This study investigated the effects of pre-oral sensorimotor cues on anticipatory swallowing/eating-related mouth movements in older and younger adults. It was hypothesized that these cues are essential to timing anticipatory oral-motor patterns and these movements are delayed in older as compared to younger adults.
Using a two-by-two repeated measures design, eating-related lip, jaw, and hand movements were recorded from 24 healthy older (ages 70-85) and 24 healthy younger (ages 18-30) adults under four conditions: typical self-feeding, typical assisted feeding (proprioceptive loss), sensory loss self-feeding (auditory and visual loss/degradation), and sensory loss assisted feeding (loss/degradation of all cues).
All participants demonstrated anticipatory mouth opening. The absence of proprioception delayed lip lowering onset, while sensory loss more negatively impacted offset. Given at least one pre-oral sensorimotor cue, older adults initiated movement earlier than younger adults.
Pre-oral sensorimotor information influences anticipatory swallowing/eating-related mouth movements, highlighting the importance of these cues. Earlier movement in older adults may be a compensation facilitating safe swallowing given other age-related declines. Further research is needed to determine whether the negative impact of cue removal may be further exacerbated in a non-healthy system (e.g., presence of dysphagia or disease), potentially increasing swallowing- and eating-related risks.