Increase of Substance P Concentration in Saliva after Pharyngeal Electrical Stimulation in Severely Dysphagic Stroke Patients – an Indicator of Decannulation Success?
Author(s) -
Paul Muhle,
Sonja SuntrupKrueger,
Stefan Bittner,
Tobias Ruck,
Inga Claus,
Thomas Marian,
J. Schröder,
Jens Minnerup,
Tobias Warnecke,
Sven G. Meuth,
Rainer Dziewas
Publication year - 2017
Publication title -
neurosignals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.755
H-Index - 67
eISSN - 1424-8638
pISSN - 1424-862X
DOI - 10.1159/000482002
Subject(s) - saliva , dysphagia , medicine , stimulation , swallowing , stroke (engine) , anesthesia , prospective cohort study , substance p , reflex , gastroenterology , surgery , neuropeptide , receptor , mechanical engineering , engineering
Substance P (SP) is a neuropeptide, likely acting as a neurotransmitter in the pharyngeal mucosa enhancing the swallow and cough reflex. Pharyngeal Electrical Stimulation (PES) induces a temporary increase of salivary SP levels in healthy adults. Previous evidence suggests that post-stroke dysphagia is related to reduced SP levels. Here, we investigated the effects of PES on SP levels in severely dysphagic stroke patients and a possible link between increase of SP and treatment success.
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