Abstract
Coordination of breathing and swallowing is essential for normal bolus transportation through the pharynx and for protection of the airways. During passage of the bolus through the pharynx, respiration is interrupted. Normal swallowing occurs during the expiratory phase of breathing. Incoordination of the feeding respiratory pattern may lead to penetration of the bolus into the airways. This may cause choking, death, aspiration pneumonia, or chronic laryngitis.
This is a preview of subscription content, log in via an institution.
References
Bodén K, Hårdemark Cedborg AI, Eriksson LI, Witt Hedström H, Kuylenstierna R, Sundman E, Ekberg O (2009) Swallowing and respiratory pattern in young healthy individuals recorded with high temporal resolution. Neurogastroenterol Motil 21:1163–e101
Butler SG, Stuart A, Pressman H, Poage G, Roche WJ (2007) Preliminary investigation of swallowing apnea duration and swallow/respiratory phase relationships in individuals with cerebral vascular accident. Dysphagia 22:215–224
Dick TE, Oku Y, Romaniuk JR, Cherniack NS (1993) Interaction between central pattern generators for breathing and swallowing in the cat. J Physiol 465:34–44
Ertekin C, Aydogdu I (2003) Neurophysiology of swallowing. Clin Neurophysiol 114:2226–2244
Gewolb IH, Vice FL (2006) Maturational changes in the rhythms, patterning, and coordination of respiration and swallow during feeding in preterm and term infants. Dev Med Child Neurol 48:589–594
Gross RD, Atwood CW Jr, Grayhack JP, Shaiman S (2003) Lung volume effects on pharyngeal swallowing physiology. J Appl Physiol 95:2211–2217
Gross RD, Atwood CW Jr, Ross SB, Olszewski JW, Eichhorn KA (2009) The coordination of breathing and swallowing in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 179:559–565
Hadjikoutis S, Pickersgill TP, Dawson K, Wiles CM (2000) Abnormal patterns of breathing during swallowing in neurological disorders. Brain 123:1863–1873
Hiss SG, Treole K, Stuart A (2001) Effects of age, gender, bolus volume, and trial on swallowing apnea duration and swallow/respiratory phase relationships of normal adults. Dysphagia 16:128–135
Hiss SG, Strauss M, Treole K, Stuart A, Boutilier S (2003) Swallowing apnea as a function of airway closure. Dysphagia 18:293–300
Hårdemark Cedborg AI, Sundman E, Bodén K, Witt Hedström H, Kuylenstierna R, Ekberg O, Eriksson LI (2009) Co-ordination of spontaneous swallowing with respiratory airflow and diaphragmatic and abdominal muscle activity in healthy adult humans. Exp Physiol 94:459–468
Hårdemark Cedborg AI, Bodén K, Witt Hedström H, Kuylenstierna R, Ekberg O, Eriksson LI, Sundman E (2010) Breathing and swallowing in normal man––effects of changes in body position, bolus types, and respiratory drive. Neurogastroenterol Motil 22:1201–e316
Martin BJ, Logemann JA, Shaker R, Dodds WJ (1994) Coordination between respiration and swallowing: respiratory phase relationships and temporal integration. J Appl Physiol 76:714–723
Martin-Harris B, Brodsky MB, Michel Y, Ford CL, Walters B, Heffner J (2005) Breathing and swallowing dynamics across the adult lifespan. Arch Otolaryngol Head Neck Surg 131:762–770
Martin-Harris B, Brodsky MB, Price CC, Michel Y, Walters B (2003) Temporal coordination of pharyngeal and laryngeal dynamics with breathing during swallowing: single liquid swallows. J Appl Physiol 94:1735–1743
Miller AJ (1999) The neuroscientific principles of swallowing and dysphagia. Singular Publishing Group, San Diego, pp 73–92
Nilsson H, Ekberg O, Bülow M, Hindfelt B (1997) Assessment of respiration during video fluoroscopy of dysphagic patients. Acad Radiol 4:503–507
Nishino T, Hasegawa R, Ide T, Isono S (1998) Hypercapnia enhances the development of coughing during continuous infusion of water into the pharynx. Am J Respir Crit Care Med 157:815–821
Sai T, Isono S, Nishino T (2004) Effects of withdrawal of phasic lung inflation during normocapnia and hypercapnia on the swallowing reflex in humans. J Anesth 18:82–88
Saito Y, Ezure K, Tanaka I (2002) Swallowing-related activities of respiratory and non-respiratory neurons in the nucleus of solitary tract in the rat. J Physiol 540:1047–1060
Terzi N, Orlikowski D, Aegerter P, Lejaille M, Ruquet M, Zalcman G, Fermanian C, Raphael JC, Lofaso F (2007) Breathing–swallowing interaction in neuromuscular patients: a physiological evaluation. Am J Respir Crit Care Med 175:269–276
Timms BJM, DiFiore JM, Martin RJ, Miller MJ (1993) Increased respiratory drive as an inhibitor of oral feeding of preterm infants. J Pediatr 123:127–131
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Ekberg, O. et al. (2017). Feeding and Respiration. In: Ekberg, O. (eds) Dysphagia. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2017_59
Download citation
DOI: https://doi.org/10.1007/174_2017_59
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-68571-7
Online ISBN: 978-3-319-68572-4
eBook Packages: MedicineMedicine (R0)