Facilitation of oral sensitivity by electrical stimulation of the faucial pillars

Enhancing Salty Taste Perception in Stroke Patients via Anodal Electrical Stimulation to the Chin

A lower salt intake is an effective management strategy for hypertension and ultimately stroke. However, this strategy compromises the taste of food. To overcome this, a taste manipulation strategey using electronic taste simulation (ETS) has been established, but this has only been studied in healthy individuals. Therefore, this study aimed to demonstrate and quantitatively evaluate the taste enhancement effect of ETS in patients admitted to a hospital due to stroke. Twenty patients (mean = 67.8 ± 13.6 years) underwent two psychophysical experiments to assess the effects of ETS on salt taste perception using salt-impregnated filter paper. The patients' stroke types included twelve ischemic and eight hemorrhagic strokes. The median salt taste thresholds without ETS and with ETS were 0.7% and 0.6%, respectively (p = 0.083). The perceived concentration for the 0.8% concentration increased from 0.8% to 1.0% with the ETS (p = 0.041), and for the 1.0% concentration, from 1.0% to 1.2% (p < 0.001). The findings suggest that ETS significantly enhances salty taste perception in patients who have experienced a stroke without altering salt concentration, potentially aiding in reducing daily salt intake. Further research is necessary to explore its broad applicability in dietary management and blood pressure control.

Age-related changes in oral sensitivity, taste and smell

Oropharyngeal sensitivity plays a vital role in the initiation of the swallowing reflex and is thought to decline as part of the aging-process. Taste and smell functions appear to decline with age as well. The aim of our study was to generate data of oral sensitivity in healthy participants for future studies and to analyse age-related changes and their interdependence by measuring oral sensitivity, taste, and smell function. The experiment involved 30 participants younger than and 30 participants older than 60. Sensitivity threshold as a surrogate of oral sensitivity was measured at the anterior faucial pillar by electrical stimulation using commercially available pudendal electrode mounted on a gloved finger. Smell and taste were evaluated using commercially available test kits. Mean sensitivity was lower in young participants compared to older participants (1.9 ± 0.59 mA vs. 2.42 ± 1.03 mA; p = 0.021). Young participants also performed better in smell (Score 11.13 ± 0.86 vs 9.3 ± 1.93; p < 0.001) and taste examinations (Score 11.83 ± 1.86 vs 8.53 ± 3.18; p < 0.001). ANCOVA revealed a statistical association between sensitivity and smell (p = 0.08) that was moderated by age (p = 0.044). Electrical threshold testing at the anterior faucial pillar is a simple, safe, and accurate diagnostic measure of oral sensitivity. We detected a decline of oral sensitivity, taste, and smell in older adults.Trial registration: Clinicaltrials.gov, NCT03240965. Registered 7th August 2017- https://clinicaltrials.gov/ct2/show/NCT03240965 .