{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T02:41:08Z","timestamp":1780454468137,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,3,30]],"date-time":"2016-03-30T00:00:00Z","timestamp":1459296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>The purpose of this study was to test the hypothesis that the risk of silent aspiration is increased in non\u2010invasive positive pressure ventilation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analysed the coordination between respiration and swallowing, in 12 young volunteers and 10 elder volunteers, by simultaneously monitoring respiratory flow, laryngeal movement and swallowing sound in three different conditions: control, continuous positive airway pressure (CPAP), and bi\u2010level positive airway pressure (BiPAP). A step\u2010wise multiple regression analysis was performed with the occurrence rate of inspiration after swallows as the dependent variable and various correlated variables as the independent variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In both subject groups, the occurrence rate of inspiration after swallow was greater with BiPAP compared with control and CPAP conditions. Repetitive saliva swallowing test count and swallow non\u2010inspiratory flow occurrence rate were extracted as predictor variables for risk of inspiration after swallows during BiPAP treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found that the occurrence rate of inspiration after swallow is increased with BiPAP use irrespective of age. The results suggest that swallow non\u2010inspiratory flow may trigger inspiratory support in the BiPAP mode, resulting in a risk of aspiration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12790","type":"journal-article","created":{"date-parts":[[2016,3,31]],"date-time":"2016-03-31T00:27:47Z","timestamp":1459384067000},"page":"1062-1067","source":"Crossref","is-referenced-by-count":27,"title":["Coordination between respiration and swallowing during non\u2010invasive positive pressure ventilation"],"prefix":"10.1111","volume":"21","author":[{"given":"Ryuji","family":"Hori","sequence":"first","affiliation":[{"name":"Department of Physical Therapy Osaka Yukioka College of Health Science  Ibaragi Japan"},{"name":"Department of Rehabilitation Hoshigaoka Medical Center  Hirakata Japan"},{"name":"Department of Physiology Hyogo College of Medicine  Nishinomiya Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Isaka","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy Osaka Yukioka College of Health Science  Ibaragi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiko","family":"Oonishi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Hoshigaoka Medical Center  Hirakata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Yabe","sequence":"additional","affiliation":[{"name":"Murata Manufacturing Co., Ltd.  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