Speech Pathology, Department of Neurology, Mayo Clinic, Mayo Clinic College of Medicine, Rochester, Minnesota
,
Leonard L. LaPointe
3   School of Communication Science and Disorders, Program in Neuroscience, Florida State University, Tallahassee, Florida
,
Richard J. Morris
4   School of Communication Science and Disorders, Florida State University, Tallahassee, Florida
,
Allan C. Jeong
5   Department of Educational Psychology and Learning Systems, Instructional Systems and Learning Technologies Program, Florida State University, Tallahassee, Florida
,
Jennifer Filson Moses
6   Department of Psychology and Statistics, Los Angeles Pierce College, Woodland Hills, California
,
Thomas D. Upton
7   Rehabilitation Education Training Program, School of Health Sciences, Applied Sciences and Arts, Southern Illinois University, Carbondale, Illinois
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Abstract

To compare pulse oximetry (PO) levels during swallowing in healthy adults and adults with severe chronic obstructive pulmonary disease (COPD). Participants included two groups of 60 healthy adults, balanced for gender. The young group ranged from 18 to 38 years, and the older group from 60 to 87 years. In addition, there were 11 participants with COPD aged 43 to 82 years. PO levels were collected as each participant swallowed 10 mL of water, 10 mL of applesauce, and a piece of diced pear (three trials each). Analyses for the healthy groups revealed neither statistically significant main effects for bolus type nor interactions between gender and age. For between-subject effects, there was no main effect for gender, but there was a large main effect for age, and a gender and age interaction. In the group with COPD, there were no significant differences across bolus types; however, PO measures were consistently lower than the healthy groups for all bolus types. Healthy adults exhibited stable PO levels across bolus types. Adults with COPD, although exhibiting significantly lower PO levels, also remained stable. For clinicians who monitor PO measures, these results offer a more comprehensive understanding of the nature of these measures during swallowing in these groups.

Keywords

pulse oximetry - dysphagia - swallowing - swallowing disorders - COPD


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Artikel online veröffentlicht:
11. März 2022

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